Inj for mammo ductogram at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$242.10
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.
$1,614.00
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.
$157.00 with UNITED HEALTHCARE vs $1,076.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $157.00 | ↓ -35% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $166.00 | ↓ -31% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $180.00 | ↓ -26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $231.00 | ↓ -5% |
| SENTARA HEALTH | SENTARA HEALTH | $299.34 | ↑ +24% |
| MEDCOST | MEDCOST VHN | $376.60 | ↑ +56% |
| BLUE CROSS | BLUE CROSS E NETWORK | $401.00 | ↑ +66% |
| BLUE CROSS | BLUE CROSS P NETWORK | $410.00 | ↑ +69% |
| BLUE CROSS | BLUE CROSS S NETWORK | $410.00 | ↑ +69% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $476.19 | ↑ +97% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $476.19 | ↑ +97% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $495.24 | ↑ +105% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $495.24 | ↑ +105% |
| BLUE CROSS | TENNCARE BLUE CARE | $578.00 | ↑ +139% |
| AETNA | AETNA | $686.49 | ↑ +184% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $704.00 | ↑ +191% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $807.00 | ↑ +233% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,076.00 | ↑ +344% |
| WELLCARE | WELLCARE MEDICAID | $1,076.00 | ↑ +344% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,076.00 | ↑ +344% |
Visitor-reported prices
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Inj for mammo ductogram at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $327.03 | $394.86 – $2,225.50 |
| Johnson City Medical Center | JOHNSON CITY | $242.10 | $438.84 – $456.39 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $327.03 | $394.86 – $2,225.50 |
| Greeneville Community Hospital | GREENEVILLE | $242.10 | $476.19 – $476.19 |
| Bristol Regional Medical Center | BRISTOL | $242.10 | $446.13 – $454.80 |
| Franklin Woods Community Hospital | JOHNSON CITY | $242.10 | $476.19 – $495.24 |
| Holston Valley Medical Center | KINGSPORT | $242.10 | $433.14 – $454.80 |
| 62-0123940 BMH Collierville | Collierville | $84.42 | $62.55 – $62.55 |