Vaccine pneumococcal conjugate 13 valent (pcv13) im at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$326.57
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.
$2,177.13
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.
$116.35 with UNITED HEALTHCARE vs $2,177.13 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 | $116.35 | ↓ -64% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $130.35 | ↓ -60% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $169.24 | ↓ -48% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $169.24 | ↓ -48% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $176.01 | ↓ -46% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $176.01 | ↓ -46% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $257.99 | ↓ -21% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $257.99 | ↓ -21% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $257.99 | ↓ -21% |
| BLUE CROSS | TENNCARE BLUE SELECT | $322.90 | ↓ -1% |
| BLUE CROSS | TENNCARE BLUE CARE | $322.90 | ↓ -1% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $446.34 | ↑ +37% |
| CIGNA HEALTHCARE | CIGNA HMO | $593.42 | ↑ +82% |
| CIGNA HEALTHCARE | CIGNA PPO | $593.42 | ↑ +82% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $593.42 | ↑ +82% |
| SENTARA HEALTH | SENTARA HEALTH | $605.68 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $762.00 | ↑ +133% |
| AETNA | AETNA | $1,389.01 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,632.85 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $2,177.13 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,177.13 | ↑ +567% |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $244.91 | $107.77 – $562.66 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $349.99 | $107.77 – $562.66 |
| Bristol Regional Medical Center | BRISTOL | $326.57 | $77.57 – $446.34 |
| Franklin Woods Community Hospital | JOHNSON CITY | $336.78 | $116.35 – $1,923.71 |
| Holston Valley Medical Center | KINGSPORT | $326.57 | $77.57 – $446.34 |
| Indian Path Community Hospital | KINGSPORT | $326.57 | $116.35 – $446.34 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $326.57 | $64.64 – $446.34 |
| Johnson County Community Hospital | MOUNTAIN CITY | $500.74 | $36.53 – $446.34 |