Incision of achilles tendon at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$690.90
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.
?
What you pay up front if you don't use insurance.
$4,606.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$704.00 with BLUE CROSS vs $4,606.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $704.00 | ↑ +2% |
| BLUE CROSS | TENNCARE BLUE CARE | $890.00 | ↑ +29% |
| AMERIGROUP | AMERIGROUP | $1,246.75 | ↑ +80% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,266.00 | ↑ +83% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,266.00 | ↑ +83% |
| SENTARA HEALTH | SENTARA HEALTH | $1,281.39 | ↑ +85% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,395.00 | ↑ +102% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,406.00 | ↑ +104% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,458.89 | ↑ +111% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,458.89 | ↑ +111% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,458.89 | ↑ +111% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,458.89 | ↑ +111% |
| HUMANA | HUMANA MEDICARE | $1,458.89 | ↑ +111% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,458.89 | ↑ +111% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,458.89 | ↑ +111% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,458.89 | ↑ +111% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,458.89 | ↑ +111% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +112% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,502.66 | ↑ +117% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,517.25 | ↑ +120% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,517.25 | ↑ +120% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,531.83 | ↑ +122% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,531.83 | ↑ +122% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,531.83 | ↑ +122% |
| WELLCARE | WELLCARE MEDICARE | $1,546.42 | ↑ +124% |
| MEDCOST | MEDCOST VHN | $1,612.10 | ↑ +133% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,469.00 | ↑ +257% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,521.00 | ↑ +265% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,521.00 | ↑ +265% |
| AETNA | AETNA | $2,938.63 | ↑ +325% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,008.33 | ↑ +335% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $3,008.33 | ↑ +335% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $3,128.66 | ↑ +353% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $3,128.66 | ↑ +353% |
| AMBETTER | AMBETTER | $3,180.38 | ↑ +360% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3,313.00 | ↑ +380% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,454.50 | ↑ +400% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $3,781.00 | ↑ +447% |
| WELLCARE | WELLCARE MEDICAID | $4,606.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,606.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,606.00 | ↑ +567% |
Visitor-reported prices
Comments
Incision of achilles tendon at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $690.90 | $1,282.30 – $3,271.06 |
| Hancock County Hospital | SNEEDVILLE | $678.04 | $1,898.91 – $3,158.75 |
| Greeneville Community Hospital | GREENEVILLE | $690.90 | $1,146.67 – $3,271.06 |
| Bristol Regional Medical Center | BRISTOL | $690.90 | $1,525.42 – $3,661.02 |
| Franklin Woods Community Hospital | JOHNSON CITY | $690.90 | $1,127.71 – $3,182.74 |
| Holston Valley Medical Center | KINGSPORT | $690.90 | $1,525.42 – $3,661.02 |
| Indian Path Community Hospital | KINGSPORT | $690.90 | $1,246.75 – $3,501.34 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $690.90 | $1,458.89 – $3,180.38 |