Phys blood bank serv reactj at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$72.60
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.
$484.00
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.
$33.13 with UNITED HEALTHCARE vs $484.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $33.13 | ↓ -54% |
| BLUE CROSS | TENNCARE BLUE CARE | $45.38 | ↓ -37% |
| BLUE CROSS | TENNCARE BLUE SELECT | $45.38 | ↓ -37% |
| AMERIGROUP | AMERIGROUP | $57.36 | ↓ -21% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $74.17 | ↑ +2% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $103.30 | ↑ +42% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $131.85 | ↑ +82% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $131.85 | ↑ +82% |
| SENTARA HEALTH | SENTARA HEALTH | $134.65 | ↑ +85% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $137.12 | ↑ +89% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $137.12 | ↑ +89% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $141.74 | ↑ +95% |
| CIGNA HEALTHCARE | CIGNA PPO | $141.74 | ↑ +95% |
| CIGNA HEALTHCARE | CIGNA HMO | $141.74 | ↑ +95% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $143.50 | ↑ +98% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $143.50 | ↑ +98% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $143.50 | ↑ +98% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $154.57 | ↑ +113% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $154.57 | ↑ +113% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $154.57 | ↑ +113% |
| HUMANA | HUMANA MEDICARE | $154.57 | ↑ +113% |
| SENTARA HEALTH | SENTARA MEDICARE | $154.57 | ↑ +113% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $154.57 | ↑ +113% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $154.57 | ↑ +113% |
| AETNA | AETNA HEALTHCARE MEDICARE | $154.57 | ↑ +113% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $154.57 | ↑ +113% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $159.21 | ↑ +119% |
| BLUE CROSS | BLUE CROSS MEDICARE | $160.76 | ↑ +121% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $160.76 | ↑ +121% |
| NHC ADVANTAGE | NHC ADVANTAGE | $162.30 | ↑ +124% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $162.30 | ↑ +124% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $162.30 | ↑ +124% |
| WELLCARE | WELLCARE MEDICARE | $163.85 | ↑ +126% |
| MEDCOST | MEDCOST VHN | $169.40 | ↑ +133% |
| AETNA | AETNA | $308.79 | ↑ +325% |
| AMBETTER | AMBETTER | $336.97 | ↑ +364% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $363.00 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $484.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $484.00 | ↑ +567% |
Visitor-reported prices
Comments
Phys blood bank serv reactj at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $37.26 | $39.12 – $312.94 |
| Johnson City Medical Center | JOHNSON CITY | $72.60 | $33.13 – $346.58 |
| Franklin Woods Community Hospital | JOHNSON CITY | $72.60 | $33.13 – $337.22 |
| 62-0123940 BMH Collierville | Collierville | $34.02 | $39.12 – $313.82 |
| Indian Path Community Hospital | KINGSPORT | $72.60 | $33.13 – $370.97 |
| 62-1138045 BMH Union City | Union City | $31.20 | $77.08 – $312.94 |
| Johnson County Community Hospital | MOUNTAIN CITY | $71.30 | $33.13 – $137.12 |
| Ascension Saint Thomas Midtown | Nashville | not published | $39.12 – $229.75 |