Ghs block ilioinguinal/gentitofemoral at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$313.50
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.
$2,090.00
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.
$98.99 with BLUE CROSS vs $2,090.00 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $98.99 | ↓ -68% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $146.00 | ↓ -53% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↑ +27% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $455.00 | ↑ +45% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $551.99 | ↑ +76% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $551.99 | ↑ +76% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $574.07 | ↑ +83% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $574.07 | ↑ +83% |
| SENTARA HEALTH | SENTARA HEALTH | $581.44 | ↑ +85% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↑ +88% |
| AETNA | AETNA HEALTHCARE MEDICARE | $640.43 | ↑ +104% |
| HUMANA | HUMANA MEDICARE | $640.43 | ↑ +104% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $640.43 | ↑ +104% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $640.43 | ↑ +104% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $640.43 | ↑ +104% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $640.43 | ↑ +104% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $640.43 | ↑ +104% |
| SENTARA HEALTH | SENTARA MEDICARE | $640.43 | ↑ +104% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $640.43 | ↑ +104% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $659.64 | ↑ +110% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $666.04 | ↑ +112% |
| BLUE CROSS | BLUE CROSS MEDICARE | $666.04 | ↑ +112% |
| NHC ADVANTAGE | NHC ADVANTAGE | $672.45 | ↑ +114% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $672.45 | ↑ +114% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $672.45 | ↑ +114% |
| WELLCARE | WELLCARE MEDICARE | $678.85 | ↑ +117% |
| MEDCOST | MEDCOST VHN | $731.50 | ↑ +133% |
| AETNA | AETNA | $1,333.42 | ↑ +325% |
| AMBETTER | AMBETTER | $1,396.13 | ↑ +345% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,567.50 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $2,090.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,090.00 | ↑ +567% |
Visitor-reported prices
Comments
Ghs block ilioinguinal/gentitofemoral at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $623.85 | $596.91 – $1,141.72 |
| 62-1166050 BMH Carroll County | Huntingdon | $270.25 | $550.14 – $1,264.70 |
| Johnson City Medical Center | JOHNSON CITY | $313.50 | $98.99 – $1,435.94 |
| Hancock County Hospital | SNEEDVILLE | $307.74 | $98.99 – $579.59 |
| Greeneville Community Hospital | GREENEVILLE | $313.50 | $98.99 – $1,435.94 |
| Bristol Regional Medical Center | BRISTOL | $313.50 | $98.99 – $1,607.12 |
| Franklin Woods Community Hospital | JOHNSON CITY | $313.50 | $98.99 – $1,397.17 |
| Holston Valley Medical Center | KINGSPORT | $313.50 | $98.99 – $1,607.12 |