Splint extn xsm w sof-stretch rolyan at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$11.25
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.
$75.00
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.
$12.00 with UNITED HEALTHCARE vs $136.28 with AMBETTER — 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 | $12.00 | ↑ +7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $13.05 | ↑ +16% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $13.65 | ↑ +21% |
| SENTARA HEALTH | SENTARA HEALTH | $20.87 | ↑ +86% |
| MEDCOST | MEDCOST VHN | $26.25 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $26.33 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $26.33 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $30.00 | ↑ +167% |
| CIGNA HEALTHCARE | CIGNA PPO | $33.68 | ↑ +199% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $37.50 | ↑ +233% |
| AETNA | AETNA | $47.85 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $56.25 | ↑ +400% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $62.51 | ↑ +456% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $62.51 | ↑ +456% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $62.51 | ↑ +456% |
| AETNA | AETNA HEALTHCARE MEDICARE | $62.51 | ↑ +456% |
| HUMANA | HUMANA MEDICARE | $62.51 | ↑ +456% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $62.51 | ↑ +456% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $62.51 | ↑ +456% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $62.51 | ↑ +456% |
| SENTARA HEALTH | SENTARA MEDICARE | $62.51 | ↑ +456% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $64.39 | ↑ +472% |
| BLUE CROSS | BLUE CROSS MEDICARE | $65.01 | ↑ +478% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $65.01 | ↑ +478% |
| AMERIGROUP | AMERIGROUP | $65.01 | ↑ +478% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $65.64 | ↑ +483% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $65.64 | ↑ +483% |
| NHC ADVANTAGE | NHC ADVANTAGE | $65.64 | ↑ +483% |
| WELLCARE | WELLCARE MEDICARE | $66.26 | ↑ +489% |
| WELLCARE | WELLCARE MEDICAID | $75.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $75.00 | ↑ +567% |
| AMBETTER | AMBETTER | $136.28 | ↑ +1111% |
Visitor-reported prices
Comments
Splint extn xsm w sof-stretch rolyan at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $11.25 | $62.51 – $136.28 |
| Hancock County Hospital | SNEEDVILLE | $11.04 | $48.00 – $48.00 |
| Greeneville Community Hospital | GREENEVILLE | $11.25 | $58.14 – $136.28 |
| Bristol Regional Medical Center | BRISTOL | $11.25 | $58.14 – $136.28 |
| Franklin Woods Community Hospital | JOHNSON CITY | $11.25 | $58.76 – $136.28 |
| Holston Valley Medical Center | KINGSPORT | $11.25 | $58.14 – $136.28 |
| Indian Path Community Hospital | KINGSPORT | $11.25 | $59.39 – $136.28 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $11.25 | $58.14 – $136.28 |