Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$828.90
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.
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What you pay up front if you don't use insurance.
$5,526.00
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.
$578.00 with BLUE CROSS vs $3,682.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE CARE | $578.00 | ↓ -30% |
| AMERIGROUP | AMERIGROUP | $620.80 | ↓ -25% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $704.00 | ↓ -15% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $758.00 | ↓ -9% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $802.46 | ↓ -3% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $802.46 | ↓ -3% |
| SENTARA HEALTH | SENTARA MEDICARE | $802.46 | ↓ -3% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $802.46 | ↓ -3% |
| AETNA | AETNA HEALTHCARE MEDICARE | $802.46 | ↓ -3% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $802.46 | ↓ -3% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $802.46 | ↓ -3% |
| HUMANA | HUMANA MEDICARE | $802.46 | ↓ -3% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $802.46 | ↓ -3% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $826.53 | ↓ -0% |
| BLUE CROSS | BLUE CROSS MEDICARE | $834.56 | ↑ +1% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $834.56 | ↑ +1% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $842.58 | ↑ +2% |
| NHC ADVANTAGE | NHC ADVANTAGE | $842.58 | ↑ +2% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $842.58 | ↑ +2% |
| WELLCARE | WELLCARE MEDICARE | $850.61 | ↑ +3% |
| SENTARA HEALTH | SENTARA HEALTH | $1,024.33 | ↑ +24% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,050.52 | ↑ +27% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,050.52 | ↑ +27% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,054.00 | ↑ +27% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,092.54 | ↑ +32% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,092.54 | ↑ +32% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,204.00 | ↑ +45% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,266.00 | ↑ +53% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,266.00 | ↑ +53% |
| MEDCOST | MEDCOST VHN | $1,288.70 | ↑ +55% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,406.00 | ↑ +70% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +76% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,560.00 | ↑ +88% |
| AMBETTER | AMBETTER | $1,749.36 | ↑ +111% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,770.00 | ↑ +114% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,807.00 | ↑ +118% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,807.00 | ↑ +118% |
| AETNA | AETNA | $2,349.12 | ↑ +183% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,761.50 | ↑ +233% |
| WELLCARE | WELLCARE MEDICAID | $3,682.00 | ↑ +344% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,682.00 | ↑ +344% |
Visitor-reported prices
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Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,572.59 | $733.50 – $1,193.68 |
| CHI Memorial Hospital Hixson | Hixson | $413.22 | $279.20 – $977.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $407.56 | $707.26 – $1,625.88 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $590.51 | $293.16 – $977.20 |
| Johnson City Medical Center | JOHNSON CITY | $828.90 | $638.50 – $1,799.24 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,572.59 | $767.37 – $1,217.22 |
| Greeneville Community Hospital | GREENEVILLE | $828.90 | $570.97 – $1,799.24 |
| Bristol Regional Medical Center | BRISTOL | $828.90 | $839.06 – $2,013.74 |