Frozen blood thaw at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$93.75
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.
$625.00
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.
$42.36 with UNITED HEALTHCARE vs $625.00 with SEVEN CORNERS, INC. — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $42.36 | ↓ -55% |
| AMERIGROUP | AMERIGROUP | $57.36 | ↓ -39% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $118.38 | ↑ +26% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $118.38 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $123.11 | ↑ +31% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $123.12 | ↑ +31% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $144.72 | ↑ +54% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $154.57 | ↑ +65% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $154.57 | ↑ +65% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $154.57 | ↑ +65% |
| SENTARA HEALTH | SENTARA MEDICARE | $154.57 | ↑ +65% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $154.57 | ↑ +65% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $154.57 | ↑ +65% |
| AETNA | AETNA HEALTHCARE MEDICARE | $154.57 | ↑ +65% |
| HUMANA | HUMANA MEDICARE | $154.57 | ↑ +65% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $154.57 | ↑ +65% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $159.21 | ↑ +70% |
| BLUE CROSS | BLUE CROSS MEDICARE | $160.76 | ↑ +71% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $160.76 | ↑ +71% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $162.30 | ↑ +73% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $162.30 | ↑ +73% |
| NHC ADVANTAGE | NHC ADVANTAGE | $162.30 | ↑ +73% |
| WELLCARE | WELLCARE MEDICARE | $163.85 | ↑ +75% |
| CIGNA HEALTHCARE | CIGNA HMO | $163.92 | ↑ +75% |
| CIGNA HEALTHCARE | CIGNA PPO | $163.92 | ↑ +75% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $163.92 | ↑ +75% |
| SENTARA HEALTH | SENTARA HEALTH | $173.88 | ↑ +85% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $182.61 | ↑ +95% |
| MEDCOST | MEDCOST VHN | $218.75 | ↑ +133% |
| BLUE CROSS | TENNCARE BLUE CARE | $219.53 | ↑ +134% |
| BLUE CROSS | TENNCARE BLUE SELECT | $219.53 | ↑ +134% |
| BLUE CROSS | BLUE CROSS E NETWORK | $226.30 | ↑ +141% |
| BLUE CROSS | BLUE CROSS S NETWORK | $230.73 | ↑ +146% |
| BLUE CROSS | BLUE CROSS P NETWORK | $230.73 | ↑ +146% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $283.41 | ↑ +202% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $283.41 | ↑ +202% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $283.41 | ↑ +202% |
| AMBETTER | AMBETTER | $336.97 | ↑ +259% |
| AETNA | AETNA | $398.75 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $468.75 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $625.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $625.00 | ↑ +567% |
Visitor-reported prices
Comments
Frozen blood thaw at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $93.75 | $42.36 – $346.58 |
| Hancock County Hospital | SNEEDVILLE | $92.00 | $23.54 – $182.61 |
| Greeneville Community Hospital | GREENEVILLE | $93.75 | $16.95 – $346.58 |
| Bristol Regional Medical Center | BRISTOL | $93.75 | $28.24 – $387.89 |
| Franklin Woods Community Hospital | JOHNSON CITY | $93.75 | $42.36 – $337.22 |
| Holston Valley Medical Center | KINGSPORT | $93.75 | $28.24 – $387.89 |
| Indian Path Community Hospital | KINGSPORT | $93.75 | $42.36 – $370.97 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $93.75 | $23.54 – $336.97 |