Aco cont gluc mnt phys/qhp eqp 95250aco at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$94.35
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$629.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$46.95 with UNITED HEALTHCARE vs $629.00 with WELLCARE — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $46.95 | ↓ -50% |
| BLUE CROSS | TENNCARE BLUE CARE | $47.63 | ↓ -50% |
| BLUE CROSS | TENNCARE BLUE SELECT | $47.63 | ↓ -50% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $52.50 | ↓ -44% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $80.82 | ↓ -14% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $80.82 | ↓ -14% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $80.82 | ↓ -14% |
| AMERIGROUP | AMERIGROUP | $96.57 | ↑ +2% |
| AETNA | AETNA HEALTHCARE MEDICARE | $124.24 | ↑ +32% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $124.24 | ↑ +32% |
| HUMANA | HUMANA MEDICARE | $124.24 | ↑ +32% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $124.24 | ↑ +32% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $124.24 | ↑ +32% |
| SENTARA HEALTH | SENTARA MEDICARE | $124.24 | ↑ +32% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $124.24 | ↑ +32% |
| BLUE CROSS | BLUE CROSS MEDICARE | $125.48 | ↑ +33% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $127.96 | ↑ +36% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $129.20 | ↑ +37% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $130.45 | ↑ +38% |
| NHC ADVANTAGE | NHC ADVANTAGE | $130.45 | ↑ +38% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $130.45 | ↑ +38% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $130.45 | ↑ +38% |
| WELLCARE | WELLCARE MEDICARE | $131.69 | ↑ +40% |
| SENTARA HEALTH | SENTARA HEALTH | $162.34 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $268.58 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA HMO | $268.58 | ↑ +185% |
| AETNA | AETNA | $268.58 | ↑ +185% |
| AMBETTER | AMBETTER | $270.83 | ↑ +187% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $283.68 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA PPO | $283.68 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $291.86 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $299.34 | ↑ +217% |
| BLUE CROSS | BLUE CROSS S NETWORK | $344.26 | ↑ +265% |
| BLUE CROSS | BLUE CROSS E NETWORK | $373.89 | ↑ +296% |
| BLUE CROSS | BLUE CROSS P NETWORK | $373.89 | ↑ +296% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $405.00 | ↑ +329% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $423.00 | ↑ +348% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $503.20 | ↑ +433% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $629.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $629.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $629.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $629.00 | ↑ +567% |
Visitor-reported prices
Comments
Aco cont gluc mnt phys/qhp eqp 95250aco at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $94.35 | $47.63 – $270.83 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $273.98 | $41.06 – $324.51 |
| Bristol Regional Medical Center | BRISTOL | $94.35 | $47.63 – $303.12 |
| Franklin Woods Community Hospital | JOHNSON CITY | $94.35 | $52.50 – $263.52 |
| Holston Valley Medical Center | KINGSPORT | $94.35 | $47.63 – $303.12 |
| Indian Path Community Hospital | KINGSPORT | $94.35 | $47.63 – $289.90 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $94.35 | $47.63 – $263.32 |
| Sycamore Shoals Hospital | ELIZABETHTON | $94.35 | $47.63 – $263.32 |