In situ hybridization per specimen each additional single probe stain at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$93.30
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.
$622.00
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.
$44.84 with BLUE CROSS vs $622.00 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 | ANTHEM HLTHKEEP MEDICIAD | $44.84 | ↓ -52% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $44.84 | ↓ -52% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $46.63 | ↓ -50% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $46.64 | ↓ -50% |
| BLUE CROSS | TENNCARE BLUE SELECT | $59.18 | ↓ -37% |
| BLUE CROSS | TENNCARE BLUE CARE | $59.18 | ↓ -37% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $63.15 | ↓ -32% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $104.30 | ↑ +12% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $104.30 | ↑ +12% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $104.30 | ↑ +12% |
| SENTARA HEALTH | SENTARA HEALTH | $173.04 | ↑ +85% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $217.69 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $217.70 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $241.34 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $241.34 | ↑ +159% |
| BLUE CROSS | BLUE CROSS E NETWORK | $256.85 | ↑ +175% |
| BLUE CROSS | BLUE CROSS P NETWORK | $261.88 | ↑ +181% |
| BLUE CROSS | BLUE CROSS S NETWORK | $261.88 | ↑ +181% |
| CIGNA HEALTHCARE | CIGNA PPO | $300.43 | ↑ +222% |
| AETNA | AETNA | $396.84 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $435.40 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $466.50 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $622.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $622.00 | ↑ +567% |
Visitor-reported prices
Comments
In situ hybridization per specimen each additional single probe stain at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $251.55 | $51.02 – $307.67 |
| CHI Memorial Hospital Hixson | Hixson | $166.36 | $45.75 – $393.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $79.81 | $51.02 – $103.66 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $237.73 | $45.75 – $393.40 |
| Johnson City Medical Center | JOHNSON CITY | $93.30 | $41.32 – $217.69 |
| Ascension Saint Thomas DeKalb | Smithville | $264.15 | $34.74 – $307.67 |
| Ascension Saint Thomas Highlands | Sparta | $251.55 | $34.74 – $307.67 |
| Ascension Saint Thomas River Park | McMinnville | $264.15 | $34.74 – $307.67 |