Radiation therapy dose plan at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$116.55
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.
$777.00
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.
$44.05 with BLUE CROSS vs $777.00 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 | $44.05 | ↓ -62% |
| BLUE CROSS | TENNCARE BLUE SELECT | $44.05 | ↓ -62% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $63.01 | ↓ -46% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $70.28 | ↓ -40% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $96.80 | ↓ -17% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $102.89 | ↓ -12% |
| CIGNA HEALTHCARE | CIGNA PPO | $102.89 | ↓ -12% |
| CIGNA HEALTHCARE | CIGNA HMO | $102.89 | ↓ -12% |
| AMERIGROUP | AMERIGROUP | $115.77 | ↓ -1% |
| HUMANA | HUMANA MEDICARE | $121.95 | ↑ +5% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $121.95 | ↑ +5% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $121.95 | ↑ +5% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $121.95 | ↑ +5% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $121.95 | ↑ +5% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $121.95 | ↑ +5% |
| AETNA | AETNA HEALTHCARE MEDICARE | $121.95 | ↑ +5% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $121.95 | ↑ +5% |
| SENTARA HEALTH | SENTARA MEDICARE | $121.95 | ↑ +5% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $125.60 | ↑ +8% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $126.82 | ↑ +9% |
| BLUE CROSS | BLUE CROSS MEDICARE | $126.82 | ↑ +9% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $128.04 | ↑ +10% |
| NHC ADVANTAGE | NHC ADVANTAGE | $128.04 | ↑ +10% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $128.04 | ↑ +10% |
| WELLCARE | WELLCARE MEDICARE | $129.26 | ↑ +11% |
| BLUE CROSS | BLUE CROSS E NETWORK | $143.45 | ↑ +23% |
| BLUE CROSS | BLUE CROSS S NETWORK | $146.28 | ↑ +26% |
| BLUE CROSS | BLUE CROSS P NETWORK | $146.28 | ↑ +26% |
| SENTARA HEALTH | SENTARA HEALTH | $216.16 | ↑ +85% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $244.79 | ↑ +110% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $244.79 | ↑ +110% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $254.58 | ↑ +118% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $254.58 | ↑ +118% |
| AMBETTER | AMBETTER | $265.84 | ↑ +128% |
| MEDCOST | MEDCOST VHN | $271.95 | ↑ +133% |
| AETNA | AETNA | $495.73 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $582.75 | ↑ +400% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $777.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $777.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $777.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $777.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $777.00 | ↑ +567% |
Visitor-reported prices
Comments
Radiation therapy dose plan at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $175.71 | $37.04 – $178.01 |
| CHI Memorial Hospital Hixson | Hixson | $193.00 | $55.25 – $456.40 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $275.80 | $55.25 – $456.40 |
| Johnson City Medical Center | JOHNSON CITY | $116.55 | $44.05 – $273.42 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $175.71 | $37.04 – $178.01 |
| Greeneville Community Hospital | GREENEVILLE | $116.55 | $38.72 – $273.42 |
| Bristol Regional Medical Center | BRISTOL | $116.55 | $44.05 – $306.02 |
| Franklin Woods Community Hospital | JOHNSON CITY | $116.55 | $53.54 – $266.04 |