Plmt ureteral stent prq at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$1,105.80
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.
$7,372.00
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.
$775.00 with BLUE CROSS vs $7,372.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE CARE | $775.00 | ↓ -30% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +38% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,850.00 | ↑ +67% |
| SENTARA HEALTH | SENTARA HEALTH | $2,050.89 | ↑ +85% |
| AMERIGROUP | AMERIGROUP | $2,490.62 | ↑ +125% |
| MEDCOST | MEDCOST VHN | $2,580.20 | ↑ +133% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,198.13 | ↑ +189% |
| HUMANA | HUMANA MEDICARE | $3,198.13 | ↑ +189% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,198.13 | ↑ +189% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,198.13 | ↑ +189% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,198.13 | ↑ +189% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,198.13 | ↑ +189% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,198.13 | ↑ +189% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,198.13 | ↑ +189% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,198.13 | ↑ +189% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,294.07 | ↑ +198% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,326.05 | ↑ +201% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,326.05 | ↑ +201% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,358.03 | ↑ +204% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,358.03 | ↑ +204% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,358.03 | ↑ +204% |
| WELLCARE | WELLCARE MEDICARE | $3,390.01 | ↑ +207% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $4,031.58 | ↑ +265% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $4,031.58 | ↑ +265% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $4,192.84 | ↑ +279% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $4,192.84 | ↑ +279% |
| AETNA | AETNA | $4,703.34 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $5,125.00 | ↑ +363% |
| CIGNA HEALTHCARE | CIGNA HMO | $5,238.00 | ↑ +374% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $5,238.00 | ↑ +374% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,529.00 | ↑ +400% |
| CIGNA HEALTHCARE | CIGNA PPO | $5,820.00 | ↑ +426% |
| BLUE CROSS | BLUE CROSS E NETWORK | $5,829.00 | ↑ +427% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $5,849.00 | ↑ +429% |
| BLUE CROSS | BLUE CROSS P NETWORK | $5,952.00 | ↑ +438% |
| BLUE CROSS | BLUE CROSS S NETWORK | $5,952.00 | ↑ +438% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $6,048.00 | ↑ +447% |
| AMBETTER | AMBETTER | $6,971.91 | ↑ +530% |
| WELLCARE | WELLCARE MEDICAID | $7,372.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $7,372.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $7,372.00 | ↑ +567% |
Visitor-reported prices
Comments
Plmt ureteral stent prq at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $3,217.86 | $2,543.00 – $3,142.00 |
| CHI Memorial Hospital Hixson | Hixson | $915.53 | $618.60 – $2,165.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,308.34 | $649.53 – $2,165.10 |
| Johnson City Medical Center | JOHNSON CITY | $1,105.80 | $2,561.64 – $7,170.70 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $3,217.86 | $3,006.00 – $3,160.00 |
| Greeneville Community Hospital | GREENEVILLE | $1,105.80 | $2,290.69 – $7,170.70 |
| Bristol Regional Medical Center | BRISTOL | $1,105.80 | $3,343.98 – $7,372.00 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,105.80 | $2,252.81 – $6,977.09 |