Nr lnr acclrtr tx max 5 sessions at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$2,930.25
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.
$19,535.00
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.
$1,351.81 with BLUE CROSS vs $19,535.00 with CIGNA HEALTHCARE — 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 | $1,351.81 | ↓ -54% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1,351.81 | ↓ -54% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,434.39 | ↓ -51% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,486.16 | ↓ -49% |
| AMERIGROUP | AMERIGROUP | $1,549.02 | ↓ -47% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,622.25 | ↓ -45% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,622.25 | ↓ -45% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,622.25 | ↓ -45% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,622.25 | ↓ -45% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,622.25 | ↓ -45% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,622.25 | ↓ -45% |
| HUMANA | HUMANA MEDICARE | $1,622.25 | ↓ -45% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,622.25 | ↓ -45% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,622.25 | ↓ -45% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,670.92 | ↓ -43% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,687.14 | ↓ -42% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,687.14 | ↓ -42% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,703.37 | ↓ -42% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,703.37 | ↓ -42% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,703.37 | ↓ -42% |
| WELLCARE | WELLCARE MEDICARE | $1,719.59 | ↓ -41% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,922.76 | ↓ -34% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,922.76 | ↓ -34% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,999.67 | ↓ -32% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,999.67 | ↓ -32% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3,100.00 | ↑ +6% |
| AMBETTER | AMBETTER | $3,536.51 | ↑ +21% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $3,539.00 | ↑ +21% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,440.24 | ↑ +52% |
| CIGNA HEALTHCARE | CIGNA PPO | $4,440.24 | ↑ +52% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,440.24 | ↑ +52% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,588.00 | ↑ +57% |
| BLUE CROSS | BLUE CROSS E NETWORK | $5,132.29 | ↑ +75% |
| BLUE CROSS | BLUE CROSS S NETWORK | $5,233.37 | ↑ +79% |
| BLUE CROSS | BLUE CROSS P NETWORK | $5,233.37 | ↑ +79% |
| SENTARA HEALTH | SENTARA HEALTH | $5,434.64 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $6,837.25 | ↑ +133% |
| AETNA | AETNA | $12,463.33 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $14,651.25 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $19,535.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $19,535.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $19,535.00 | ↑ +567% |
Visitor-reported prices
Comments
Nr lnr acclrtr tx max 5 sessions at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,646.52 | $1,165.35 – $3,696.77 |
| CHI Memorial Hospital Hixson | Hixson | $2,306.73 | $800.00 – $5,455.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,296.44 | $800.00 – $5,455.10 |
| Johnson City Medical Center | JOHNSON CITY | $2,930.25 | $1,351.81 – $3,637.35 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,646.52 | $1,165.35 – $3,696.77 |
| Greeneville Community Hospital | GREENEVILLE | $2,930.25 | $594.46 – $3,637.35 |
| Bristol Regional Medical Center | BRISTOL | $2,930.25 | $990.77 – $4,070.97 |
| Franklin Woods Community Hospital | JOHNSON CITY | $2,930.25 | $1,401.11 – $3,539.14 |