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 |
|---|---|---|---|---|
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $746.55 | $4,977.00 | $1,050.52 – $1,092.54 | 4 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $142.95 | $953.00 | $80.70 – $1,092.54 | 5 |
| Ghs peritonsillar abscess i andd CPT 42700 | $211.95 | $1,413.00 | $135.79 – $468.46 | 16 |
| Ghs phenylketonurid CPT 84030 | $9.60 | $64.00 | $2.75 – $11.99 | 16 |
| Ghs picc line insert < 5 CPT 36568 | $514.50 | $3,430.00 | $907.83 – $3,113.45 | 16 |
| Ghs plngl fx pm cl CPT 26725 | $87.00 | $580.00 | $187.23 – $669.87 | 16 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $933.60 | $6,224.00 | $725.52 – $1,698.47 | 16 |
| Ghs ppd (tb intradermal) CPT 86580 | $16.73 | $111.51 | $5.13 – $57.21 | 16 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $16.80 | $112.00 | $4.83 – $21.06 | 16 |
| Ghs protein, misc fluid CPT 84160 | $9.00 | $60.00 | $2.81 – $12.23 | 16 |
| Ghs protoporphyrins fract CPT 84202 | $25.20 | $168.00 | $7.18 – $31.28 | 16 |
| Ghs pr without cont pulse ox CPT 94625 | $35.85 | $239.00 | $47.27 – $116.68 | 16 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $21.60 | $144.00 | $6.13 – $26.71 | 16 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $124.95 | $833.00 | $38.57 – $40.11 | 5 |
| Ghs quinidine CPT 80194 | $25.65 | $171.00 | $7.30 – $31.83 | 16 |
| Ghs removal intranasal foreign body CPT 30300 | $59.40 | $396.00 | $51.71 – $263.15 | 16 |
| Ghs reticulocyte count CPT 85044 | $14.70 | $98.00 | $2.16 – $9.40 | 16 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $20.10 | $134.00 | $6.96 – $30.32 | 16 |
| Ghs sedimentation rate CPT 85651 | $6.30 | $42.00 | $2.14 – $9.31 | 16 |
| Ghs sensitivity (per antimicro) CPT 87184 | $12.15 | $81.00 | $3.74 – $16.31 | 16 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $296.55 | $1,977.00 | $175.62 – $804.03 | 16 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $247.80 | $1,652.00 | $243.19 – $804.03 | 16 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $181.35 | $1,209.00 | $223.91 – $804.03 | 16 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $283.95 | $1,893.00 | $261.60 – $804.03 | 16 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $136.20 | $908.00 | $150.40 – $396.83 | 16 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $124.20 | $828.00 | $138.76 – $396.83 | 16 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $176.70 | $1,178.00 | $182.03 – $396.83 | 16 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $309.45 | $2,063.00 | $182.03 – $396.83 | 16 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $136.50 | $910.00 | $182.03 – $396.83 | 16 |
| Ghs sleep study unattended CPT 95800 | $184.80 | $1,232.00 | $139.22 – $427.07 | 16 |
| Ghs somatosensory testing lower extremit CPT 95926 | $109.65 | $731.00 | $17.60 – $427.07 | 16 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $272.25 | $1,815.00 | $166.60 – $1,698.47 | 16 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $107.10 | $714.00 | $39.00 – $212.86 | 16 |
| Ghs strapping shoulder - 29240 CPT 29240 | $51.60 | $344.00 | $31.07 – $263.15 | 16 |
| Ghs st - re-eval for alt comm CPT 92597 | $70.50 | $470.00 | $39.00 – $385.76 | 16 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $323.25 | $2,155.00 | $14.42 – $706.01 | 16 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $77.40 | $516.00 | $95.00 – $420.70 | 16 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $245.85 | $1,639.00 | $156.00 – $1,461.78 | 16 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $222.45 | $1,483.00 | $105.14 – $804.03 | 16 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $242.25 | $1,615.00 | $319.54 – $3,073.50 | 16 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $74.25 | $495.00 | $165.11 – $669.87 | 16 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $377.10 | $2,514.00 | $223.80 – $669.87 | 16 |
| Ghs urine, porphyrins quant CPT 84120 | $25.80 | $172.00 | $7.36 – $32.07 | 16 |
| Ghs vaginal delivery only CPT 59409 | $464.85 | $3,099.00 | $800.16 – $6,402.58 | 16 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $556.05 | $3,707.00 | $338.56 – $738.05 | 16 |
| Giardia lamblia antibody CPT 86674 | $25.80 | $172.00 | $7.36 – $32.09 | 16 |
| Gi inhouse confirmation CPT 87045 | $16.50 | $110.00 | $4.72 – $20.58 | 16 |
| Glove finger flexion right lg xl HCPCS L3912 | $19.80 | $132.00 | $112.86 – $246.03 | 15 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $247.49 | $1,649.93 | $36.59 – $359.40 | 16 |
| Glucagon plasma - sendout CPT 82943 | $25.05 | $167.00 | $7.15 – $31.15 | 16 |
| Glucose 1 hr post dose CPT 82950 | $8.40 | $56.00 | $2.38 – $10.36 | 16 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $7.05 | $47.00 | $3.03 – $13.19 | 16 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $4.05 | $27.00 | $1.64 – $7.15 | 16 |
| Glucose blood quantitative CPT 82947 | $6.90 | $46.00 | $1.97 – $8.57 | 16 |
| Glucose body fluid CPT 82945 | $6.90 | $46.00 | $1.97 – $8.57 | 16 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $33.90 | $226.00 | $50.36 – $116.68 | 16 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $17.70 | $118.00 | $6.44 – $28.06 | 16 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $6.90 | $46.00 | $1.96 – $8.55 | 16 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $32.55 | $217.00 | $9.29 – $40.50 | 16 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $32.40 | $216.00 | $9.26 – $40.37 | 16 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $48.15 | $321.00 | $32.29 – $246.13 | 15 |
| Graft axiofill 1000mg HCPCS J3590 | $94.66 | $631.06 | $50.97 – $298.70 | 15 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $6,208.60 | $41,390.66 | $1.00 – $246.13 | 15 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $26,222.04 | $174,813.58 | $28.41 – $246.13 | 15 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $316.20 | $2,108.00 | $108.70 – $246.13 | 15 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $1,520.10 | $10,134.00 | $1.00 – $246.13 | 15 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $18,695.80 | $124,638.68 | $112.91 – $246.13 | 15 |
| Granulocyte pheresis ea unit HCPCS P9050 | $108.15 | $721.00 | $283.00 – $437.47 | 5 |
| Great toe with reduction 28495 CPT 28495 | $79.80 | $532.00 | $83.52 – $669.87 | 16 |
| Gu dilat ureter/urethra s&i CPT 74485 | $796.20 | $5,308.00 | $103.26 – $4,134.48 | 16 |
| Guided cath fluid drainage 10030 CPT 10030 | $517.35 | $3,449.00 | $529.06 – $1,530.23 | 16 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $15,323.15 | $102,154.35 | $14.15 – $38.03 | 2 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $122.88 | $819.21 | $50.15 – $50.15 | 1 |
| Guid loc target vol rad tx CPT 77387 | $92.55 | $617.00 | $32.13 – $617.00 | 6 |
| Gw stiffened micro access kit HCPCS C1894 | $3,322.87 | $22,152.46 | $20.34 – $29.74 | 2 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $68.67 | $457.79 | $7.74 – $28.29 | 2 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $14.65 | $97.65 | $1.41 – $2.73 | 2 |
| Hand X-ray CPT 73130 | $80.10 | $534.00 | $17.78 – $172.12 | 16 |
| Haptoglobin quantitative CPT 83010 | $22.05 | $147.00 | $6.29 – $27.42 | 16 |
| Hba1/hba2 full gene sequence CPT 81259 | $769.95 | $5,133.00 | $300.00 – $1,308.00 | 16 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $110.40 | $736.00 | $101.20 – $441.23 | 16 |
| Hbb full gene sequence CPT 81364 | $281.10 | $1,874.00 | $162.29 – $707.58 | 16 |
| Hbot, full body chamber, 30m HCPCS G0277 | $122.55 | $817.00 | $42.56 – $539.27 | 16 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $263.10 | $1,754.00 | $42.10 – $346.92 | 16 |
| Hcg qualitative CPT 84703 | $13.20 | $88.00 | $3.76 – $16.39 | 16 |
| Hcg quantitative CPT 84702 | $26.25 | $175.00 | $7.53 – $32.81 | 16 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $35.70 | $238.00 | $40.68 – $141.31 | 2 |
| Hc nm kidney imaging with flow CPT 78701 | $418.80 | $2,792.00 | $116.96 – $790.69 | 16 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $288.75 | $1,925.00 | $187.66 – $1,377.53 | 16 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $317.70 | $2,118.00 | $341.82 – $1,922.76 | 16 |
| Head CT scan (with and without contrast) CPT 70470 | $587.70 | $3,918.00 | $159.14 – $441.56 | 16 |
| Head CT scan (with contrast) CPT 70460 | $559.65 | $3,731.00 | $159.14 – $441.56 | 16 |
| Head CT scan (without contrast) CPT 70450 | $531.75 | $3,545.00 | $94.85 – $441.56 | 16 |
| Heavy metal qual any number CPT 83015 | $32.85 | $219.00 | $10.47 – $45.65 | 16 |
| Helicobacter pylori antibody igm CPT 86677 | $25.50 | $170.00 | $8.43 – $36.73 | 16 |
| Hematocrit CPT 85014 | $4.05 | $27.00 | $1.19 – $6.78 | 16 |
| Hemodialysis one evaluation CPT 90935 | $301.05 | $2,007.00 | $83.00 – $1,357.43 | 16 |
| Hemoglobin CPT 85018 | $4.05 | $27.00 | $1.19 – $6.78 | 16 |
| Hemoglobin fetal qualitative CPT 83033 | $10.35 | $69.00 | $4.00 – $17.44 | 16 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $12.30 | $82.00 | $4.10 – $17.88 | 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.