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 |
|---|---|---|---|---|
| Prep skn trk/ext adl 100cm2 CPT 15003 | $45.00 | $300.00 | $60.59 – $560.84 | 5 |
| Pressure max expiratory/inspiratory CPT 94799 | $21.60 | $144.00 | $46.58 – $254.50 | 16 |
| Pressure velocity wire add ves CPT 93572 | $1,818.15 | $12,121.00 | $168.87 – $2,491.26 | 4 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $49.05 | $327.00 | $12.89 – $336.97 | 16 |
| Pretreat rbc absorption reference CPT 86978 | $91.65 | $611.00 | $21.96 – $118.38 | 16 |
| Pretreat rbc density gradient separation reference CPT 86972 | $91.65 | $611.00 | $13.44 – $336.97 | 16 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $91.65 | $611.00 | $1.04 – $118.38 | 16 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $261.45 | $1,743.00 | $76.91 – $3,266.63 | 16 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $244.65 | $1,631.00 | $67.49 – $3,266.63 | 16 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $214.20 | $1,428.00 | $175.69 – $804.03 | 16 |
| Prgr stim/pace a/iv drug CPT 93623 | $513.90 | $3,426.00 | $129.44 – $9,762.12 | 5 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $19.50 | $130.00 | $48.36 – $52.41 | 2 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $2,004.00 | $13,360.00 | $2,736.47 – $36,257.38 | 16 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $1,564.20 | $10,428.00 | $893.83 – $9,404.09 | 4 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $158.25 | $1,055.00 | $136.29 – $804.03 | 16 |
| Pr incision & drainage abscess simple/single CPT 10060 | $86.25 | $575.00 | $50.22 – $396.83 | 16 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $329.55 | $2,197.00 | $123.57 – $602.71 | 16 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $120.30 | $802.00 | $61.81 – $804.03 | 16 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $121.65 | $811.00 | $30.03 – $301.69 | 5 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $2,722.39 | $18,149.25 | $5,015.42 – $5,015.42 | 1 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $21.44 | $142.94 | $4.92 – $751.08 | 15 |
| Procalcitonin CPT 84145 | $30.45 | $203.00 | $13.61 – $59.34 | 16 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $2.93 | $19.50 | $3.19 – $3.87 | 2 |
| Progesterone CPT 84144 | $36.60 | $244.00 | $10.43 – $45.47 | 16 |
| Prolactin CPT 84146 | $33.90 | $226.00 | $9.69 – $42.25 | 16 |
| Promethazine 25 mg tablet HCPCS Q0169 | $0.20 | $1.30 | $0.23 – $2.83 | 15 |
| Promethazine hcl injection HCPCS J2550 | $2.93 | $19.50 | $1.76 – $5.19 | 2 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $73.36 | $489.09 | $0.16 – $0.16 | 1 |
| _propoxygc/msur CPT 80367 | $13.35 | $89.00 | $15.73 – $16.36 | 4 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $19.56 | $130.42 | $5.53 – $17.49 | 2 |
| Prostate biopsy, any mthd HCPCS G0416 | $326.70 | $2,178.00 | $95.66 – $708.96 | 16 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $1,104.11 | $7,360.71 | $729.17 – $1,589.59 | 15 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $71.35 | $475.64 | $0.62 – $3.06 | 2 |
| Protein c activity CPT 85303 | $24.15 | $161.00 | $5.02 – $30.17 | 16 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $18.90 | $126.00 | $5.37 – $23.41 | 16 |
| Protein s total CPT 85305 | $46.95 | $313.00 | $5.02 – $25.31 | 16 |
| Protein total 24 hour urine CPT 84156 | $6.45 | $43.00 | $1.84 – $8.00 | 16 |
| Protein total body fluid CPT 84157 | $6.45 | $43.00 | $2.00 – $8.72 | 16 |
| Protein total serum plasma whole blood CPT 84155 | $6.45 | $43.00 | $1.84 – $8.00 | 16 |
| Prothrombin complex kcentra HCPCS J7168 | $1,677.50 | $11,183.31 | $2.01 – $2,395.86 | 16 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $6.90 | $46.00 | $1.97 – $8.59 | 16 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $3,392.70 | $22,618.00 | $4,952.00 – $36,257.38 | 16 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $3,392.70 | $22,618.00 | $4,952.00 – $36,257.38 | 16 |
| Prq card angio/athrect addl CPT 92925 | $2,262.00 | $15,080.00 | $11,764.02 – $12,234.58 | 4 |
| Prq cardiac angio addl art CPT 92921 | $2,004.00 | $13,360.00 | $11,764.02 – $12,234.58 | 4 |
| Prq card revasc mi 1 vsl CPT 92941 | $4,357.65 | $29,051.00 | $638.79 – $12,234.58 | 4 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $4,926.60 | $32,844.00 | $1,164.06 – $12,234.58 | 4 |
| Prq card stent w/angio addl CPT 92929 | $2,186.25 | $14,575.00 | $11,764.02 – $12,234.58 | 4 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $4,357.65 | $29,051.00 | $568.03 – $22,832.77 | 16 |
| Prq revasc byp graft addl CPT 92938 | $2,004.00 | $13,360.00 | $11,764.02 – $12,234.58 | 4 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $3,339.75 | $22,265.00 | $568.39 – $22,832.77 | 16 |
| Prq trlml c athrc st angiop1 CPT 92933 | $3,339.75 | $22,265.00 | $637.55 – $36,257.38 | 16 |
| Prq trluml c angiop 1art&/br CPT 92920 | $4,357.65 | $29,051.00 | $510.91 – $11,764.02 | 16 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $4,357.65 | $29,051.00 | $609.44 – $22,832.77 | 16 |
| Prq trluml revsc ch occ ant CPT 92943 | $4,357.65 | $29,051.00 | $638.42 – $22,832.77 | 16 |
| Pr removal drug delivery implant CPT 11982 | $128.40 | $856.00 | $118.58 – $883.56 | 16 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $64.20 | $428.00 | $85.55 – $263.15 | 15 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $129.15 | $861.00 | $145.89 – $804.03 | 16 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $89.40 | $596.00 | $107.43 – $396.83 | 16 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $94.05 | $627.00 | $129.80 – $396.83 | 16 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $84.00 | $560.00 | $85.04 – $396.83 | 16 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $85.50 | $570.00 | $107.43 – $396.83 | 16 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $490.80 | $3,272.00 | $907.83 – $3,113.45 | 16 |
| PSA (Prostate) Test CPT 84153 | $32.25 | $215.00 | $9.20 – $40.09 | 16 |
| Psychotherapy group therapy CPT 90853 | $49.65 | $331.00 | $26.30 – $346.85 | 16 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $44.10 | $294.00 | $74.57 – $351.06 | 16 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $44.85 | $299.00 | $99.14 – $351.06 | 16 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $49.65 | $331.00 | $99.14 – $351.06 | 16 |
| Psycl/nrpsyc tech 1st CPT 96138 | $163.50 | $1,090.00 | $15.45 – $845.55 | 16 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $18.45 | $123.00 | $13.99 – $38.57 | 16 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $28.20 | $188.00 | $15.18 – $39.17 | 16 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $16.35 | $109.00 | $13.57 – $38.57 | 16 |
| Pt application of modality traction mechanical CPT 97012 | $20.10 | $134.00 | $13.66 – $38.57 | 16 |
| Pten gene dup/delet variant CPT 81323 | $68.85 | $459.00 | $78.84 – $654.00 | 16 |
| Pten gene full sequence CPT 81321 | $472.05 | $3,147.00 | $115.92 – $1,308.00 | 16 |
| Pt evaluation high complexity patient/family CPT 97163 | $81.75 | $545.00 | $39.00 – $320.84 | 16 |
| Pt evaluation low complexity patient/family CPT 97161 | $73.80 | $492.00 | $39.00 – $320.84 | 16 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $77.85 | $519.00 | $39.00 – $320.84 | 16 |
| Pt re-evaluation patient/family CPT 97164 | $48.60 | $324.00 | $39.00 – $320.84 | 16 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $42.30 | $282.00 | $39.00 – $85.04 | 16 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $15.90 | $106.00 | $11.96 – $38.57 | 16 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $27.45 | $183.00 | $15.36 – $60.30 | 16 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $25.35 | $169.00 | $14.60 – $60.95 | 16 |
| Pt wheelchair management each 15 minutes CPT 97542 | $29.55 | $197.00 | $15.85 – $64.46 | 16 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | $7,058.25 | $47,055.00 | $2,664.57 – $11,792.93 | 16 |
| Pulmonary vent imaging CPT 78579 | $452.25 | $3,015.00 | $127.95 – $1,252.56 | 16 |
| Pulse ox continuous overnight monitoring CPT 94762 | $69.15 | $461.00 | $40.17 – $254.50 | 16 |
| Pulse ox multiple CPT 94761 | $31.65 | $211.00 | $20.67 – $211.00 | 2 |
| Pulse ox single CPT 94760 | $21.00 | $140.00 | $9.08 – $140.00 | 2 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $458.92 | $3,059.45 | $228.54 – $498.21 | 15 |
| Punc of shunt for asp or inj CPT 61070 | $280.35 | $1,869.00 | $501.84 – $1,396.13 | 16 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $18.75 | $125.00 | $22.28 – $263.15 | 16 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $253.65 | $1,691.00 | $57.75 – $804.03 | 16 |
| Puncture spinal lumbar diagnostic CPT 62270 | $282.90 | $1,886.00 | $34.53 – $1,396.13 | 16 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $20.26 | $135.07 | $0.49 – $10.65 | 2 |
| Pyruvate CPT 84210 | $19.05 | $127.00 | $7.24 – $31.57 | 16 |
| Pyruvate kinase CPT 84220 | $16.50 | $110.00 | $4.72 – $20.58 | 16 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $452.25 | $3,015.00 | $222.31 – $1,252.56 | 16 |
| Quant diff pulm perf w/imaging CPT 78597 | $452.25 | $3,015.00 | $137.16 – $1,252.56 | 16 |
| Quest t3 uptake CPT 84479 | $10.80 | $72.00 | $3.24 – $15.06 | 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.