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 |
|---|---|---|---|---|
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $2,812.05 | $18,747.00 | $1,041.72 – $19,870.18 | 4 |
| Trnscath plc stnt ante carotid art CPT 37218 | $5,874.15 | $39,161.00 | $19,105.94 – $19,870.18 | 4 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $3,699.90 | $24,666.00 | $15,116.94 – $15,721.62 | 4 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $2,708.70 | $18,058.00 | $15,116.94 – $15,721.62 | 4 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $4,660.20 | $31,068.00 | $9,707.06 – $22,832.77 | 16 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $1,487.10 | $9,914.00 | $2,302.20 – $6,245.05 | 16 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $1,516.20 | $10,108.00 | $3,938.95 – $11,005.77 | 16 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $1,401.75 | $9,345.00 | $2,302.20 – $6,245.05 | 16 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $1,401.75 | $9,345.00 | $2,302.20 – $6,245.05 | 16 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $1,516.20 | $10,108.00 | $2,302.20 – $6,245.05 | 16 |
| Troponin quantitative CPT 84484 | $17.10 | $114.00 | $6.24 – $27.18 | 16 |
| Tx atrial fib pulm vein isol CPT 93656 | $4,032.60 | $26,884.00 | $1,077.79 – $51,696.98 | 16 |
| Tx closed hip disl traumatic without anes CPT 27250 | $245.85 | $1,639.00 | $223.80 – $669.87 | 16 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $1,394.10 | $9,294.00 | $669.87 – $6,471.55 | 16 |
| Tx closed tib shaft fx without manip CPT 27750 | $191.10 | $1,274.00 | $223.80 – $669.87 | 16 |
| Tx l/r atrial fib addl CPT 93657 | $513.90 | $3,426.00 | $407.67 – $24,355.88 | 5 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $63.30 | $422.00 | $167.67 – $669.87 | 16 |
| U2af1 gene common variants CPT 81357 | $248.10 | $1,654.00 | $96.63 – $421.29 | 16 |
| Ugt1a1 gene analy common variants CPT 81350 | $157.80 | $1,052.00 | $115.92 – $510.12 | 16 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $101.55 | $677.00 | $56.81 – $206.78 | 16 |
| Ultrasound breast complete CPT 76641 | $101.55 | $677.00 | $60.69 – $206.78 | 16 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $96.45 | $643.00 | $46.47 – $172.12 | 16 |
| Ultrasound chest CPT 76604 | $101.55 | $677.00 | $42.72 – $206.78 | 16 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $101.55 | $677.00 | $39.84 – $206.78 | 16 |
| Ultrasound elastography parenchyma CPT 76981 | $101.55 | $677.00 | $66.90 – $206.78 | 16 |
| Ultrasound encephalogram CPT 76506 | $101.55 | $677.00 | $46.49 – $206.78 | 16 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $101.55 | $677.00 | $72.29 – $206.78 | 16 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $101.55 | $677.00 | $53.58 – $206.78 | 16 |
| Ultrasound guidance for vascular access CPT 76937 | $101.55 | $677.00 | $13.86 – $469.00 | 5 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $101.55 | $677.00 | $50.23 – $469.00 | 5 |
| Ultrasound guide intraoperative CPT 76998 | $101.55 | $677.00 | $44.25 – $469.00 | 5 |
| Ultrasound guide tissue ablation CPT 76940 | $91.65 | $611.00 | $54.39 – $469.00 | 5 |
| Ultrasound hips infant dynamic CPT 76885 | $101.55 | $677.00 | $49.56 – $172.12 | 16 |
| Ultrasound infant hips ltd without stress CPT 76886 | $96.45 | $643.00 | $46.08 – $172.12 | 16 |
| Ultrasound joint complete left CPT 76881 | $101.55 | $677.00 | $20.42 – $206.78 | 16 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $101.55 | $677.00 | $8.96 – $206.78 | 16 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $101.55 | $677.00 | $12.44 – $206.78 | 16 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $50.70 | $338.00 | $86.68 – $143.63 | 6 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $50.70 | $338.00 | $24.21 – $143.13 | 6 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $101.55 | $677.00 | $116.90 – $471.92 | 16 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $101.55 | $677.00 | $36.38 – $206.78 | 16 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $101.55 | $677.00 | $46.49 – $206.78 | 16 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $101.55 | $677.00 | $48.15 – $206.78 | 16 |
| Ultrasound prostate/transrectal CPT 76872 | $101.55 | $677.00 | $50.23 – $206.78 | 16 |
| Ultrasound retroperitoneal limited CPT 76775 | $96.45 | $643.00 | $46.49 – $206.78 | 16 |
| Ultrasound scrotum and contents CPT 76870 | $101.55 | $677.00 | $50.23 – $206.78 | 16 |
| Ultrasound spinal canal and contents CPT 76800 | $101.55 | $677.00 | $46.49 – $206.78 | 16 |
| Ultrasound transabd ea addl gest CPT 76812 | $50.70 | $338.00 | $39.43 – $338.00 | 6 |
| Ultrasound transvaginal non obstetric CPT 76830 | $101.55 | $677.00 | $50.23 – $206.78 | 16 |
| Unlisted chemotherapy px CPT 96549 | $16.95 | $113.00 | $22.33 – $390.44 | 16 |
| Unlisted CT procedure CPT 76497 | $559.65 | $3,731.00 | $57.37 – $172.12 | 16 |
| Unlisted dialysis procedure CPT 90999 | $301.05 | $2,007.00 | $83.00 – $1,270.12 | 5 |
| Unlisted procedure microbiology CPT 87999 | $51.75 | $345.00 | $11.21 – $11.66 | 5 |
| Unlisted px casting/strpg CPT 29799 | $54.30 | $362.00 | $102.15 – $321.40 | 16 |
| Unlisted px small intestine CPT 44799 | $1,100.70 | $7,338.00 | $686.66 – $2,831.05 | 16 |
| Unlisted spec derm svc/px CPT 96999 | $86.85 | $579.00 | $24.41 – $396.83 | 16 |
| Unlisted special svc px/rprt CPT 99199 | $1.20 | $8.00 | $2.98 – $2.98 | 1 |
| Unlisted transfusion med px CPT 86999 | $12.30 | $82.00 | $4.94 – $57.21 | 16 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $166.80 | $1,112.00 | $83.00 – $1,357.43 | 16 |
| Upgrade pm system CPT 33214 | $4,780.35 | $31,869.00 | $498.19 – $20,672.57 | 16 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $668.55 | $4,457.00 | $316.52 – $690.02 | 16 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $636.75 | $4,245.00 | $316.52 – $690.02 | 16 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $604.95 | $4,033.00 | $214.55 – $471.92 | 16 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $426.60 | $2,844.00 | $282.31 – $1,793.89 | 16 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $384.60 | $2,564.00 | $311.30 – $1,793.89 | 16 |
| Urea nitrogen CPT 84520 | $6.90 | $46.00 | $1.98 – $8.61 | 16 |
| Urea nitrogen 24 hour urine CPT 84540 | $7.95 | $53.00 | $2.78 – $12.12 | 16 |
| Ureteral reflux study CPT 78740 | $182.70 | $1,218.00 | $69.65 – $790.69 | 16 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $119.55 | $797.00 | $48.13 – $471.92 | 16 |
| Urethrocystography void s&i CPT 74455 | $119.55 | $797.00 | $51.86 – $471.92 | 16 |
| Uric acid blood CPT 84550 | $7.95 | $53.00 | $2.26 – $9.85 | 16 |
| Uric acid urine CPT 84560 | $8.40 | $56.00 | $2.54 – $11.07 | 16 |
| Urinalysis microscopic only CPT 81015 | $5.40 | $36.00 | $1.53 – $6.65 | 16 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $3.75 | $25.00 | $1.09 – $4.73 | 16 |
| Urinalysis (with microscopy) CPT 81001 | $5.70 | $38.00 | $1.59 – $6.91 | 16 |
| Urinalysis (without microscopy) CPT 81003 | $3.90 | $26.00 | $1.13 – $4.91 | 16 |
| Urine Culture Test CPT 87086 | $13.95 | $93.00 | $4.04 – $17.59 | 16 |
| Urine pregnancy test CPT 81025 | $11.10 | $74.00 | $3.35 – $18.77 | 16 |
| Urography, antegrade CPT 74425 | $119.55 | $797.00 | $42.72 – $690.02 | 16 |
| Vaccine dtap < 7 years im CPT 90700 | $57.05 | $380.30 | $25.50 – $58.33 | 5 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $44.60 | $297.33 | $18.61 – $36.46 | 5 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $55.58 | $370.51 | $21.80 – $57.66 | 6 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $23.12 | $154.11 | $17.47 – $38.90 | 6 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $290.32 | $1,935.45 | $169.24 – $467.44 | 6 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $326.57 | $2,177.13 | $116.35 – $446.34 | 6 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $370.37 | $2,469.13 | $169.24 – $541.29 | 6 |
| Vaccine rabies im CPT 90675 | $584.36 | $3,895.71 | $53.19 – $697.05 | 16 |
| Vaccine tdap >=7 years im CPT 90715 | $79.54 | $530.25 | $35.05 – $96.10 | 5 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $67.32 | $448.79 | $21.50 – $83.28 | 5 |
| Vaginal bx CPT 58999 | $246.60 | $1,644.00 | $148.42 – $720.06 | 16 |
| Valproic acid total therapeutic drug level CPT 80164 | $23.70 | $158.00 | $6.77 – $29.52 | 16 |
| Valvuloplasty aortic CPT 92986 | $4,357.65 | $29,051.00 | $1,264.39 – $11,764.02 | 16 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $313.30 | $2,088.67 | $0.05 – $0.09 | 2 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $90.33 | $602.18 | $0.21 – $0.22 | 2 |
| Vancomycin peak therapeutic drug level CPT 80202 | $23.70 | $158.00 | $6.77 – $29.52 | 16 |
| Varicella zoster antibody igg CPT 86787 | $22.50 | $150.00 | $6.44 – $28.08 | 16 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $7,261.35 | $48,409.00 | $14,795.82 – $36,257.38 | 16 |
| Vasectomy CPT 55250 | $898.95 | $5,993.00 | $111.43 – $4,134.48 | 16 |
| Veeg cont 2-12 hrs CPT 95713 | $505.35 | $3,369.00 | $338.56 – $738.05 | 16 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $945.90 | $6,306.00 | $660.75 – $1,698.47 | 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.