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 |
|---|---|---|---|---|
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $3,711.38 | $24,742.51 | $115.76 – $1,712.10 | 16 |
| Radiation physics consult CPT 77336 | $149.70 | $998.00 | $96.80 – $265.84 | 16 |
| Radiation therapy dose plan CPT 77300 | $116.55 | $777.00 | $44.05 – $265.84 | 16 |
| Radiation treatment aid(s) CPT 77332 | $217.05 | $1,447.00 | $29.19 – $265.84 | 16 |
| Radiation treatment aid(s) CPT 77333 | $238.65 | $1,591.00 | $36.56 – $265.84 | 16 |
| Radiation treatment aid(s) CPT 77334 | $262.50 | $1,750.00 | $106.52 – $740.57 | 16 |
| Radiation treatment delivery CPT 77401 | $67.95 | $453.00 | $58.23 – $256.67 | 6 |
| Radiation treatment delivery CPT 77402 | $157.80 | $1,052.00 | $58.23 – $246.80 | 16 |
| Radiation treatment delivery CPT 77412 | $190.95 | $1,273.00 | $76.51 – $1,092.85 | 16 |
| Radiology port images(s) CPT 77417 | $25.65 | $171.00 | $19.57 – $171.00 | 5 |
| Radiotherapy dose plan imrt CPT 77301 | $1,739.10 | $11,594.00 | $839.48 – $2,737.61 | 16 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $72.00 | $480.00 | $108.59 – $18,810.78 | 16 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $452.25 | $3,015.00 | $181.73 – $1,252.56 | 16 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $640.50 | $4,270.00 | $142.32 – $1,252.56 | 16 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $452.25 | $3,015.00 | $215.32 – $1,252.56 | 16 |
| Radphm lcl tumor plr sgl day CPT 78800 | $452.25 | $3,015.00 | $111.58 – $1,252.56 | 16 |
| Radphm quant measure sgl area add-on CPT 78835 | $452.25 | $3,015.00 | $70.34 – $2,086.00 | 5 |
| Rapid Strep Test CPT 87880 | $20.10 | $134.00 | $8.27 – $36.04 | 16 |
| Rbc count only automated CPT 85041 | $5.25 | $35.00 | $1.51 – $6.78 | 16 |
| Rbc deglycerolized each unit HCPCS P9039 | $131.40 | $876.00 | $187.57 – $682.34 | 16 |
| Rbc irradiated each unit HCPCS P9038 | $108.15 | $721.00 | $145.22 – $316.58 | 16 |
| Rbc osmotic fragility CPT 85555 | $11.85 | $79.00 | $3.74 – $16.28 | 16 |
| Rbc serum pretx incubj drugs CPT 86975 | $91.65 | $611.00 | $7.32 – $883.56 | 16 |
| Red blood cells each unit HCPCS P9021 | $108.15 | $721.00 | $40.69 – $328.24 | 16 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $411.30 | $2,742.00 | $187.57 – $921.46 | 16 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $108.15 | $721.00 | $86.51 – $403.10 | 16 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $108.15 | $721.00 | $187.57 – $578.59 | 16 |
| Red blood cells washed each unit HCPCS P9022 | $114.15 | $761.00 | $102.60 – $803.50 | 16 |
| Red cell mass multiple CPT 78121 | $221.70 | $1,478.00 | $95.43 – $1,073.92 | 16 |
| Redo endovas vena cava filtr CPT 37192 | $1,952.55 | $13,017.00 | $2,302.20 – $6,245.05 | 16 |
| Reduction of procidentia 45900 CPT 45900 | $1,226.10 | $8,174.00 | $106.92 – $2,025.66 | 16 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $528.12 | $3,520.77 | $5.32 – $46.57 | 3 |
| Relocation skin pocket aicd CPT 33223 | $1,818.15 | $12,121.00 | $456.24 – $4,080.88 | 16 |
| Relocation skin pocket pm CPT 33222 | $1,818.15 | $12,121.00 | $381.10 – $4,080.88 | 16 |
| Rem/biv cast full arm/leg CPT 29705 | $28.95 | $193.00 | $33.21 – $553.19 | 16 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $1,271.63 | $8,477.56 | $4.96 – $661.83 | 16 |
| Rem endovas vena cava filter CPT 37193 | $1,952.55 | $13,017.00 | $2,302.20 – $6,245.05 | 16 |
| Removal biliary drg cath CPT 47537 | $346.65 | $2,311.00 | $494.01 – $1,793.89 | 16 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $245.70 | $1,638.00 | $565.75 – $1,240.72 | 16 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $680.10 | $4,534.00 | $907.83 – $3,113.45 | 16 |
| Removal cerclage w/anes CPT 59871 | $896.70 | $5,978.00 | $2,099.04 – $6,402.58 | 16 |
| Removal cerumen impacted (both sides) CPT 69210 | $46.65 | $311.00 | $39.52 – $116.68 | 15 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $84.00 | $560.00 | $11.14 – $560.84 | 5 |
| Removal duct glbldr calculi CPT 47544 | $841.05 | $5,607.00 | $7,836.60 – $8,150.06 | 4 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $384.30 | $2,562.00 | $58.03 – $1,793.89 | 16 |
| Removal foreign body foot subcutaneous right CPT 28190 | $308.40 | $2,056.00 | $95.83 – $1,400.59 | 16 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $3,880.65 | $25,871.00 | $9,002.87 – $20,672.57 | 16 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $38.25 | $255.00 | $52.47 – $396.83 | 16 |
| Removal sutr/staple req anes CPT 15851 | $830.25 | $5,535.00 | $53.95 – $4,080.88 | 16 |
| Removal tunnled intprtnl cath CPT 49422 | $996.45 | $6,643.00 | $1,013.71 – $6,245.05 | 16 |
| Remove cva lumen obstruct CPT 75902 | $69.30 | $462.00 | $54.73 – $320.00 | 5 |
| Remove renal tube w/fluoro CPT 50389 | $547.20 | $3,648.00 | $522.37 – $1,379.15 | 16 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $319.20 | $2,128.00 | $84.09 – $3,266.63 | 16 |
| Remove ureter stent percut CPT 50384 | $9,426.90 | $62,846.00 | $1,566.06 – $4,134.48 | 16 |
| Remove vaginal foreign body 57415 CPT 57415 | $450.45 | $3,003.00 | $2,099.04 – $6,402.58 | 16 |
| Renal function panel CPT 80069 | $14.70 | $98.00 | $4.34 – $18.92 | 16 |
| Renal venogram bil s&i CPT 75833 | $1,357.80 | $9,052.00 | $148.58 – $6,245.05 | 16 |
| Repair blood ves direct neck 35201 CPT 35201 | $1,238.70 | $8,258.00 | $901.82 – $11,005.77 | 16 |
| Repair blood vessel direct hand finger CPT 35207 | $687.60 | $4,584.00 | $967.94 – $6,245.05 | 16 |
| Repair blood vessel dir lower extr CPT 35226 | $698.10 | $4,654.00 | $642.47 – $2,929.10 | 16 |
| Repair blood vessel dir upper extr CPT 35206 | $693.15 | $4,621.00 | $874.00 – $6,245.05 | 16 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $424.20 | $2,828.00 | $274.31 – $804.03 | 16 |
| Repair dental ellis ii fx CPT 41899 | $74.10 | $494.00 | $214.89 – $1,728.42 | 16 |
| Repair extns tendon finger without grft ea CPT 26418 | $354.75 | $2,365.00 | $335.87 – $3,180.38 | 16 |
| Repair of digit nerve hand/foot 1 nerve CPT 64831 | $685.95 | $4,573.00 | $551.96 – $3,862.21 | 16 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $257.70 | $1,718.00 | $192.97 – $468.46 | 16 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $316.35 | $2,109.00 | $255.08 – $1,066.72 | 16 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $1,327.65 | $8,851.00 | $220.51 – $6,471.55 | 16 |
| Replace duod/jej tube perc CPT 49451 | $346.80 | $2,312.00 | $494.01 – $1,793.89 | 16 |
| Replace g/c tube perc CPT 49450 | $333.00 | $2,220.00 | $494.01 – $1,793.89 | 16 |
| Replace g-j tube perc CPT 49452 | $361.05 | $2,407.00 | $494.01 – $1,793.89 | 16 |
| Reposg phrnc nrv stim trnsvn CPT 33281 | $1,554.60 | $10,364.00 | $2,659.28 – $6,914.80 | 16 |
| Reposition pm/icd lead CPT 33215 | $1,818.15 | $12,121.00 | $307.21 – $6,245.05 | 16 |
| Reposition vad w/image rt/lt sep session CPT 33993 | $693.60 | $4,624.00 | $9,924.75 – $10,321.74 | 4 |
| Repos lv lead pm/icd CPT 33226 | $1,818.15 | $12,121.00 | $483.32 – $9,924.75 | 16 |
| Reptilase test CPT 85635 | $17.10 | $114.00 | $4.93 – $21.47 | 16 |
| Respirator motion mgmt simul CPT 77293 | $426.45 | $2,843.00 | $164.48 – $2,843.00 | 6 |
| Resp virus 6-11 targets CPT 87632 | $373.80 | $2,492.00 | $109.03 – $475.37 | 16 |
| Resuscitation cardiopulmonary CPT 92950 | $513.90 | $3,426.00 | $140.46 – $1,021.32 | 16 |
| Resuscitation delivery/birthing room CPT 99465 | $130.20 | $868.00 | $12.00 – $1,307.25 | 16 |
| Reticulated platelet assay CPT 85055 | $46.95 | $313.00 | $17.87 – $77.91 | 16 |
| Reticulocyte automated CPT 85045 | $6.90 | $46.00 | $2.00 – $8.70 | 16 |
| Revasc intra lithotrip-ather HCPCS C9766 | $8,623.20 | $57,488.00 | $9,042.39 – $36,257.38 | 16 |
| Revasc intra lithotrip-stent HCPCS C9765 | $8,623.20 | $57,488.00 | $9,042.39 – $36,257.38 | 16 |
| Revasc intravasc lithotripsy HCPCS C9764 | $4,311.45 | $28,743.00 | $5,278.95 – $22,832.77 | 16 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $7,624.35 | $50,829.00 | $14,795.82 – $36,257.38 | 16 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $13,872.30 | $92,482.00 | $14,795.82 – $36,257.38 | 16 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $4,766.55 | $31,777.00 | $9,042.39 – $22,832.77 | 16 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $7,624.35 | $50,829.00 | $14,795.82 – $36,257.38 | 16 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $7,624.35 | $50,829.00 | $14,795.82 – $36,257.38 | 16 |
| Revise vag graft via vagina CPT 57295 | $1,245.00 | $8,300.00 | $2,099.04 – $6,402.58 | 16 |
| Revision of iris CPT 66761 | $251.55 | $1,677.00 | $450.68 – $1,453.43 | 16 |
| Revision tips CPT 37183 | $2,983.35 | $19,889.00 | $4,696.31 – $11,257.11 | 16 |
| Revsc opn/prq tib/pero stent CPT 37234 | $2,004.00 | $13,360.00 | $3,661.98 – $15,721.62 | 4 |
| Rheumatoid factor qualitative CPT 86430 | $9.90 | $66.00 | $3.07 – $13.39 | 16 |
| Rheumatoid factor quantitative CPT 86431 | $9.90 | $66.00 | $2.84 – $12.80 | 16 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $284.74 | $1,898.26 | $4.58 – $152.79 | 6 |
| Rho d immune globulin inj HCPCS J2790 | $135.94 | $906.28 | $72.58 – $152.79 | 6 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $211.95 | $1,413.00 | $118.49 – $3,266.63 | 16 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $12,081.60 | $80,544.00 | $20,181.03 – $43,994.64 | 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.