Passy muir valve metal trach at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$682.50
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.
$4,549.97
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.
$72.00 with UNITED HEALTHCARE vs $509.11 with AMBETTER — 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 | $72.00 | ↓ -89% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $78.30 | ↓ -89% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $81.90 | ↓ -88% |
| SENTARA HEALTH | SENTARA HEALTH | $125.19 | ↓ -82% |
| MEDCOST | MEDCOST VHN | $157.50 | ↓ -77% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $157.95 | ↓ -77% |
| CIGNA HEALTHCARE | CIGNA HMO | $157.95 | ↓ -77% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $180.00 | ↓ -74% |
| CIGNA HEALTHCARE | CIGNA PPO | $202.05 | ↓ -70% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $225.00 | ↓ -67% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $233.54 | ↓ -66% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $233.54 | ↓ -66% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $233.54 | ↓ -66% |
| AETNA | AETNA HEALTHCARE MEDICARE | $233.54 | ↓ -66% |
| HUMANA | HUMANA MEDICARE | $233.54 | ↓ -66% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $233.54 | ↓ -66% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $233.54 | ↓ -66% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $233.54 | ↓ -66% |
| SENTARA HEALTH | SENTARA MEDICARE | $233.54 | ↓ -66% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $240.54 | ↓ -65% |
| AMERIGROUP | AMERIGROUP | $242.88 | ↓ -64% |
| BLUE CROSS | BLUE CROSS MEDICARE | $242.88 | ↓ -64% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $242.88 | ↓ -64% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $245.21 | ↓ -64% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $245.21 | ↓ -64% |
| NHC ADVANTAGE | NHC ADVANTAGE | $245.21 | ↓ -64% |
| WELLCARE | WELLCARE MEDICARE | $247.55 | ↓ -64% |
| AETNA | AETNA | $287.10 | ↓ -58% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $337.50 | ↓ -51% |
| WELLCARE | WELLCARE MEDICAID | $450.00 | ↓ -34% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $450.00 | ↓ -34% |
| AMBETTER | AMBETTER | $509.11 | ↓ -25% |
Visitor-reported prices
Comments
Passy muir valve metal trach at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $682.50 | $233.54 – $509.11 |
| Hancock County Hospital | SNEEDVILLE | $1,046.49 | $179.42 – $496.13 |
| Greeneville Community Hospital | GREENEVILLE | $682.50 | $187.06 – $438.48 |
| Bristol Regional Medical Center | BRISTOL | $682.50 | $179.42 – $438.48 |
| Franklin Woods Community Hospital | JOHNSON CITY | $682.50 | $219.52 – $509.11 |
| Holston Valley Medical Center | KINGSPORT | $682.50 | $179.42 – $438.48 |
| Indian Path Community Hospital | KINGSPORT | $682.50 | $179.42 – $509.11 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $682.50 | $179.42 – $438.48 |