Prothrombin complex kcentra at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$1,677.50
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.
$11,183.31
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.
$2.01 with UNITED HEALTHCARE vs $10,406.91 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 | $2.01 | ↓ -100% |
| AMERIGROUP | AMERIGROUP | $2.01 | ↓ -100% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2.09 | ↓ -100% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2.09 | ↓ -100% |
| SENTARA HEALTH | SENTARA MEDICARE | $2.09 | ↓ -100% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2.09 | ↓ -100% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2.09 | ↓ -100% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2.09 | ↓ -100% |
| HUMANA | HUMANA MEDICARE | $2.09 | ↓ -100% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2.09 | ↓ -100% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2.09 | ↓ -100% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2.16 | ↓ -100% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2.18 | ↓ -100% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2.18 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2.20 | ↓ -100% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2.20 | ↓ -100% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2.20 | ↓ -100% |
| WELLCARE | WELLCARE MEDICARE | $2.22 | ↓ -100% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2.27 | ↓ -100% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2.27 | ↓ -100% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2.27 | ↓ -100% |
| BLUE CROSS | BLUE CROSS E NETWORK | $4.02 | ↓ -100% |
| BLUE CROSS | BLUE CROSS S NETWORK | $4.11 | ↓ -100% |
| BLUE CROSS | BLUE CROSS P NETWORK | $4.11 | ↓ -100% |
| BLUE CROSS | TENNCARE BLUE CARE | $4.26 | ↓ -100% |
| BLUE CROSS | TENNCARE BLUE SELECT | $4.26 | ↓ -100% |
| AMBETTER | AMBETTER | $4.56 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $5.35 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $7.11 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA HMO | $7.11 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA PPO | $7.11 | ↓ -100% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,395.86 | ↑ +43% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,395.86 | ↑ +43% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,491.69 | ↑ +49% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,491.69 | ↑ +49% |
| SENTARA HEALTH | SENTARA HEALTH | $2,895.20 | ↑ +73% |
| MEDCOST | MEDCOST VHN | $3,642.42 | ↑ +117% |
| AETNA | AETNA | $6,639.61 | ↑ +296% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $7,284.84 | ↑ +334% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $7,805.18 | ↑ +365% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $10,406.91 | ↑ +520% |
| WELLCARE | WELLCARE MEDICAID | $10,406.91 | ↑ +520% |
Visitor-reported prices
Comments
Prothrombin complex kcentra at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $5.63 | $2.77 – $4.88 |
| CHI Memorial Hospital Hixson | Hixson | $108.20 | $68.72 – $240.51 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $154.63 | $72.16 – $240.51 |
| Ascension Saint Thomas DeKalb | Smithville | $5.63 | $2.77 – $4.88 |
| Ascension Saint Thomas Highlands | Sparta | $5.63 | $2.77 – $4.88 |
| Ascension Saint Thomas River Park | McMinnville | $5.63 | $2.77 – $4.68 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $5.63 | $2.77 – $4.68 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH | $36.34 | $3.58 – $5.54 |