Special radiation treatment at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$560.40
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.
$3,736.00
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.
$67.15 with CIGNA HEALTHCARE vs $3,736.00 with SEVEN CORNERS, INC. — 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 INDIVIDUAL FAMILY PLAN | $67.15 | ↓ -88% |
| BLUE CROSS | BLUE CROSS E NETWORK | $190.52 | ↓ -66% |
| BLUE CROSS | BLUE CROSS S NETWORK | $194.28 | ↓ -65% |
| BLUE CROSS | BLUE CROSS P NETWORK | $194.28 | ↓ -65% |
| CIGNA HEALTHCARE | CIGNA HMO | $196.69 | ↓ -65% |
| CIGNA HEALTHCARE | CIGNA PPO | $196.69 | ↓ -65% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $196.69 | ↓ -65% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $355.05 | ↓ -37% |
| BLUE CROSS | TENNCARE BLUE CARE | $366.04 | ↓ -35% |
| BLUE CROSS | TENNCARE BLUE SELECT | $366.04 | ↓ -35% |
| AMERIGROUP | AMERIGROUP | $482.39 | ↓ -14% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $501.31 | ↓ -11% |
| SENTARA HEALTH | SENTARA MEDICARE | $501.31 | ↓ -11% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $501.31 | ↓ -11% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $501.31 | ↓ -11% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $501.31 | ↓ -11% |
| AETNA | AETNA HEALTHCARE MEDICARE | $501.31 | ↓ -11% |
| HUMANA | HUMANA MEDICARE | $501.31 | ↓ -11% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $501.31 | ↓ -11% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $501.31 | ↓ -11% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $516.35 | ↓ -8% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $521.36 | ↓ -7% |
| BLUE CROSS | BLUE CROSS MEDICARE | $521.36 | ↓ -7% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $526.37 | ↓ -6% |
| NHC ADVANTAGE | NHC ADVANTAGE | $526.37 | ↓ -6% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $526.37 | ↓ -6% |
| WELLCARE | WELLCARE MEDICARE | $531.39 | ↓ -5% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $629.38 | ↑ +12% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $654.64 | ↑ +17% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $654.64 | ↑ +17% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $680.83 | ↑ +21% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $680.83 | ↑ +21% |
| SENTARA HEALTH | SENTARA HEALTH | $1,039.36 | ↑ +85% |
| AMBETTER | AMBETTER | $1,092.85 | ↑ +95% |
| MEDCOST | MEDCOST VHN | $1,307.60 | ↑ +133% |
| AETNA | AETNA | $2,383.57 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,802.00 | ↑ +400% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3,100.00 | ↑ +453% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $3,539.00 | ↑ +532% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,736.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $3,736.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,736.00 | ↑ +567% |
Visitor-reported prices
Comments
Special radiation treatment at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $785.24 | $43.10 – $775.60 |
| CHI Memorial Hospital Hixson | Hixson | $358.76 | $50.97 – $848.40 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $512.68 | $50.97 – $848.40 |
| Johnson City Medical Center | JOHNSON CITY | $560.40 | $67.15 – $1,124.01 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $785.24 | $43.10 – $775.60 |
| Greeneville Community Hospital | GREENEVILLE | $560.40 | $67.15 – $1,124.01 |
| Bristol Regional Medical Center | BRISTOL | $560.40 | $67.15 – $1,258.01 |
| Franklin Woods Community Hospital | JOHNSON CITY | $560.40 | $67.15 – $1,093.66 |