Administration vaccine pneumococcal at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$13.35
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.
$89.00
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.
$4.71 with BLUE CROSS vs $95.26 with AMBETTER — 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE CARE | $4.71 | ↓ -65% |
| BLUE CROSS | TENNCARE BLUE SELECT | $4.71 | ↓ -65% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $8.93 | ↓ -33% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $19.18 | ↑ +44% |
| SENTARA HEALTH | SENTARA HEALTH | $22.97 | ↑ +72% |
| AMERIGROUP | AMERIGROUP | $31.45 | ↑ +136% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $38.00 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA HMO | $38.00 | ↑ +185% |
| AETNA | AETNA | $38.00 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA PPO | $40.14 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $40.14 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $41.30 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $42.36 | ↑ +217% |
| AETNA | AETNA HEALTHCARE MEDICARE | $43.70 | ↑ +227% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $43.70 | ↑ +227% |
| HUMANA | HUMANA MEDICARE | $43.70 | ↑ +227% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $43.70 | ↑ +227% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $43.70 | ↑ +227% |
| SENTARA HEALTH | SENTARA MEDICARE | $43.70 | ↑ +227% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $43.70 | ↑ +227% |
| BLUE CROSS | BLUE CROSS MEDICARE | $44.13 | ↑ +231% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $45.01 | ↑ +237% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $45.44 | ↑ +240% |
| NHC ADVANTAGE | NHC ADVANTAGE | $45.88 | ↑ +244% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $45.88 | ↑ +244% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $45.88 | ↑ +244% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $45.88 | ↑ +244% |
| WELLCARE | WELLCARE MEDICARE | $46.32 | ↑ +247% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $54.88 | ↑ +311% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $54.88 | ↑ +311% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $54.88 | ↑ +311% |
| BLUE CROSS | BLUE CROSS S NETWORK | $56.14 | ↑ +321% |
| BLUE CROSS | BLUE CROSS E NETWORK | $60.98 | ↑ +357% |
| BLUE CROSS | BLUE CROSS P NETWORK | $60.98 | ↑ +357% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $71.20 | ↑ +433% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $89.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $89.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $89.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $89.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $89.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $89.00 | ↑ +567% |
| AMBETTER | AMBETTER | $95.26 | ↑ +614% |
Visitor-reported prices
Comments
Administration vaccine pneumococcal at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $43.88 | $4.06 – $52.92 |
| 62-1166050 BMH Carroll County | Huntingdon | $26.22 | $4.06 – $84.26 |
| Johnson City Medical Center | JOHNSON CITY | $13.35 | $4.71 – $95.26 |
| Ascension Saint Thomas DeKalb | Smithville | $43.88 | $4.06 – $52.92 |
| Ascension Saint Thomas Highlands | Sparta | $43.88 | $4.06 – $52.92 |
| Ascension Saint Thomas River Park | McMinnville | $43.88 | $6.07 – $52.92 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $43.88 | $4.06 – $52.92 |
| Hancock County Hospital | SNEEDVILLE | $13.34 | $4.71 – $57.62 |