Home health care supervision at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$49.05
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.
$327.00
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.
$48.49 with BLUE CROSS vs $327.00 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 | $48.49 | ↓ -1% |
| BLUE CROSS | TENNCARE BLUE CARE | $57.37 | ↑ +17% |
| BLUE CROSS | TENNCARE BLUE SELECT | $57.37 | ↑ +17% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $80.06 | ↑ +63% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $80.06 | ↑ +63% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $83.26 | ↑ +70% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $83.27 | ↑ +70% |
| SENTARA HEALTH | SENTARA HEALTH | $90.97 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $114.45 | ↑ +133% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $121.64 | ↑ +148% |
| CIGNA HEALTHCARE | CIGNA HMO | $126.88 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $126.88 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $127.86 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $127.86 | ↑ +161% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $151.73 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $155.65 | ↑ +217% |
| AETNA | AETNA | $208.63 | ↑ +325% |
| BLUE CROSS | BLUE CROSS S NETWORK | $235.44 | ↑ +380% |
| BLUE CROSS | BLUE CROSS P NETWORK | $235.44 | ↑ +380% |
| BLUE CROSS | BLUE CROSS E NETWORK | $235.44 | ↑ +380% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $245.25 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $327.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $327.00 | ↑ +567% |
Visitor-reported prices
Comments
Home health care supervision at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $49.05 | $48.49 – $76.73 |
| Greeneville Community Hospital | GREENEVILLE | $49.05 | $48.49 – $80.06 |
| Bristol Regional Medical Center | BRISTOL | $49.05 | $48.49 – $76.46 |
| Franklin Woods Community Hospital | JOHNSON CITY | $49.05 | $48.49 – $121.64 |
| Holston Valley Medical Center | KINGSPORT | $49.05 | $48.49 – $76.46 |
| Indian Path Community Hospital | KINGSPORT | $49.05 | $48.49 – $73.27 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $49.05 | $48.49 – $84.06 |
| Ascension Saint Thomas Midtown | Nashville | not published | $49.46 – $49.46 |