IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$92.55
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.
$617.00
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.
$61.37 with BLUE CROSS vs $617.00 with WELLCARE — 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $61.37 | ↓ -34% |
| BLUE CROSS | TENNCARE BLUE CARE | $62.03 | ↓ -33% |
| BLUE CROSS | TENNCARE BLUE SELECT | $62.03 | ↓ -33% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $95.00 | ↑ +3% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $110.00 | ↑ +19% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $113.98 | ↑ +23% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $141.00 | ↑ +52% |
| SENTARA HEALTH | SENTARA HEALTH | $171.65 | ↑ +85% |
| AMERIGROUP | AMERIGROUP | $176.48 | ↑ +91% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $192.98 | ↑ +109% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $192.98 | ↑ +109% |
| AETNA | AETNA HEALTHCARE MEDICARE | $192.98 | ↑ +109% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $192.98 | ↑ +109% |
| HUMANA | HUMANA MEDICARE | $192.98 | ↑ +109% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $192.98 | ↑ +109% |
| SENTARA HEALTH | SENTARA MEDICARE | $192.98 | ↑ +109% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $192.98 | ↑ +109% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $192.98 | ↑ +109% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $198.77 | ↑ +115% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $200.70 | ↑ +117% |
| BLUE CROSS | BLUE CROSS MEDICARE | $200.70 | ↑ +117% |
| NHC ADVANTAGE | NHC ADVANTAGE | $202.63 | ↑ +119% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $202.63 | ↑ +119% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $202.63 | ↑ +119% |
| CIGNA HEALTHCARE | CIGNA PPO | $202.90 | ↑ +119% |
| CIGNA HEALTHCARE | CIGNA HMO | $202.90 | ↑ +119% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $202.90 | ↑ +119% |
| WELLCARE | WELLCARE MEDICARE | $204.56 | ↑ +121% |
| MEDCOST | MEDCOST VHN | $215.95 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $286.29 | ↑ +209% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $390.44 | ↑ +322% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $390.44 | ↑ +322% |
| AETNA | AETNA | $393.65 | ↑ +325% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $406.06 | ↑ +339% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $406.06 | ↑ +339% |
| AMBETTER | AMBETTER | $420.70 | ↑ +355% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $462.75 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $617.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $617.00 | ↑ +567% |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $148.43 | $53.47 – $282.49 |
| CHI Memorial Hospital Hixson | Hixson | $278.84 | $79.58 – $659.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $184.00 | $53.47 – $384.78 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $398.47 | $79.58 – $659.40 |
| Johnson City Medical Center | JOHNSON CITY | $92.55 | $61.37 – $432.69 |
| Ascension Saint Thomas DeKalb | Smithville | $148.43 | $53.47 – $278.42 |
| Ascension Saint Thomas Highlands | Sparta | $148.43 | $53.47 – $278.42 |
| Ascension Saint Thomas River Park | McMinnville | $148.43 | $63.32 – $278.42 |