Ther nma rdctj intus/obstrcj at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$72.45
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.
$483.00
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.
$77.25 with UNITED HEALTHCARE vs $483.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $77.25 | ↑ +7% |
| BLUE CROSS | TENNCARE BLUE SELECT | $84.17 | ↑ +16% |
| BLUE CROSS | TENNCARE BLUE CARE | $84.17 | ↑ +16% |
| SENTARA HEALTH | SENTARA HEALTH | $134.37 | ↑ +85% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $159.14 | ↑ +120% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $159.14 | ↑ +120% |
| SENTARA HEALTH | SENTARA MEDICARE | $159.14 | ↑ +120% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $159.14 | ↑ +120% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $159.14 | ↑ +120% |
| AETNA | AETNA HEALTHCARE MEDICARE | $159.14 | ↑ +120% |
| HUMANA | HUMANA MEDICARE | $159.14 | ↑ +120% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $159.14 | ↑ +120% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $159.14 | ↑ +120% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $160.04 | ↑ +121% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $160.04 | ↑ +121% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $163.91 | ↑ +126% |
| BLUE CROSS | BLUE CROSS MEDICARE | $165.50 | ↑ +128% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $165.50 | ↑ +128% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $166.44 | ↑ +130% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $166.44 | ↑ +130% |
| NHC ADVANTAGE | NHC ADVANTAGE | $167.09 | ↑ +131% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $167.09 | ↑ +131% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $167.09 | ↑ +131% |
| WELLCARE | WELLCARE MEDICARE | $168.69 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $169.05 | ↑ +133% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $209.10 | ↑ +189% |
| AMERIGROUP | AMERIGROUP | $233.42 | ↑ +222% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $293.51 | ↑ +305% |
| CIGNA HEALTHCARE | CIGNA HMO | $306.61 | ↑ +323% |
| CIGNA HEALTHCARE | CIGNA PPO | $306.61 | ↑ +323% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $306.61 | ↑ +323% |
| AETNA | AETNA | $308.15 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $320.00 | ↑ +342% |
| AMBETTER | AMBETTER | $346.92 | ↑ +379% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $362.25 | ↑ +400% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $364.00 | ↑ +402% |
| BLUE CROSS | BLUE CROSS E NETWORK | $438.95 | ↑ +506% |
| BLUE CROSS | BLUE CROSS P NETWORK | $447.59 | ↑ +518% |
| BLUE CROSS | BLUE CROSS S NETWORK | $447.59 | ↑ +518% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $472.00 | ↑ +551% |
| WELLCARE | WELLCARE MEDICAID | $483.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $483.00 | ↑ +567% |
Visitor-reported prices
Comments
Ther nma rdctj intus/obstrcj at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $72.45 | $77.25 – $356.81 |
| Greeneville Community Hospital | GREENEVILLE | $72.45 | $30.90 – $356.81 |
| Bristol Regional Medical Center | BRISTOL | $72.45 | $51.50 – $399.35 |
| Franklin Woods Community Hospital | JOHNSON CITY | $72.45 | $77.25 – $347.18 |
| Holston Valley Medical Center | KINGSPORT | $72.45 | $51.50 – $399.35 |
| Indian Path Community Hospital | KINGSPORT | $72.45 | $77.25 – $381.93 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $72.45 | $42.92 – $346.92 |
| Ascension Saint Thomas Midtown | Nashville | not published | $72.56 – $330.77 |