Fetal contract stress test 59020 - 26 at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$215.25
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,435.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$11.42 with BLUE CROSS vs $1,435.00 with WELLCARE — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $11.42 | ↓ -95% |
| BLUE CROSS | TENNCARE BLUE SELECT | $20.39 | ↓ -91% |
| BLUE CROSS | TENNCARE BLUE CARE | $20.39 | ↓ -91% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $95.00 | ↓ -56% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $110.00 | ↓ -49% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $117.88 | ↓ -45% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $141.00 | ↓ -34% |
| AMERIGROUP | AMERIGROUP | $148.42 | ↓ -31% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $183.42 | ↓ -15% |
| AETNA | AETNA HEALTHCARE MEDICARE | $183.42 | ↓ -15% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $183.42 | ↓ -15% |
| HUMANA | HUMANA MEDICARE | $183.42 | ↓ -15% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $183.42 | ↓ -15% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $183.42 | ↓ -15% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $183.42 | ↓ -15% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $183.42 | ↓ -15% |
| SENTARA HEALTH | SENTARA MEDICARE | $183.42 | ↓ -15% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $188.93 | ↓ -12% |
| BLUE CROSS | BLUE CROSS MEDICARE | $190.76 | ↓ -11% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $190.76 | ↓ -11% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $192.60 | ↓ -11% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $192.60 | ↓ -11% |
| NHC ADVANTAGE | NHC ADVANTAGE | $192.60 | ↓ -11% |
| WELLCARE | WELLCARE MEDICARE | $194.43 | ↓ -10% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $271.98 | ↑ +26% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $271.98 | ↑ +26% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $282.86 | ↑ +31% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $282.86 | ↑ +31% |
| SENTARA HEALTH | SENTARA HEALTH | $399.22 | ↑ +85% |
| AMBETTER | AMBETTER | $399.87 | ↑ +86% |
| MEDCOST | MEDCOST VHN | $502.25 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $556.78 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $556.78 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $665.84 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $693.11 | ↑ +222% |
| AETNA | AETNA | $915.53 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,076.25 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,435.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,435.00 | ↑ +567% |
Visitor-reported prices
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Fetal contract stress test 59020 - 26 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $215.25 | $11.42 – $411.27 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $248.30 | $17.58 – $2,225.50 |
| Greeneville Community Hospital | GREENEVILLE | $215.25 | $11.42 – $411.27 |
| Bristol Regional Medical Center | BRISTOL | $215.25 | $11.42 – $460.30 |
| Franklin Woods Community Hospital | JOHNSON CITY | $215.25 | $11.42 – $400.16 |
| Holston Valley Medical Center | KINGSPORT | $215.25 | $11.42 – $460.30 |
| 62-0123940 BMH Collierville | Collierville | $305.13 | $29.79 – $368.42 |
| Indian Path Community Hospital | KINGSPORT | $215.25 | $11.42 – $440.22 |