Relocation skin pocket pm at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$1,818.15
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.
$12,121.00
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.
$381.10 with BLUE CROSS vs $12,121.00 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $381.10 | ↓ -79% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $954.00 | ↓ -48% |
| AMERIGROUP | AMERIGROUP | $1,448.54 | ↓ -20% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,621.00 | ↓ -11% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,850.00 | ↑ +2% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,871.96 | ↑ +3% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,871.96 | ↑ +3% |
| HUMANA | HUMANA MEDICARE | $1,871.96 | ↑ +3% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,871.96 | ↑ +3% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,871.96 | ↑ +3% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,871.96 | ↑ +3% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,871.96 | ↑ +3% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,871.96 | ↑ +3% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,871.96 | ↑ +3% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,928.12 | ↑ +6% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,946.84 | ↑ +7% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,946.84 | ↑ +7% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,965.56 | ↑ +8% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,965.56 | ↑ +8% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,965.56 | ↑ +8% |
| WELLCARE | WELLCARE MEDICARE | $1,984.28 | ↑ +9% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,092.92 | ↑ +15% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,092.92 | ↑ +15% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,176.64 | ↑ +20% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,176.64 | ↑ +20% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,397.00 | ↑ +32% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,521.00 | ↑ +39% |
| BLUE CROSS | BLUE CROSS S NETWORK | $3,297.00 | ↑ +81% |
| SENTARA HEALTH | SENTARA HEALTH | $3,372.06 | ↑ +85% |
| AMBETTER | AMBETTER | $4,080.88 | ↑ +124% |
| MEDCOST | MEDCOST VHN | $4,242.35 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,702.95 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,702.95 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $5,624.14 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $5,854.44 | ↑ +222% |
| AETNA | AETNA | $7,733.20 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $9,090.75 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $12,121.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $12,121.00 | ↑ +567% |
Visitor-reported prices
Comments
Relocation skin pocket pm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $2,325.21 | $1,752.88 – $14,894.00 |
| CHI Memorial Hospital Hixson | Hixson | $1,365.16 | $922.40 – $3,228.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $1,225.44 | $1,453.17 – $3,340.62 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,950.88 | $968.52 – $3,228.40 |
| Johnson City Medical Center | JOHNSON CITY | $1,818.15 | $381.10 – $4,197.23 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $2,325.21 | $1,869.19 – $6,935.50 |
| Greeneville Community Hospital | GREENEVILLE | $1,818.15 | $381.10 – $4,197.23 |
| Bristol Regional Medical Center | BRISTOL | $1,818.15 | $381.10 – $4,697.60 |