Vein x-ray liver at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$1,293.15
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.
$8,621.00
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.
$136.68 with CIGNA HEALTHCARE vs $8,621.00 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 | $136.68 | ↓ -89% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $320.00 | ↓ -75% |
| CIGNA HEALTHCARE | CIGNA HMO | $360.62 | ↓ -72% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $360.62 | ↓ -72% |
| CIGNA HEALTHCARE | CIGNA PPO | $360.62 | ↓ -72% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $364.00 | ↓ -72% |
| BLUE CROSS | BLUE CROSS E NETWORK | $411.03 | ↓ -68% |
| BLUE CROSS | TENNCARE BLUE CARE | $413.85 | ↓ -68% |
| BLUE CROSS | TENNCARE BLUE SELECT | $413.85 | ↓ -68% |
| BLUE CROSS | BLUE CROSS P NETWORK | $419.12 | ↓ -68% |
| BLUE CROSS | BLUE CROSS S NETWORK | $419.12 | ↓ -68% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $472.00 | ↓ -63% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $803.23 | ↓ -38% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,877.97 | ↑ +45% |
| AMERIGROUP | AMERIGROUP | $2,302.20 | ↑ +78% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,395.44 | ↑ +85% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,395.44 | ↑ +85% |
| SENTARA HEALTH | SENTARA HEALTH | $2,398.36 | ↑ +85% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,491.25 | ↑ +93% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,491.26 | ↑ +93% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,864.70 | ↑ +122% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,864.70 | ↑ +122% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,864.70 | ↑ +122% |
| HUMANA | HUMANA MEDICARE | $2,864.70 | ↑ +122% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,864.70 | ↑ +122% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,864.70 | ↑ +122% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,864.70 | ↑ +122% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,864.70 | ↑ +122% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,864.70 | ↑ +122% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,950.64 | ↑ +128% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,979.29 | ↑ +130% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,979.29 | ↑ +130% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,007.94 | ↑ +133% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,007.94 | ↑ +133% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,007.94 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $3,017.35 | ↑ +133% |
| WELLCARE | WELLCARE MEDICARE | $3,036.58 | ↑ +135% |
| AETNA | AETNA | $5,500.20 | ↑ +325% |
| AMBETTER | AMBETTER | $6,245.05 | ↑ +383% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $6,465.75 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $8,621.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $8,621.00 | ↑ +567% |
Visitor-reported prices
Comments
Vein x-ray liver at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $897.47 | $106.13 – $4,434.05 |
| CHI Memorial Hospital Hixson | Hixson | $3,386.54 | $158.29 – $8,008.70 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $4,839.55 | $158.29 – $8,008.70 |
| Johnson City Medical Center | JOHNSON CITY | $1,293.15 | $136.68 – $6,423.11 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $897.47 | $106.13 – $4,434.05 |
| Greeneville Community Hospital | GREENEVILLE | $1,293.15 | $136.68 – $6,423.11 |
| Bristol Regional Medical Center | BRISTOL | $1,293.15 | $136.68 – $7,188.84 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,293.15 | $136.68 – $6,249.69 |