Ntsty modul rad tx dlvr cplx at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$696.00
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.
$4,640.00
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.
$338.09 with BLUE CROSS vs $4,640.00 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 SELECT | $338.09 | ↓ -51% |
| BLUE CROSS | TENNCARE BLUE CARE | $338.09 | ↓ -51% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $456.80 | ↓ -34% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $654.64 | ↓ -6% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $654.64 | ↓ -6% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $680.83 | ↓ -2% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $680.83 | ↓ -2% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $995.15 | ↑ +43% |
| SENTARA HEALTH | SENTARA HEALTH | $1,290.85 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $1,624.00 | ↑ +133% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,639.49 | ↑ +136% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,671.78 | ↑ +140% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,671.78 | ↑ +140% |
| AETNA | AETNA | $2,960.32 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3,100.00 | ↑ +345% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $3,248.00 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,480.00 | ↑ +400% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $3,539.00 | ↑ +408% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,588.00 | ↑ +559% |
| WELLCARE | WELLCARE MEDICAID | $4,640.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,640.00 | ↑ +567% |
Visitor-reported prices
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Ntsty modul rad tx dlvr cplx at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $653.55 | $291.46 – $1,402.34 |
| CHI Memorial Hospital Hixson | Hixson | $2,494.40 | $331.44 – $5,898.90 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,564.63 | $331.44 – $5,898.90 |
| Johnson City Medical Center | JOHNSON CITY | $696.00 | $338.09 – $995.15 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $653.55 | $291.46 – $1,402.34 |
| Greeneville Community Hospital | GREENEVILLE | $696.00 | $182.72 – $995.15 |
| Bristol Regional Medical Center | BRISTOL | $696.00 | $304.53 – $995.15 |
| Franklin Woods Community Hospital | JOHNSON CITY | $696.00 | $410.96 – $995.15 |