Remove renal tube w/fluoro at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$547.20
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.
$3,648.00
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.
$522.37 with AMERIGROUP vs $1,972.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $522.37 | ↓ -5% |
| SENTARA HEALTH | SENTARA HEALTH | $548.61 | ↑ +0% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $550.82 | ↑ +1% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $550.82 | ↑ +1% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $572.85 | ↑ +5% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $572.85 | ↑ +5% |
| BLUE CROSS | TENNCARE BLUE CARE | $578.00 | ↑ +6% |
| HUMANA | HUMANA MEDICARE | $632.64 | ↑ +16% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $632.64 | ↑ +16% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $632.64 | ↑ +16% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $632.64 | ↑ +16% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $632.64 | ↑ +16% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $632.64 | ↑ +16% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $632.64 | ↑ +16% |
| AETNA | AETNA HEALTHCARE MEDICARE | $632.64 | ↑ +16% |
| SENTARA HEALTH | SENTARA MEDICARE | $632.64 | ↑ +16% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $651.62 | ↑ +19% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $657.95 | ↑ +20% |
| BLUE CROSS | BLUE CROSS MEDICARE | $657.95 | ↑ +20% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $664.27 | ↑ +21% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $664.27 | ↑ +21% |
| NHC ADVANTAGE | NHC ADVANTAGE | $664.27 | ↑ +21% |
| WELLCARE | WELLCARE MEDICARE | $670.60 | ↑ +23% |
| MEDCOST | MEDCOST VHN | $690.20 | ↑ +26% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $704.00 | ↑ +29% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $758.00 | ↑ +39% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,054.00 | ↑ +93% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,204.00 | ↑ +120% |
| AETNA | AETNA | $1,258.14 | ↑ +130% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,266.00 | ↑ +131% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,266.00 | ↑ +131% |
| AMBETTER | AMBETTER | $1,379.15 | ↑ +152% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,406.00 | ↑ +157% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +167% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,479.00 | ↑ +170% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,560.00 | ↑ +185% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,770.00 | ↑ +223% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,807.00 | ↑ +230% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,807.00 | ↑ +230% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,972.00 | ↑ +260% |
| WELLCARE | WELLCARE MEDICAID | $1,972.00 | ↑ +260% |
Visitor-reported prices
Comments
Remove renal tube w/fluoro at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $899.84 | $575.32 – $1,141.72 |
| CHI Memorial Hospital Hixson | Hixson | $362.90 | $245.20 – $858.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $518.60 | $257.46 – $858.20 |
| Johnson City Medical Center | JOHNSON CITY | $547.20 | $507.61 – $1,418.48 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $899.84 | $575.32 – $1,217.22 |
| Greeneville Community Hospital | GREENEVILLE | $547.20 | $480.43 – $1,418.48 |
| Bristol Regional Medical Center | BRISTOL | $547.20 | $516.05 – $1,587.58 |
| Franklin Woods Community Hospital | JOHNSON CITY | $547.20 | $472.49 – $1,380.18 |