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 |
|---|---|---|---|---|
| Warde vitamin c (ascorbic acid) CPT 82180 | $17.40 | $116.00 | $4.95 – $21.56 | 16 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $67.35 | $449.00 | $19.25 – $83.93 | 16 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $24.90 | $166.00 | $7.09 – $30.91 | 16 |
| Warde zinc CPT 84630 | $19.95 | $133.00 | $5.70 – $24.83 | 16 |
| Wbc automated CPT 85048 | $4.35 | $29.00 | $1.27 – $6.78 | 16 |
| Western blot test CPT 84181 | $29.70 | $198.00 | $8.52 – $37.13 | 16 |
| Whfo electric custom fitted HCPCS L3904 | $1,551.45 | $10,343.00 | $5,276.45 – $11,502.66 | 15 |
| Whfo nontorsion joint prefab HCPCS L3931 | $43.05 | $287.00 | $240.61 – $524.53 | 15 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $95.55 | $637.00 | $536.04 – $1,168.57 | 15 |
| Whole blood for transfusion HCPCS P9010 | $108.15 | $721.00 | $61.33 – $413.85 | 16 |
| Whole mitochondrial genome CPT 81460 | $1,651.50 | $11,010.00 | $643.50 – $2,805.66 | 16 |
| Whole mitochondrial genome CPT 81465 | $1,201.05 | $8,007.00 | $468.00 – $2,040.48 | 16 |
| Who nontorsion jnts pre cst HCPCS L3915 | $264.75 | $1,765.00 | $831.22 – $1,812.07 | 15 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $84.45 | $563.00 | $102.49 – $560.84 | 5 |
| Wound closure by adhesive HCPCS G0168 | $17.55 | $117.00 | $44.79 – $272.07 | 4 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $75.45 | $503.00 | $38.72 – $804.03 | 16 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $75.45 | $503.00 | $39.09 – $804.03 | 16 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $39.15 | $261.00 | $32.65 – $396.83 | 16 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $54.30 | $362.00 | $35.12 – $804.03 | 16 |
| Wrist X-ray CPT 73110 | $76.35 | $509.00 | $17.78 – $172.12 | 16 |
| Xe133 xenon 10mci HCPCS A9558 | $84.15 | $561.00 | $38.96 – $294.00 | 2 |
| Xm archive tissue molec anal CPT 88363 | $26.85 | $179.00 | $7.76 – $57.21 | 16 |
| X-ray abdomen 1 view CPT 74018 | $65.85 | $439.00 | $15.46 – $172.12 | 16 |
| X-ray abdomen 2 views CPT 74019 | $69.30 | $462.00 | $18.51 – $206.78 | 16 |
| X-ray abdomen >=3 views CPT 74021 | $72.75 | $485.00 | $21.56 – $206.78 | 16 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $69.30 | $462.00 | $24.29 – $206.78 | 16 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $69.30 | $462.00 | $22.19 – $172.12 | 16 |
| X-ray ankle 2 views (both sides) CPT 73600 | $69.30 | $462.00 | $16.48 – $86.06 | 16 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $182.55 | $1,217.00 | $68.99 – $690.02 | 16 |
| X-ray bone age studies CPT 77072 | $69.30 | $462.00 | $11.14 – $206.78 | 16 |
| X-ray bone length studies CPT 77073 | $69.30 | $462.00 | $23.77 – $206.78 | 16 |
| X-ray bone survey complete CPT 77075 | $72.75 | $485.00 | $51.50 – $206.78 | 16 |
| X-ray bone survey infant CPT 77076 | $69.30 | $462.00 | $31.96 – $206.78 | 16 |
| X-ray cervical spine 2-3 views CPT 72040 | $69.30 | $462.00 | $19.89 – $172.12 | 16 |
| X-ray cervical spine 4-5 views CPT 72050 | $72.75 | $485.00 | $29.36 – $206.78 | 16 |
| X-ray cervical spine >= 6 views CPT 72052 | $76.35 | $509.00 | $37.04 – $206.78 | 16 |
| X-ray clavicle complete (both sides) CPT 73000 | $69.30 | $462.00 | $17.45 – $172.12 | 16 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $85.50 | $570.00 | $55.94 – $346.92 | 16 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $118.80 | $792.00 | $73.40 – $346.92 | 16 |
| X-ray elbow 2 views (both sides) CPT 73070 | $69.30 | $462.00 | $17.45 – $86.06 | 16 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $76.35 | $509.00 | $18.91 – $172.12 | 16 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $69.30 | $462.00 | $38.66 – $346.92 | 16 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $72.75 | $485.00 | $42.29 – $206.78 | 16 |
| X-ray exam entire spi 6/> vw CPT 72084 | $85.20 | $568.00 | $51.07 – $206.78 | 16 |
| X-ray exam of arm infant CPT 73092 | $96.15 | $641.00 | $16.48 – $206.78 | 16 |
| X-ray exam of eye sockets CPT 70200 | $69.30 | $462.00 | $25.93 – $206.78 | 16 |
| X-ray exam of femur 1 CPT 73551 | $65.85 | $439.00 | $16.24 – $172.12 | 16 |
| X-ray exam of jaw joint CPT 70328 | $66.00 | $440.00 | $16.48 – $172.12 | 16 |
| X-ray exam of mastoids CPT 70120 | $66.00 | $440.00 | $20.54 – $206.78 | 16 |
| X-ray exam of sinuses CPT 70210 | $34.80 | $232.00 | $20.54 – $172.12 | 16 |
| X-ray exam si joints CPT 72200 | $65.85 | $439.00 | $17.45 – $206.78 | 16 |
| X-ray exam thorac spine4/>vw CPT 72074 | $72.75 | $485.00 | $30.01 – $206.78 | 16 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $69.30 | $462.00 | $13.86 – $172.12 | 16 |
| X-ray facial bones complete > 3 views CPT 70150 | $69.30 | $462.00 | $25.93 – $206.78 | 16 |
| X-ray femur >=2 views (both sides) CPT 73552 | $72.75 | $485.00 | $19.27 – $172.12 | 16 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $72.75 | $485.00 | $13.86 – $172.12 | 16 |
| X-ray foot 2 views (both sides) CPT 73620 | $69.30 | $462.00 | $16.48 – $86.06 | 16 |
| X-ray forearm 2 views (both sides) CPT 73090 | $72.75 | $485.00 | $17.45 – $86.06 | 16 |
| X-ray hand 2 views (both sides) CPT 73120 | $72.75 | $485.00 | $16.48 – $103.39 | 16 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $72.75 | $485.00 | $15.82 – $172.12 | 16 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $72.75 | $485.00 | $31.38 – $206.78 | 16 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $65.85 | $439.00 | $23.50 – $206.78 | 16 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $69.30 | $462.00 | $28.36 – $206.78 | 16 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $72.75 | $485.00 | $34.12 – $206.78 | 16 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $65.85 | $439.00 | $16.84 – $172.12 | 16 |
| X-ray humerus >= 2 views left CPT 73060 | $72.75 | $485.00 | $18.91 – $86.06 | 16 |
| X-ray joint survey 1 view CPT 77077 | $69.30 | $462.00 | $31.85 – $206.78 | 16 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $65.85 | $439.00 | $17.45 – $172.12 | 16 |
| X-ray knee 3 views (both sides) CPT 73562 | $72.75 | $485.00 | $18.91 – $172.12 | 16 |
| X-ray knee ap standing bilateral CPT 73565 | $69.30 | $462.00 | $16.48 – $172.12 | 16 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $69.30 | $462.00 | $16.48 – $172.12 | 16 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $62.55 | $417.00 | $29.36 – $206.78 | 16 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $69.30 | $462.00 | $30.01 – $206.78 | 16 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $72.75 | $485.00 | $38.66 – $206.78 | 16 |
| X-ray mandible complete > 4 views CPT 70110 | $69.30 | $462.00 | $20.54 – $206.78 | 16 |
| X-ray mandible ltd <4 views CPT 70100 | $65.85 | $439.00 | $17.45 – $172.12 | 16 |
| X-ray nasal bones complete > 3 views CPT 70160 | $69.30 | $462.00 | $17.45 – $172.12 | 16 |
| X-ray neck soft tissue CPT 70360 | $69.30 | $462.00 | $13.86 – $172.12 | 16 |
| X-ray nose to rectum for foreign body child CPT 76010 | $69.30 | $462.00 | $17.45 – $172.12 | 16 |
| X-ray of mammary ducts CPT 77054 | $161.55 | $1,077.00 | $90.57 – $471.92 | 16 |
| X-ray optic foramina CPT 70190 | $69.30 | $462.00 | $20.54 – $172.12 | 16 |
| X-ray pelvis 1-2 views CPT 72170 | $65.85 | $439.00 | $17.45 – $206.78 | 16 |
| X-ray pelvis complete > 3 views CPT 72190 | $69.30 | $462.00 | $22.19 – $206.78 | 16 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $119.55 | $797.00 | $86.29 – $690.02 | 16 |
| X-ray ribs 2 views left CPT 71100 | $65.85 | $439.00 | $18.91 – $172.12 | 16 |
| X-ray ribs 3 views bilateral CPT 71110 | $72.75 | $485.00 | $25.93 – $206.78 | 16 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $69.30 | $462.00 | $22.19 – $206.78 | 16 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $76.35 | $509.00 | $29.36 – $206.78 | 16 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $69.30 | $462.00 | $20.54 – $206.78 | 16 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $69.30 | $462.00 | $18.91 – $172.12 | 16 |
| X-ray scapula complete (both sides) CPT 73010 | $69.30 | $462.00 | $17.45 – $206.78 | 16 |
| X-ray sella turcica CPT 70240 | $69.30 | $462.00 | $13.86 – $172.12 | 16 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $69.30 | $462.00 | $15.82 – $172.12 | 16 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $69.30 | $462.00 | $25.93 – $172.12 | 16 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $153.90 | $1,026.00 | $34.41 – $1,080.73 | 16 |
| X-ray skull < 4 views CPT 70250 | $65.85 | $439.00 | $20.54 – $206.78 | 16 |
| X-ray skull > 4 views complete CPT 70260 | $69.30 | $462.00 | $29.36 – $206.78 | 16 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $69.30 | $462.00 | $42.72 – $346.92 | 16 |
| X-ray small intestine follow-through study CPT 74248 | $69.30 | $462.00 | $40.59 – $320.00 | 5 |
| X-ray spine single view CPT 72020 | $65.85 | $439.00 | $13.86 – $172.12 | 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.