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 |
|---|---|---|---|---|
| Perq clsr tcat l atr apndge CPT 33340 | $2,262.75 | $15,085.00 | $20,080.58 – $20,883.80 | 4 |
| Perq dev breast 1st strtctc CPT 19283 | $280.35 | $1,869.00 | $529.06 – $1,826.63 | 16 |
| Perq plmt bile duct stent CPT 47538 | $1,975.50 | $13,170.00 | $3,162.01 – $11,957.20 | 16 |
| Perq plmt bile duct stent CPT 47539 | $2,173.20 | $14,488.00 | $3,162.01 – $11,957.20 | 16 |
| Perq plmt bile duct stent CPT 47540 | $2,173.20 | $14,488.00 | $4,145.57 – $11,957.20 | 16 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $1,167.75 | $7,785.00 | $226.68 – $494.16 | 16 |
| Perq transcath septal reduxn CPT 93583 | $2,874.45 | $19,163.00 | $11,227.00 – $20,883.80 | 5 |
| Pet CT skull-mid thgh initial CPT 78815 | $1,537.20 | $10,248.00 | $877.32 – $2,828.23 | 16 |
| Pet CT whole body initial CPT 78816 | $1,614.00 | $10,760.00 | $877.32 – $2,828.23 | 16 |
| Pet fdg brain metoblic eval sb CPT 78608 | $1,529.85 | $10,199.00 | $367.92 – $2,828.23 | 16 |
| Pet image w/ct lmtd CPT 78814 | $1,405.50 | $9,370.00 | $877.32 – $2,828.23 | 16 |
| Ph body fluid CPT 83986 | $5.25 | $35.00 | $1.79 – $7.80 | 16 |
| Phencyclidine (pcp) CPT 83992 | $13.35 | $89.00 | $13.80 – $57.80 | 6 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $121.44 | $809.58 | $3.08 – $53.10 | 3 |
| Phenobarbital therapeutic drug level CPT 80184 | $19.95 | $133.00 | $7.65 – $33.35 | 16 |
| Phentolaine mesylate inj HCPCS J2760 | $706.65 | $4,710.97 | $25.53 – $916.82 | 16 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $4.43 | $29.51 | $0.30 – $0.79 | 2 |
| Phenytoin total therapeutic drug level CPT 80185 | $23.10 | $154.00 | $6.63 – $28.89 | 16 |
| Phlebotomy therapeutic CPT 99195 | $65.10 | $434.00 | $15.57 – $263.15 | 16 |
| Phosphorus CPT 84100 | $7.95 | $53.00 | $2.37 – $10.33 | 16 |
| Phosphorus 24 hour urine CPT 84105 | $9.15 | $61.00 | $2.89 – $12.60 | 16 |
| Phys blood bank serv reactj CPT 86078 | $72.60 | $484.00 | $33.13 – $336.97 | 16 |
| Phys blood bank serv xmatch CPT 86077 | $72.60 | $484.00 | $7.76 – $131.85 | 16 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $103.34 | $688.92 | $2.15 – $4.80 | 2 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $174.80 | $1,165.33 | $346.49 – $755.35 | 15 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $234.30 | $1,562.00 | $109.86 – $1,461.78 | 16 |
| Pinworm exam CPT 87172 | $7.20 | $48.00 | $2.14 – $11.21 | 16 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $45.22 | $301.49 | $1.88 – $6.05 | 2 |
| Place cath intracranial art CPT 36228 | $323.10 | $2,154.00 | $6,409.78 – $6,666.17 | 4 |
| Place cath xtrnl carotid CPT 36227 | $4,156.80 | $27,712.00 | $6,409.78 – $6,666.17 | 4 |
| Place duod/jej tube perc CPT 49441 | $771.30 | $5,142.00 | $494.01 – $3,795.33 | 16 |
| Place gastrostomy tube perc CPT 49440 | $598.05 | $3,987.00 | $494.01 – $3,795.33 | 16 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $241.50 | $1,610.00 | $1,244.99 – $3,266.63 | 16 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $54.90 | $366.00 | $1,826.63 – $1,899.70 | 4 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $280.35 | $1,869.00 | $529.06 – $1,826.63 | 16 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $1,372.35 | $9,149.00 | $1,566.06 – $4,134.48 | 16 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $69.30 | $462.00 | $320.00 – $320.00 | 1 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $4,660.20 | $31,068.00 | $9,707.06 – $22,832.77 | 16 |
| Place needles pelvic for right CPT 55920 | $1,412.85 | $9,419.00 | $3,797.51 – $9,894.14 | 16 |
| Place non-slctv cath thoracic arta CPT 36221 | $2,654.85 | $17,699.00 | $2,302.20 – $6,409.78 | 16 |
| Place right device/marker pros CPT 55876 | $683.55 | $4,557.00 | $133.82 – $2,737.61 | 16 |
| Place slctv cath carotd art uni CPT 36224 | $3,463.65 | $23,091.00 | $3,938.95 – $11,005.77 | 16 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $1,818.15 | $12,121.00 | $2,302.20 – $6,409.78 | 16 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $2,004.00 | $13,360.00 | $3,938.95 – $11,005.77 | 16 |
| Place slctv cath subclavian art CPT 36225 | $2,037.45 | $13,583.00 | $2,302.20 – $6,409.78 | 16 |
| Place slctv cath vertebral art uni CPT 36226 | $4,156.80 | $27,712.00 | $3,938.95 – $11,005.77 | 16 |
| Plasma volume multiple CPT 78111 | $582.45 | $3,883.00 | $84.49 – $2,560.63 | 16 |
| Platelet aggregation each agent teg CPT 85576 | $37.50 | $250.00 | $12.46 – $54.30 | 16 |
| Platelet automated CPT 85049 | $7.65 | $51.00 | $2.24 – $9.77 | 16 |
| Platelet pheresis each unit HCPCS P9034 | $108.15 | $721.00 | $267.75 – $673.53 | 16 |
| Platelet pheresis irr ea HCPCS P9036 | $181.95 | $1,213.00 | $283.00 – $2,069.10 | 16 |
| Platelets each unit HCPCS P9019 | $108.15 | $721.00 | $27.68 – $187.57 | 16 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $272.10 | $1,814.00 | $283.00 – $1,543.57 | 16 |
| Platelets irradiated ea unit HCPCS P9032 | $53.85 | $359.00 | $115.45 – $856.67 | 16 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $108.15 | $721.00 | $117.85 – $420.64 | 16 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $108.15 | $721.00 | $125.87 – $420.64 | 16 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $134.55 | $897.00 | $283.00 – $1,097.52 | 16 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $146.25 | $975.00 | $283.00 – $1,115.27 | 16 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $185.55 | $1,237.00 | $283.00 – $1,483.73 | 16 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $591.15 | $3,941.00 | $283.00 – $1,324.20 | 16 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $1,252.50 | $8,350.00 | $2,688.64 – $7,081.52 | 16 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $6,318.45 | $42,123.00 | $9,042.39 – $9,404.09 | 4 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $1,105.80 | $7,372.00 | $2,490.62 – $6,971.91 | 16 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $1,216.65 | $8,111.00 | $2,490.62 – $6,971.91 | 16 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $315.30 | $2,102.00 | $529.06 – $1,530.23 | 16 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $93.90 | $626.00 | $1,826.63 – $1,899.70 | 4 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $92.40 | $616.00 | $37.42 – $738.05 | 16 |
| Plmt biliary drainage cath CPT 47534 | $1,823.55 | $12,157.00 | $2,688.64 – $7,081.52 | 16 |
| Plmt nephroureteral catheter CPT 50433 | $2,296.05 | $15,307.00 | $2,490.62 – $6,971.91 | 16 |
| Plmt ureteral stent prq CPT 50694 | $1,105.80 | $7,372.00 | $2,490.62 – $6,971.91 | 16 |
| Pmp22 gene dup/delet CPT 81324 | $96.75 | $645.00 | $115.92 – $1,406.10 | 16 |
| Pmp22 gene full sequence CPT 81325 | $96.75 | $645.00 | $115.92 – $1,406.10 | 16 |
| Pms2 gene dup/delet variants CPT 81319 | $174.15 | $1,161.00 | $47.12 – $443.63 | 16 |
| Pms2 gene full seq analysis CPT 81317 | $1,002.60 | $6,684.00 | $338.25 – $1,474.77 | 16 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $33.90 | $226.00 | $13.04 – $56.83 | 16 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $972.45 | $6,483.00 | $725.52 – $1,698.47 | 16 |
| Polysom any age 1-3> param CPT 95808 | $512.85 | $3,419.00 | $181.48 – $1,698.47 | 16 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $555.60 | $3,704.00 | $243.55 – $1,698.47 | 16 |
| Potassium 24 hour urine CPT 84133 | $7.50 | $50.00 | $2.37 – $10.31 | 16 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $11.25 | $74.99 | $0.19 – $0.30 | 2 |
| Potassium serum/plasma/whole blood CPT 84132 | $8.10 | $54.00 | $2.31 – $10.38 | 16 |
| Ppp2r2b gen detc abnor allel CPT 81343 | $107.70 | $718.00 | $68.50 – $298.66 | 16 |
| Pq biliary strict dil s&i CPT 74363 | $183.60 | $1,224.00 | $133.70 – $320.00 | 5 |
| Pq dr cath chg w cont s&i CPT 75984 | $69.30 | $462.00 | $63.94 – $320.00 | 5 |
| Pq thr inj ext pse CPT 36002 | $241.50 | $1,610.00 | $565.75 – $1,553.98 | 16 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $962.40 | $6,416.00 | $311.77 – $6,471.55 | 16 |
| Pr application of long arm splint CPT 29105 | $107.85 | $719.00 | $53.41 – $321.40 | 16 |
| Pr application splint static short arm CPT 29125 | $77.25 | $515.00 | $43.32 – $263.15 | 16 |
| Pr biopsy skin punch single lesion CPT 11104 | $75.45 | $503.00 | $158.81 – $804.03 | 16 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $76.95 | $513.00 | $39.00 – $261.60 | 16 |
| Prealbumin CPT 84134 | $24.60 | $164.00 | $7.30 – $31.81 | 16 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $0.20 | $1.30 | $0.46 – $2.83 | 15 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.56 | $3.74 | $0.02 – $0.02 | 1 |
| Pregabalin - sendout CPT 80366 | $19.20 | $128.00 | $15.73 – $16.36 | 4 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $772.80 | $5,152.00 | $1,318.28 – $3,795.33 | 16 |
| Pregnancy associated plasma protein-a CPT 84163 | $16.20 | $108.00 | $7.53 – $32.81 | 16 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $101.55 | $677.00 | $68.99 – $206.78 | 16 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $101.55 | $677.00 | $34.51 – $206.78 | 16 |
| Prep skin to 100cm2 other CPT 15004 | $258.90 | $1,726.00 | $329.99 – $1,407.66 | 16 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $311.40 | $2,076.00 | $450.88 – $1,461.78 | 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.