Revasc lithotr-stent tib/per at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$7,624.35
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.
$50,829.00
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.
$948.00 with UNITED HEALTHCARE vs $50,829.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $948.00 | ↓ -88% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $6,190.00 | ↓ -19% |
| BLUE CROSS | BLUE CROSS E NETWORK | $10,792.00 | ↑ +42% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $10,806.00 | ↑ +42% |
| BLUE CROSS | BLUE CROSS S NETWORK | $11,019.00 | ↑ +45% |
| BLUE CROSS | BLUE CROSS P NETWORK | $11,019.00 | ↑ +45% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $14,004.00 | ↑ +84% |
| SENTARA HEALTH | SENTARA HEALTH | $14,140.63 | ↑ +85% |
| AMERIGROUP | AMERIGROUP | $14,795.82 | ↑ +94% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $15,116.94 | ↑ +98% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $15,116.94 | ↑ +98% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $15,721.62 | ↑ +106% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $15,721.62 | ↑ +106% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $16,631.83 | ↑ +118% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $16,631.83 | ↑ +118% |
| AETNA | AETNA HEALTHCARE MEDICARE | $16,631.83 | ↑ +118% |
| HUMANA | HUMANA MEDICARE | $16,631.83 | ↑ +118% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $16,631.83 | ↑ +118% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $16,631.83 | ↑ +118% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $16,631.83 | ↑ +118% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $16,631.83 | ↑ +118% |
| SENTARA HEALTH | SENTARA MEDICARE | $16,631.83 | ↑ +118% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $17,130.78 | ↑ +125% |
| BLUE CROSS | BLUE CROSS MEDICARE | $17,297.10 | ↑ +127% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $17,297.10 | ↑ +127% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $17,463.42 | ↑ +129% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $17,463.42 | ↑ +129% |
| NHC ADVANTAGE | NHC ADVANTAGE | $17,463.42 | ↑ +129% |
| WELLCARE | WELLCARE MEDICARE | $17,629.74 | ↑ +131% |
| MEDCOST | MEDCOST VHN | $17,790.15 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $19,721.65 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $19,721.65 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $23,584.66 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $24,550.41 | ↑ +222% |
| AETNA | AETNA | $32,428.90 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $35,580.30 | ↑ +367% |
| AMBETTER | AMBETTER | $36,257.38 | ↑ +376% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $38,121.75 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $50,829.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $50,829.00 | ↑ +567% |
Visitor-reported prices
Comments
Revasc lithotr-stent tib/per at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $7,624.35 | $13,931.04 – $37,291.16 |
| Hancock County Hospital | SNEEDVILLE | $7,482.13 | $15,570.45 – $22,535.32 |
| Greeneville Community Hospital | GREENEVILLE | $7,624.35 | $13,608.12 – $37,291.16 |
| Bristol Regional Medical Center | BRISTOL | $7,624.35 | $14,162.67 – $41,736.81 |
| Franklin Woods Community Hospital | JOHNSON CITY | $7,624.35 | $13,383.08 – $36,284.33 |
| Holston Valley Medical Center | KINGSPORT | $7,624.35 | $13,750.17 – $41,736.81 |
| 62-0123940 BMH Collierville | Collierville | $11,112.57 | $15,620.82 – $32,885.94 |
| Indian Path Community Hospital | KINGSPORT | $7,624.35 | $13,302.40 – $39,916.38 |