Rmvl ndwellg tun pleural cath at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$242.10
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.
$1,614.00
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.
$150.00 with CIGNA HEALTHCARE vs $1,614.00 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 |
|---|---|---|---|
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $150.00 | ↓ -38% |
| CIGNA HEALTHCARE | CIGNA HMO | $150.00 | ↓ -38% |
| CIGNA HEALTHCARE | CIGNA PPO | $168.00 | ↓ -31% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $175.00 | ↓ -28% |
| SENTARA HEALTH | SENTARA HEALTH | $449.01 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $564.90 | ↑ +133% |
| AMERIGROUP | AMERIGROUP | $565.75 | ↑ +134% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $569.14 | ↑ +135% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $569.14 | ↑ +135% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $569.14 | ↑ +135% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $569.14 | ↑ +135% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $569.14 | ↑ +135% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $569.14 | ↑ +135% |
| AETNA | AETNA HEALTHCARE MEDICARE | $569.14 | ↑ +135% |
| HUMANA | HUMANA MEDICARE | $569.14 | ↑ +135% |
| SENTARA HEALTH | SENTARA MEDICARE | $569.14 | ↑ +135% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $586.21 | ↑ +142% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $591.90 | ↑ +144% |
| BLUE CROSS | BLUE CROSS MEDICARE | $591.90 | ↑ +144% |
| NHC ADVANTAGE | NHC ADVANTAGE | $597.59 | ↑ +147% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $597.59 | ↑ +147% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $597.59 | ↑ +147% |
| WELLCARE | WELLCARE MEDICARE | $603.28 | ↑ +149% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $704.00 | ↑ +191% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $758.00 | ↑ +213% |
| AETNA | AETNA | $1,029.73 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,054.00 | ↑ +335% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,204.00 | ↑ +397% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,210.50 | ↑ +400% |
| AMBETTER | AMBETTER | $1,240.72 | ↑ +412% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,390.68 | ↑ +474% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,390.68 | ↑ +474% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,446.31 | ↑ +497% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,446.31 | ↑ +497% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,560.00 | ↑ +544% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,614.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,614.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,614.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,614.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,614.00 | ↑ +567% |
Visitor-reported prices
Comments
Rmvl ndwellg tun pleural cath at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $637.07 | $45.00 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | $760.13 | $513.60 – $1,797.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,086.27 | $539.28 – $1,797.60 |
| Johnson City Medical Center | JOHNSON CITY | $242.10 | $581.88 – $1,281.58 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $584.42 | $45.00 – $2,225.50 |
| Greeneville Community Hospital | GREENEVILLE | $242.10 | $520.33 – $1,390.68 |
| Bristol Regional Medical Center | BRISTOL | $242.10 | $595.09 – $1,428.22 |
| Franklin Woods Community Hospital | JOHNSON CITY | $242.10 | $511.73 – $1,390.68 |