Injection, cangrelor at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$922.96
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.
$6,153.07
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.
$14.29 with UNITED HEALTHCARE vs $6,153.07 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 | TENNCARE UNITED HEALTHCARE | $14.29 | ↓ -98% |
| AMERIGROUP | AMERIGROUP | $16.08 | ↓ -98% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $18.33 | ↓ -98% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $18.33 | ↓ -98% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $18.33 | ↓ -98% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $19.94 | ↓ -98% |
| AETNA | AETNA HEALTHCARE MEDICARE | $19.94 | ↓ -98% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $19.94 | ↓ -98% |
| HUMANA | HUMANA MEDICARE | $19.94 | ↓ -98% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $19.94 | ↓ -98% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $19.94 | ↓ -98% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $19.94 | ↓ -98% |
| SENTARA HEALTH | SENTARA MEDICARE | $19.94 | ↓ -98% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $19.94 | ↓ -98% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $20.54 | ↓ -98% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $20.74 | ↓ -98% |
| BLUE CROSS | BLUE CROSS MEDICARE | $20.74 | ↓ -98% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $20.94 | ↓ -98% |
| NHC ADVANTAGE | NHC ADVANTAGE | $20.94 | ↓ -98% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $20.94 | ↓ -98% |
| WELLCARE | WELLCARE MEDICARE | $21.14 | ↓ -98% |
| BLUE CROSS | TENNCARE BLUE CARE | $22.23 | ↓ -98% |
| BLUE CROSS | TENNCARE BLUE SELECT | $22.23 | ↓ -98% |
| BLUE CROSS | BLUE CROSS E NETWORK | $25.88 | ↓ -97% |
| BLUE CROSS | BLUE CROSS P NETWORK | $26.45 | ↓ -97% |
| BLUE CROSS | BLUE CROSS S NETWORK | $26.45 | ↓ -97% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $35.96 | ↓ -96% |
| AMBETTER | AMBETTER | $43.47 | ↓ -95% |
| CIGNA HEALTHCARE | CIGNA HMO | $47.81 | ↓ -95% |
| CIGNA HEALTHCARE | CIGNA PPO | $47.81 | ↓ -95% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $47.81 | ↓ -95% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $661.83 | ↓ -28% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $661.83 | ↓ -28% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $688.30 | ↓ -25% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $688.31 | ↓ -25% |
| SENTARA HEALTH | SENTARA HEALTH | $1,711.78 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $2,153.57 | ↑ +133% |
| AETNA | AETNA | $3,925.66 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $4,307.15 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $4,614.80 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $6,153.07 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $6,153.07 | ↑ +567% |
Visitor-reported prices
Comments
Injection, cangrelor at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $1,102.15 | $11.12 – $2,606.42 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,575.02 | $11.12 – $2,606.42 |
| Johnson City Medical Center | JOHNSON CITY | $922.96 | $14.29 – $609.91 |
| Bristol Regional Medical Center | BRISTOL | $922.96 | $9.53 – $620.66 |
| Franklin Woods Community Hospital | JOHNSON CITY | $922.96 | $14.29 – $661.83 |
| Holston Valley Medical Center | KINGSPORT | $922.96 | $9.53 – $620.66 |
| HORIZON MEDICAL CENTER | DICKSON | $2,003.85 | $22.87 – $52.84 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $3,775.81 | $22.87 – $52.84 |