Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Elec stim unattend for press HCPCS G0281 | $23.85 | $159.00 | $11.05 – $261.60 | 16 |
| Electrical stimulation/unattended 97014 CPT 97014 | $15.90 | $106.00 | $14.95 – $40.11 | 5 |
| Electrocorticography durng sx CPT 95829 | $1,396.20 | $9,308.00 | $5.22 – $665.00 | 5 |
| Electrode stimulation brain CPT 95961 | $282.60 | $1,884.00 | $45.82 – $1,698.47 | 16 |
| Electrolyte panel CPT 80051 | $12.00 | $80.00 | $3.51 – $15.28 | 16 |
| Electron microscopy diagnostic CPT 88348 | $720.00 | $4,800.00 | $37.50 – $1,593.52 | 16 |
| Electrophysiology evaluation CPT 93620 | $1,142.25 | $7,615.00 | $329.44 – $15,426.63 | 16 |
| Electrophysiology evaluation CPT 93641 | $513.90 | $3,426.00 | $266.28 – $9,762.12 | 5 |
| Electrophysiology evaluation CPT 93642 | $513.90 | $3,426.00 | $75.13 – $9,386.65 | 16 |
| Electrophys map 3d add-on CPT 93613 | $513.90 | $3,426.00 | $285.53 – $9,762.12 | 5 |
| Embolization s&i CPT 75894 | $659.10 | $4,394.00 | $281.52 – $320.00 | 5 |
| Embo or occlude vascular arterial s&i CPT 37242 | $4,518.90 | $30,126.00 | $14,795.82 – $36,257.38 | 16 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $4,518.90 | $30,126.00 | $9,707.06 – $22,832.77 | 16 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $4,518.90 | $30,126.00 | $9,707.06 – $22,832.77 | 16 |
| Embo or occlude vascular venous s&i CPT 37241 | $4,518.90 | $30,126.00 | $9,707.06 – $22,832.77 | 16 |
| Emb without cervical dilation 58100 CPT 58100 | $37.20 | $248.00 | $26.68 – $720.06 | 16 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $87.75 | $585.00 | $26.20 – $263.15 | 16 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $123.75 | $825.00 | $33.04 – $254.50 | 16 |
| Emg cranial nerve bilateral CPT 95868 | $69.15 | $461.00 | $24.66 – $427.07 | 16 |
| Emg needle test 1-extremity CPT 95860 | $68.10 | $454.00 | $13.12 – $263.15 | 16 |
| Emg needle test 4-extremities CPT 95864 | $133.20 | $888.00 | $46.71 – $254.50 | 16 |
| Encephalitis, california igg/igm CPT 86651 | $12.45 | $83.00 | $6.60 – $28.75 | 16 |
| Encephalitis, st louis igg/igm CPT 86653 | $12.45 | $83.00 | $6.60 – $28.75 | 16 |
| Encephalitis, western equine igg/igm CPT 86654 | $23.10 | $154.00 | $6.60 – $28.75 | 16 |
| Endo cath bile duct s&i CPT 74328 | $86.10 | $574.00 | $103.26 – $320.00 | 5 |
| Endo cath panc duct s&i CPT 74329 | $83.10 | $554.00 | $103.26 – $320.00 | 5 |
| Endocerv curettage w/scope 57456 CPT 57456 | $61.65 | $411.00 | $142.02 – $720.06 | 16 |
| Endoluminal bx biliary tree CPT 47543 | $841.05 | $5,607.00 | $7,836.60 – $8,150.06 | 4 |
| Endoluminl ivus oct c 1st CPT 92978 | $1,458.00 | $9,720.00 | $171.10 – $292.78 | 4 |
| Endoluminl ivus oct c ea CPT 92979 | $1,434.15 | $9,561.00 | $85.45 – $292.78 | 4 |
| Endoscopy swallow (fees) vid CPT 92612 | $167.10 | $1,114.00 | $39.00 – $402.67 | 16 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $758.70 | $5,058.00 | $202.66 – $3,520.39 | 16 |
| Endovasc tempory vessel occl CPT 61623 | $1,551.00 | $10,340.00 | $9,707.06 – $22,832.77 | 16 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $146.98 | $979.87 | $1.04 – $15.69 | 2 |
| Enterectomy small intestine single 44120 CPT 44120 | $598.05 | $3,987.00 | $5,576.61 – $5,799.67 | 4 |
| Enzyme histochemistry CPT 88319 | $207.75 | $1,385.00 | $7.81 – $1,593.52 | 16 |
| Eo, adj lock joint prefab ot HCPCS L3761 | $72.30 | $482.00 | $482.00 – $1,190.89 | 15 |
| Ep & ablate supravent arrhyt CPT 93653 | $4,032.60 | $26,884.00 | $802.13 – $51,696.98 | 16 |
| Ep & ablate ventric tachy CPT 93654 | $4,032.60 | $26,884.00 | $1,074.13 – $51,696.98 | 16 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $708.15 | $4,721.00 | $707.41 – $4,080.88 | 16 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $182.25 | $1,215.00 | $155.27 – $2,774.03 | 5 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $708.15 | $4,721.00 | $387.11 – $4,080.88 | 16 |
| Epidrm autogrft t/a/l add-on CPT 15111 | $182.25 | $1,215.00 | $119.30 – $2,774.03 | 5 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $306.00 | $2,040.00 | $194.88 – $1,092.54 | 5 |
| Epilepsy gen seq alys panel CPT 81419 | $3,142.35 | $20,949.00 | $1,224.28 – $5,337.86 | 16 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $42.80 | $285.30 | $0.84 – $1.79 | 2 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $42.80 | $285.30 | $106.13 – $106.13 | 1 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $195.83 | $1,305.51 | $6.82 – $263.03 | 16 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,183.54 | $7,890.29 | $7.74 – $165.31 | 16 |
| Epstein barr early antigen antibody CPT 86663 | $22.95 | $153.00 | $6.56 – $28.60 | 16 |
| Epstein barr nuclear antigen antibody CPT 86664 | $13.80 | $92.00 | $7.65 – $33.33 | 16 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $30.60 | $204.00 | $9.07 – $39.55 | 16 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $298.04 | $1,986.93 | $1.94 – $60.32 | 16 |
| Ercp biliary & pancreas CPT 74330 | $86.10 | $574.00 | $103.26 – $320.00 | 5 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $185.56 | $1,237.07 | $17.35 – $22.30 | 2 |
| ER Visit (level 1, minor) CPT 99281 | $68.40 | $456.00 | $76.50 – $166.78 | 15 |
| ER Visit (level 2) CPT 99282 | $94.35 | $629.00 | $139.31 – $303.69 | 15 |
| ER Visit (level 3) CPT 99283 | $204.75 | $1,365.00 | $247.67 – $539.91 | 15 |
| ER Visit (level 4) CPT 99284 | $300.30 | $2,002.00 | $378.57 – $825.29 | 15 |
| ER Visit (level 5, high severity) CPT 99285 | $456.15 | $3,041.00 | $540.31 – $1,177.88 | 15 |
| Esophageal dilat s&i CPT 74360 | $85.80 | $572.00 | $103.26 – $320.00 | 5 |
| Esophagus motility study CPT 91010 | $227.25 | $1,515.00 | $330.30 – $738.05 | 16 |
| Established Patient Office Visit (level 1) CPT 99211 | $18.90 | $126.00 | $16.29 – $46.87 | 2 |
| Established Patient Office Visit (level 2) CPT 99212 | $22.35 | $149.00 | $30.65 – $55.43 | 2 |
| Established Patient Office Visit (level 3) CPT 99213 | $36.30 | $242.00 | $43.80 – $64.91 | 2 |
| Established Patient Office Visit (level 4) CPT 99214 | $41.70 | $278.00 | $56.41 – $85.61 | 2 |
| Established Patient Office Visit (level 5) CPT 99215 | $46.20 | $308.00 | $88.39 – $114.58 | 2 |
| Estradiol total CPT 82670 | $49.05 | $327.00 | $13.97 – $60.91 | 16 |
| Estrogens total-sendout CPT 82672 | $38.10 | $254.00 | $10.85 – $47.31 | 16 |
| Ethylene glycol -sendout CPT 82693 | $25.05 | $167.00 | $7.45 – $32.48 | 16 |
| Euglobulin lysis CPT 85360 | $17.85 | $119.00 | $4.21 – $18.33 | 16 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $124.05 | $827.00 | $39.00 – $385.76 | 16 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $112.80 | $752.00 | $49.06 – $213.88 | 16 |
| Evaluation heart device CPT 93640 | $513.90 | $3,426.00 | $250.02 – $9,762.12 | 5 |
| Evaluation of speech fluency 92521 CPT 92521 | $110.10 | $734.00 | $39.00 – $385.76 | 16 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $1,558.80 | $10,392.00 | $19,105.94 – $19,870.18 | 4 |
| Evasc prlng admn rx agnt add CPT 61651 | $623.55 | $4,157.00 | $19,105.94 – $19,870.18 | 4 |
| Event monitor CPT 93270 | $247.50 | $1,650.00 | $33.72 – $73.82 | 16 |
| Evoked oa emissions ltd CPT 92587 | $23.70 | $158.00 | $11.54 – $427.07 | 16 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $66.30 | $442.00 | $24.80 – $46.90 | 5 |
| Evoked potentials upper limbs CPT 95925 | $365.55 | $2,437.00 | $17.51 – $427.07 | 16 |
| Evoked potential visual not glaucoma CPT 95930 | $107.70 | $718.00 | $8.98 – $427.07 | 16 |
| Ewhfo w/joint(s) cf HCPCS L3766 | $676.50 | $4,510.00 | $2,123.51 – $4,629.26 | 15 |
| Ewho w/joint(s) cf HCPCS L3764 | $163.20 | $1,088.00 | $929.90 – $2,027.19 | 15 |
| Exam of vagina w/scope 57420 CPT 57420 | $61.65 | $411.00 | $125.11 – $720.06 | 16 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $176.40 | $1,176.00 | $26.68 – $1,400.59 | 16 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $38.55 | $257.00 | $42.37 – $1,400.59 | 16 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $183.75 | $1,225.00 | $37.67 – $804.03 | 16 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $222.30 | $1,482.00 | $58.07 – $1,400.59 | 16 |
| Exchange biliary drg cath CPT 47536 | $1,105.80 | $7,372.00 | $2,688.64 – $7,081.52 | 16 |
| Exchange blood transfusion newborn 36450 CPT 36450 | $119.40 | $796.00 | $179.48 – $872.58 | 16 |
| Exchange drainage catheter CPT 49423 | $848.10 | $5,654.00 | $1,013.71 – $3,795.33 | 16 |
| Exchange nephrostomy cath CPT 50435 | $516.00 | $3,440.00 | $1,566.06 – $4,134.48 | 16 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | $516.90 | $3,446.00 | $250.67 – $5,745.12 | 16 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $293.70 | $1,958.00 | $50.23 – $3,266.63 | 16 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $202.05 | $1,347.00 | $47.08 – $1,400.59 | 16 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $268.95 | $1,793.00 | $1,244.99 – $3,266.63 | 16 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $294.75 | $1,965.00 | $213.89 – $1,400.59 | 16 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $135.60 | $904.00 | $62.78 – $1,400.59 | 16 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $164.10 | $1,094.00 | $86.33 – $1,400.59 | 16 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.