Ped crit care transport at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$32.70
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.
$218.00
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.
$60.65 with SENTARA HEALTH vs $218.00 with UNITED 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $60.65 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $76.30 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $84.58 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $84.58 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $101.15 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $105.29 | ↑ +222% |
| AETNA | AETNA | $139.08 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $163.50 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $218.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $218.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $218.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $218.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $218.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $218.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $218.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $218.00 | ↑ +567% |
Visitor-reported prices
Comments
Ped crit care transport at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $32.70 | $218.00 – $218.00 |
| Franklin Woods Community Hospital | JOHNSON CITY | $32.70 | $218.00 – $218.00 |
| Indian Path Community Hospital | KINGSPORT | $32.70 | $218.00 – $218.00 |
| Ascension Saint Thomas Midtown | Nashville | not published | $194.21 – $194.21 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $194.21 – $258.49 |
| Ascension Saint Thomas Highlands | Sparta | not published | $194.21 – $291.31 |
| Ascension Saint Thomas River Park | McMinnville | not published | $290.17 – $369.00 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $194.21 – $194.21 |