Injection radioactive tracer sentinel node (both sides) at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$482.85
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.
$3,219.00
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 $1,610.00 with BLUE CROSS — 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 | ↓ -67% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $166.00 | ↓ -66% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $180.00 | ↓ -63% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $231.00 | ↓ -52% |
| AMERIGROUP | AMERIGROUP | $322.73 | ↓ -33% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $362.70 | ↓ -25% |
| AETNA | AETNA HEALTHCARE MEDICARE | $362.70 | ↓ -25% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $362.70 | ↓ -25% |
| HUMANA | HUMANA MEDICARE | $362.70 | ↓ -25% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $362.70 | ↓ -25% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $362.70 | ↓ -25% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $362.70 | ↓ -25% |
| SENTARA HEALTH | SENTARA MEDICARE | $362.70 | ↓ -25% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $362.70 | ↓ -25% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $373.58 | ↓ -23% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $377.21 | ↓ -22% |
| BLUE CROSS | BLUE CROSS MEDICARE | $377.21 | ↓ -22% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $380.84 | ↓ -21% |
| NHC ADVANTAGE | NHC ADVANTAGE | $380.84 | ↓ -21% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $380.84 | ↓ -21% |
| WELLCARE | WELLCARE MEDICARE | $384.46 | ↓ -20% |
| SENTARA HEALTH | SENTARA HEALTH | $447.90 | ↓ -7% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $508.23 | ↑ +5% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $508.23 | ↑ +5% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $528.56 | ↑ +9% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $528.56 | ↑ +9% |
| MEDCOST | MEDCOST VHN | $563.50 | ↑ +17% |
| BLUE CROSS | TENNCARE BLUE CARE | $578.00 | ↑ +20% |
| AMBETTER | AMBETTER | $790.69 | ↑ +64% |
| AETNA | AETNA | $1,027.18 | ↑ +113% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,207.50 | ↑ +150% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,266.00 | ↑ +162% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,266.00 | ↑ +162% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,406.00 | ↑ +191% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +203% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +215% |
| WELLCARE | WELLCARE MEDICAID | $1,610.00 | ↑ +233% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,610.00 | ↑ +233% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,610.00 | ↑ +233% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,610.00 | ↑ +233% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,610.00 | ↑ +233% |
Visitor-reported prices
Comments
Injection radioactive tracer sentinel node (both sides) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $347.75 | $346.35 – $1,141.72 |
| CHI Memorial Hospital Hixson | Hixson | $290.97 | $196.60 – $688.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $184.00 | $319.22 – $733.84 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $415.81 | $206.43 – $688.10 |
| Johnson City Medical Center | JOHNSON CITY | $482.85 | $331.93 – $813.24 |
| Ascension Saint Thomas DeKalb | Smithville | $347.75 | $140.14 – $1,004.50 |
| Ascension Saint Thomas Highlands | Sparta | $347.75 | $140.14 – $1,004.50 |
| Ascension Saint Thomas River Park | McMinnville | $347.75 | $140.14 – $1,004.50 |