Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$121.65
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.
?
What you pay up front if you don't use insurance.
$811.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$30.03 with OPTIMA HEALTH vs $811.00 with SEVEN CORNERS, INC. — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $30.03 | ↓ -75% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $30.03 | ↓ -75% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $31.23 | ↓ -74% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $31.24 | ↓ -74% |
| SENTARA HEALTH | SENTARA HEALTH | $225.62 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $283.85 | ↑ +133% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $301.69 | ↑ +148% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $314.67 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $314.67 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $317.10 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $317.10 | ↑ +161% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $376.30 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $391.71 | ↑ +222% |
| AETNA | AETNA | $517.42 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $567.70 | ↑ +367% |
| BLUE CROSS | BLUE CROSS S NETWORK | $583.92 | ↑ +380% |
| BLUE CROSS | BLUE CROSS E NETWORK | $583.92 | ↑ +380% |
| BLUE CROSS | BLUE CROSS P NETWORK | $583.92 | ↑ +380% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $608.25 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $811.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $811.00 | ↑ +567% |
Visitor-reported prices
Comments
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $121.65 | $27.68 – $28.79 |
| Hancock County Hospital | SNEEDVILLE | $119.37 | $30.93 – $31.53 |
| Greeneville Community Hospital | GREENEVILLE | $121.65 | $30.03 – $30.03 |
| Bristol Regional Medical Center | BRISTOL | $121.65 | $28.14 – $28.69 |
| Franklin Woods Community Hospital | JOHNSON CITY | $121.65 | $30.03 – $301.69 |
| Holston Valley Medical Center | KINGSPORT | $121.65 | $27.32 – $28.69 |
| Indian Path Community Hospital | KINGSPORT | $121.65 | $26.43 – $27.49 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $121.65 | $30.93 – $31.53 |