Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$733.80
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.
$4,892.00
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.
$204.38 with OPTIMA HEALTH vs $4,892.00 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 |
|---|---|---|---|
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $204.38 | ↓ -72% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $204.38 | ↓ -72% |
| AMERIGROUP | AMERIGROUP | $208.39 | ↓ -72% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $212.56 | ↓ -71% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $212.56 | ↓ -71% |
| SENTARA HEALTH | SENTARA MEDICARE | $416.78 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $416.78 | ↓ -43% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $416.78 | ↓ -43% |
| AETNA | AETNA HEALTHCARE MEDICARE | $416.78 | ↓ -43% |
| HUMANA | HUMANA MEDICARE | $416.78 | ↓ -43% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $416.78 | ↓ -43% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $416.78 | ↓ -43% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $416.78 | ↓ -43% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $416.78 | ↓ -43% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $416.78 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $416.78 | ↓ -43% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $416.78 | ↓ -43% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $429.28 | ↓ -41% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $433.45 | ↓ -41% |
| BLUE CROSS | BLUE CROSS MEDICARE | $433.45 | ↓ -41% |
| NHC ADVANTAGE | NHC ADVANTAGE | $437.62 | ↓ -40% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $437.62 | ↓ -40% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $437.62 | ↓ -40% |
| WELLCARE | WELLCARE MEDICARE | $441.79 | ↓ -40% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $514.55 | ↓ -30% |
| BLUE CROSS | TENNCARE BLUE CARE | $538.81 | ↓ -27% |
| BLUE CROSS | TENNCARE BLUE SELECT | $538.81 | ↓ -27% |
| AMBETTER | AMBETTER | $908.58 | ↑ +24% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $918.83 | ↑ +25% |
| SENTARA HEALTH | SENTARA HEALTH | $1,360.95 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $1,712.20 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,898.10 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,898.10 | ↑ +159% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,338.33 | ↑ +219% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,362.84 | ↑ +222% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,384.07 | ↑ +225% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,384.07 | ↑ +225% |
| AETNA | AETNA | $3,121.10 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $3,424.40 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,669.00 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $4,892.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,892.00 | ↑ +567% |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $441.47 | $150.04 – $1,613.01 |
| CHI Memorial Hospital Hixson | Hixson | $740.00 | $193.50 – $1,750.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $404.57 | $362.60 – $833.56 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,057.50 | $193.50 – $1,750.00 |
| Johnson City Medical Center | JOHNSON CITY | $733.80 | $188.35 – $908.58 |
| Ascension Saint Thomas DeKalb | Smithville | $441.47 | $375.10 – $1,613.01 |
| Ascension Saint Thomas Highlands | Sparta | $441.47 | $375.10 – $1,613.01 |
| Ascension Saint Thomas River Park | McMinnville | $441.47 | $375.10 – $1,613.01 |