Ga-67 gallium 0.1 mci at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$27.30
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.
$182.00
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.
$30.36 with BLUE CROSS vs $165.00 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 | $30.36 | ↑ +11% |
| SENTARA HEALTH | SENTARA HEALTH | $45.90 | ↑ +68% |
| MEDCOST | MEDCOST VHN | $57.75 | ↑ +112% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $64.02 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA HMO | $64.02 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA PPO | $79.70 | ↑ +192% |
| AETNA | AETNA | $105.27 | ↑ +286% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $123.75 | ↑ +353% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $165.00 | ↑ +504% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $165.00 | ↑ +504% |
| WELLCARE | WELLCARE MEDICAID | $165.00 | ↑ +504% |
Visitor-reported prices
Comments
Ga-67 gallium 0.1 mci at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $218.45 | $27.62 – $356.79 |
| CHI Memorial Hospital Hixson | Hixson | $37.30 | $25.20 – $126.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $22.54 | $134.48 – $166.64 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $53.30 | $26.46 – $126.00 |
| Johnson City Medical Center | JOHNSON CITY | $27.30 | $30.36 – $165.00 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $221.96 | $27.62 – $362.53 |
| Greeneville Community Hospital | GREENEVILLE | $27.30 | $30.36 – $165.00 |
| Bristol Regional Medical Center | BRISTOL | $27.30 | $30.36 – $165.00 |