Platelet pheresis irr ea at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$181.95
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.
$1,213.00
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.
$283.00 with UNITED HEALTHCARE vs $2,069.10 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 | $283.00 | ↑ +56% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $324.00 | ↑ +78% |
| SENTARA HEALTH | SENTARA HEALTH | $337.46 | ↑ +85% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $418.00 | ↑ +130% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $420.64 | ↑ +131% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $420.64 | ↑ +131% |
| MEDCOST | MEDCOST VHN | $424.55 | ↑ +133% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $437.47 | ↑ +140% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $437.47 | ↑ +140% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $470.64 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $470.64 | ↑ +159% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $498.91 | ↑ +174% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $562.83 | ↑ +209% |
| AMERIGROUP | AMERIGROUP | $576.63 | ↑ +217% |
| CIGNA HEALTHCARE | CIGNA PPO | $585.88 | ↑ +222% |
| AETNA | AETNA | $773.89 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $849.10 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $909.75 | ↑ +400% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $949.13 | ↑ +422% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $949.13 | ↑ +422% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $949.13 | ↑ +422% |
| AETNA | AETNA HEALTHCARE MEDICARE | $949.13 | ↑ +422% |
| HUMANA | HUMANA MEDICARE | $949.13 | ↑ +422% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $949.13 | ↑ +422% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $949.13 | ↑ +422% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $949.13 | ↑ +422% |
| SENTARA HEALTH | SENTARA MEDICARE | $949.13 | ↑ +422% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $977.60 | ↑ +437% |
| BLUE CROSS | BLUE CROSS MEDICARE | $987.10 | ↑ +443% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $987.10 | ↑ +443% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $996.59 | ↑ +448% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $996.59 | ↑ +448% |
| NHC ADVANTAGE | NHC ADVANTAGE | $996.59 | ↑ +448% |
| WELLCARE | WELLCARE MEDICARE | $1,006.08 | ↑ +453% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,213.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,213.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,213.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,213.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,213.00 | ↑ +567% |
| AMBETTER | AMBETTER | $2,069.10 | ↑ +1037% |
Visitor-reported prices
Comments
Platelet pheresis irr ea at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $1,108.52 | $398.66 – $2,621.50 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,584.14 | $398.66 – $2,621.50 |
| Johnson City Medical Center | JOHNSON CITY | $181.95 | $283.00 – $2,069.10 |
| Hancock County Hospital | SNEEDVILLE | $178.48 | $277.17 – $776.00 |
| Greeneville Community Hospital | GREENEVILLE | $181.95 | $199.56 – $2,069.10 |
| Bristol Regional Medical Center | BRISTOL | $181.95 | $332.60 – $2,069.10 |
| Franklin Woods Community Hospital | JOHNSON CITY | $181.95 | $283.00 – $2,069.10 |
| Holston Valley Medical Center | KINGSPORT | $181.95 | $332.60 – $2,069.10 |