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 |
|---|---|---|---|---|
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $452.25 | $3,015.00 | $86.44 – $461.51 | 16 |
| Noninv pace analysis CPT 93724 | $513.90 | $3,426.00 | $31.02 – $607.47 | 16 |
| Npm1 gene CPT 81310 | $317.25 | $2,115.00 | $47.12 – $537.41 | 16 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $2,930.25 | $19,535.00 | $1,351.81 – $3,536.51 | 16 |
| Ntrk1 translocation analysis CPT 81191 | $265.95 | $1,773.00 | $103.66 – $451.94 | 16 |
| Ntrk2 translocation analysis CPT 81192 | $265.95 | $1,773.00 | $103.66 – $451.94 | 16 |
| Ntrk3 translocation analysis CPT 81193 | $265.95 | $1,773.00 | $103.66 – $451.94 | 16 |
| Ntrk translocation analysis CPT 81194 | $665.10 | $4,434.00 | $259.14 – $1,129.85 | 16 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $696.00 | $4,640.00 | $338.09 – $995.15 | 6 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $580.05 | $3,867.00 | $337.57 – $995.15 | 6 |
| Nuclear rx intra-arterial CPT 79445 | $452.25 | $3,015.00 | $86.90 – $461.51 | 16 |
| Nuclear rx IV admin CPT 79101 | $452.25 | $3,015.00 | $86.44 – $461.51 | 16 |
| Nuclear Stress Test (Heart) CPT 78452 | $452.25 | $3,015.00 | $251.74 – $2,560.63 | 16 |
| Nudt15 gene common variants CPT 81306 | $252.30 | $1,682.00 | $145.68 – $635.16 | 16 |
| Observation direct referral from physician office for admission HCPCS G0379 | $138.00 | $920.00 | $12.00 – $12.00 | 1 |
| Observation per hour HCPCS G0378 | $11.10 | $74.00 | $12.00 – $12.00 | 1 |
| Obstetrics panel CPT 80055 | $71.85 | $479.00 | $10.29 – $104.23 | 16 |
| Obtaining screen pap smear HCPCS Q0091 | $5.55 | $37.00 | $4.71 – $57.21 | 16 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $126.15 | $841.00 | $56.63 – $206.78 | 16 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $104.86 | $699.09 | $1.07 – $4.14 | 2 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | $9,230.85 | $61,539.00 | $2,664.57 – $15,680.74 | 16 |
| Oncology tum unknown origin CPT 81540 | $2,530.20 | $16,868.00 | $1,875.00 – $8,175.00 | 16 |
| Oncoprotein her-2/neu CPT 83950 | $69.00 | $460.00 | $31.87 – $140.41 | 16 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | $4,620.00 | $30,800.00 | $1,800.00 – $7,848.00 | 16 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $2.93 | $19.50 | $1.44 – $4.61 | 2 |
| Opioids & opiate analogs 3/4 CPT 80363 | $29.55 | $197.00 | $15.73 – $16.36 | 4 |
| Organic acids total quant ea spec CPT 83918 | $27.75 | $185.00 | $11.80 – $51.45 | 16 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $38.15 | $254.33 | $3.38 – $19.69 | 2 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $59.55 | $397.00 | $339.18 – $739.40 | 15 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $217.50 | $1,450.00 | $739.88 – $1,612.94 | 15 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $270.45 | $1,803.00 | $1,514.12 – $3,300.78 | 15 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $163.50 | $1,090.00 | $932.25 – $2,032.30 | 15 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $56.10 | $374.00 | $318.46 – $694.25 | 15 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $66.30 | $442.00 | $377.34 – $822.61 | 15 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $56.10 | $374.00 | $318.46 – $694.25 | 15 |
| Orthopantogram CPT 70355 | $65.85 | $439.00 | $16.04 – $172.12 | 16 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $68.85 | $459.00 | $392.27 – $855.15 | 15 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $243.75 | $1,625.00 | $1,217.17 – $2,653.43 | 15 |
| Osmolality blood CPT 83930 | $11.70 | $78.00 | $3.31 – $14.41 | 16 |
| Osmolality urine CPT 83935 | $12.00 | $80.00 | $3.41 – $14.87 | 16 |
| Ot evaluation high complexity patient/family CPT 97167 | $79.20 | $528.00 | $39.00 – $351.54 | 16 |
| Ot evaluation low complexity patient/family CPT 97165 | $71.70 | $478.00 | $39.00 – $351.54 | 16 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $75.45 | $503.00 | $39.00 – $351.54 | 16 |
| Oth resp proc, group HCPCS G0239 | $79.05 | $527.00 | $11.49 – $73.87 | 16 |
| Oth resp proc, indiv HCPCS G0238 | $79.05 | $527.00 | $9.33 – $57.21 | 16 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $46.20 | $308.00 | $39.00 – $102.20 | 16 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $36.60 | $244.00 | $29.42 – $94.37 | 16 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $28.95 | $193.00 | $23.19 – $57.51 | 16 |
| Ot re-evaluation patient/family CPT 97168 | $45.90 | $306.00 | $39.00 – $351.54 | 16 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $33.60 | $224.00 | $25.53 – $72.14 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $22.65 | $151.00 | $20.59 – $48.69 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $23.70 | $158.00 | $21.74 – $48.69 | 16 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $30.90 | $206.00 | $23.55 – $60.30 | 16 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $32.25 | $215.00 | $17.53 – $67.91 | 16 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $33.60 | $224.00 | $18.90 – $66.90 | 16 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $12.04 | $80.28 | $1.23 – $2.52 | 2 |
| Palb2 gene full gene seq CPT 81307 | $222.30 | $1,482.00 | $254.59 – $1,474.77 | 16 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $0.15 | $1.00 | $1.00 – $1,369.92 | 6 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $88.99 | $593.27 | $16.97 – $178.98 | 2 |
| Papaverin hcl injection HCPCS J2440 | $101.27 | $675.11 | $3.08 – $67.32 | 2 |
| Parathormone (pth) intact CPT 83970 | $72.30 | $482.00 | $20.64 – $89.99 | 16 |
| Parathyrd planar w/spect&ct CPT 78072 | $452.25 | $3,015.00 | $70.86 – $1,073.92 | 16 |
| Parathyroid planar imaging CPT 78070 | $452.25 | $3,015.00 | $59.53 – $1,252.56 | 16 |
| Parathyroid planar img w/tomo spect CPT 78071 | $452.25 | $3,015.00 | $257.91 – $790.69 | 16 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $39.15 | $261.00 | $22.64 – $396.83 | 16 |
| Partial removal finger bone CPT 26236 | $692.25 | $4,615.00 | $1,246.75 – $3,180.38 | 16 |
| Partial removal foot fascia CPT 28060 | $1,372.80 | $9,152.00 | $2,443.03 – $6,471.55 | 16 |
| Passy muir valve metal trach HCPCS L8501 | $682.50 | $4,549.97 | $233.54 – $509.11 | 15 |
| Path clin consltj sf 5-20 CPT 80503 | $22.20 | $148.00 | $19.85 – $131.85 | 16 |
| Pcv21 vaccine im CPT 90684 | $415.01 | $2,766.72 | $169.24 – $595.50 | 6 |
| Ped crit care transport CPT 99466 | $32.70 | $218.00 | $218.00 – $218.00 | 2 |
| Ped crit care transport addl CPT 99467 | $16.50 | $110.00 | $110.00 – $110.00 | 2 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $7,105.68 | $47,371.18 | $27.49 – $2,395.86 | 16 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $648.00 | $4,320.00 | $159.14 – $441.56 | 16 |
| Pelvic CT scan (with contrast) CPT 72193 | $617.10 | $4,114.00 | $159.14 – $441.56 | 16 |
| Pelvic CT scan (without contrast) CPT 72192 | $587.70 | $3,918.00 | $94.85 – $206.78 | 16 |
| Pelvic MRI (with and without contrast) CPT 72197 | $668.55 | $4,457.00 | $316.52 – $690.02 | 16 |
| Pelvic MRI (with contrast) CPT 72196 | $636.75 | $4,245.00 | $316.52 – $690.02 | 16 |
| Pelvic MRI (without contrast) CPT 72195 | $604.95 | $4,033.00 | $214.55 – $471.92 | 16 |
| Pelvic Ultrasound (complete) CPT 76856 | $101.55 | $677.00 | $50.23 – $227.39 | 16 |
| Pelvic Ultrasound (limited) CPT 76857 | $101.55 | $677.00 | $34.41 – $206.78 | 16 |
| Peng benzathine/procaine inj HCPCS J0558 | $294.81 | $1,965.42 | $3.22 – $146.91 | 16 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $184.92 | $1,232.79 | $4.07 – $146.91 | 16 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $31.11 | $207.37 | $1.05 – $1.39 | 2 |
| Penile injection CPT 54235 | $1,412.85 | $9,419.00 | $69.64 – $494.16 | 16 |
| Perc cryo ablate renal tum CPT 50593 | $1,502.85 | $10,019.00 | $427.00 – $21,024.30 | 16 |
| Perc d-e cor revasc chro add HCPCS C9608 | $4,235.40 | $28,236.00 | $360.48 – $12,234.58 | 4 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $4,926.60 | $32,844.00 | $1,164.06 – $36,257.38 | 16 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $4,307.40 | $28,716.00 | $360.48 – $12,234.58 | 4 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $4,926.60 | $32,844.00 | $1,164.06 – $22,832.77 | 16 |
| Perc d-e cor stent ather br HCPCS C9603 | $4,235.40 | $28,236.00 | $360.48 – $12,234.58 | 4 |
| Perc d-e cor stent ather s HCPCS C9602 | $4,926.60 | $32,844.00 | $1,164.06 – $36,257.38 | 16 |
| Perc drug-el cor stent bran HCPCS C9601 | $4,243.35 | $28,289.00 | $360.48 – $12,234.58 | 4 |
| Perc drug-el cor stent sing HCPCS C9600 | $4,926.60 | $32,844.00 | $1,164.06 – $22,832.77 | 16 |
| Perc rf ablate renal tumor CPT 50592 | $1,772.70 | $11,818.00 | $4,031.58 – $11,957.20 | 16 |
| Percut ablate liver rf CPT 47382 | $1,791.15 | $11,941.00 | $4,145.57 – $11,957.20 | 16 |
| Pericardiocentesis wwo imaging CPT 33016 | $774.15 | $5,161.00 | $907.83 – $3,113.45 | 16 |
| Peripheral vascular rehab CPT 93668 | $513.90 | $3,426.00 | $0.22 – $235.25 | 16 |
| Perit-vens shunt pat tst CPT 78291 | $452.25 | $3,015.00 | $100.50 – $790.69 | 16 |
| Perq art m-thrombect &/nfs CPT 61645 | $2,382.30 | $15,882.00 | $19,105.94 – $19,870.18 | 4 |
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.