Ghs analysis neurostim without reprogramming at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$54.75
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.
$365.00
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.
$23.35 with BLUE CROSS vs $365.00 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 | TENNCARE BLUE CARE | $23.35 | ↓ -57% |
| BLUE CROSS | TENNCARE BLUE SELECT | $23.35 | ↓ -57% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $26.91 | ↓ -51% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $67.69 | ↑ +24% |
| CIGNA HEALTHCARE | CIGNA PPO | $67.69 | ↑ +24% |
| CIGNA HEALTHCARE | CIGNA HMO | $67.69 | ↑ +24% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $75.70 | ↑ +38% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $95.00 | ↑ +74% |
| AMERIGROUP | AMERIGROUP | $97.01 | ↑ +77% |
| SENTARA HEALTH | SENTARA HEALTH | $101.54 | ↑ +85% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $110.00 | ↑ +101% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $120.71 | ↑ +120% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $120.71 | ↑ +120% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $120.71 | ↑ +120% |
| SENTARA HEALTH | SENTARA MEDICARE | $120.71 | ↑ +120% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $120.71 | ↑ +120% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $120.71 | ↑ +120% |
| AETNA | AETNA HEALTHCARE MEDICARE | $120.71 | ↑ +120% |
| HUMANA | HUMANA MEDICARE | $120.71 | ↑ +120% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $120.71 | ↑ +120% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $124.33 | ↑ +127% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $125.54 | ↑ +129% |
| BLUE CROSS | BLUE CROSS MEDICARE | $125.54 | ↑ +129% |
| NHC ADVANTAGE | NHC ADVANTAGE | $126.75 | ↑ +132% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $126.75 | ↑ +132% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $126.75 | ↑ +132% |
| MEDCOST | MEDCOST VHN | $127.75 | ↑ +133% |
| WELLCARE | WELLCARE MEDICARE | $127.95 | ↑ +134% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $141.00 | ↑ +158% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $169.36 | ↑ +209% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $189.66 | ↑ +246% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $189.66 | ↑ +246% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $197.24 | ↑ +260% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $197.25 | ↑ +260% |
| AETNA | AETNA | $232.87 | ↑ +325% |
| AMBETTER | AMBETTER | $263.15 | ↑ +381% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $273.75 | ↑ +400% |
| BLUE CROSS | BLUE CROSS S NETWORK | $298.89 | ↑ +446% |
| BLUE CROSS | BLUE CROSS P NETWORK | $298.89 | ↑ +446% |
| BLUE CROSS | BLUE CROSS E NETWORK | $298.89 | ↑ +446% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $365.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $365.00 | ↑ +567% |
Visitor-reported prices
Comments
Ghs analysis neurostim without reprogramming at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $54.75 | $23.35 – $270.65 |
| Hancock County Hospital | SNEEDVILLE | $53.82 | $23.35 – $199.14 |
| Greeneville Community Hospital | GREENEVILLE | $54.75 | $23.35 – $270.65 |
| Bristol Regional Medical Center | BRISTOL | $54.75 | $23.35 – $302.92 |
| Franklin Woods Community Hospital | JOHNSON CITY | $54.75 | $26.91 – $263.35 |
| Holston Valley Medical Center | KINGSPORT | $54.75 | $23.35 – $302.92 |
| Indian Path Community Hospital | KINGSPORT | $54.75 | $23.35 – $289.71 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $54.75 | $23.35 – $263.15 |