Herpes simplex virus isolation at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$30.75
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.
$205.00
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.
$16.93 with AMERIGROUP vs $205.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $16.93 | ↓ -45% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $33.86 | ↑ +10% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $33.86 | ↑ +10% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $33.86 | ↑ +10% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $33.86 | ↑ +10% |
| SENTARA HEALTH | SENTARA MEDICARE | $33.86 | ↑ +10% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $33.86 | ↑ +10% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $33.86 | ↑ +10% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $33.86 | ↑ +10% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $33.86 | ↑ +10% |
| AETNA | AETNA HEALTHCARE MEDICARE | $33.86 | ↑ +10% |
| HUMANA | HUMANA MEDICARE | $33.86 | ↑ +10% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $33.86 | ↑ +10% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $34.88 | ↑ +13% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $35.21 | ↑ +15% |
| BLUE CROSS | BLUE CROSS MEDICARE | $35.21 | ↑ +15% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $35.55 | ↑ +16% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $35.55 | ↑ +16% |
| NHC ADVANTAGE | NHC ADVANTAGE | $35.55 | ↑ +16% |
| WELLCARE | WELLCARE MEDICARE | $35.89 | ↑ +17% |
| BLUE CROSS | TENNCARE BLUE SELECT | $42.75 | ↑ +39% |
| BLUE CROSS | TENNCARE BLUE CARE | $42.75 | ↑ +39% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $43.17 | ↑ +40% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $54.64 | ↑ +78% |
| SENTARA HEALTH | SENTARA HEALTH | $57.03 | ↑ +85% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $66.09 | ↑ +115% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $66.09 | ↑ +115% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $68.73 | ↑ +124% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $68.74 | ↑ +124% |
| MEDCOST | MEDCOST VHN | $71.75 | ↑ +133% |
| AMBETTER | AMBETTER | $73.81 | ↑ +140% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $74.34 | ↑ +142% |
| AETNA | AETNA | $130.79 | ↑ +325% |
| CIGNA HEALTHCARE | CIGNA HMO | $133.60 | ↑ +334% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $133.60 | ↑ +334% |
| CIGNA HEALTHCARE | CIGNA PPO | $133.60 | ↑ +334% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $153.75 | ↑ +400% |
| BLUE CROSS | BLUE CROSS E NETWORK | $188.96 | ↑ +515% |
| BLUE CROSS | BLUE CROSS P NETWORK | $192.65 | ↑ +527% |
| BLUE CROSS | BLUE CROSS S NETWORK | $192.65 | ↑ +527% |
| WELLCARE | WELLCARE MEDICAID | $205.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $205.00 | ↑ +567% |
Visitor-reported prices
Comments
Herpes simplex virus isolation at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $28.53 | $12.19 – $130.95 |
| CHI Memorial Hospital Hixson | Hixson | $39.96 | $30.08 – $94.50 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $57.11 | $28.35 – $94.50 |
| Johnson City Medical Center | JOHNSON CITY | $30.75 | $16.93 – $73.81 |
| Ascension Saint Thomas DeKalb | Smithville | $28.53 | $23.75 – $130.95 |
| Ascension Saint Thomas Highlands | Sparta | $28.53 | $23.75 – $130.95 |
| Ascension Saint Thomas River Park | McMinnville | $28.53 | $23.75 – $130.95 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $28.53 | $30.47 – $130.95 |