Advance care planning each additional 30 min 99498 at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$37.80
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.
$252.00
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.
$65.04 with SENTARA HEALTH vs $252.00 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $65.04 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $107.60 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA HMO | $107.60 | ↑ +185% |
| AETNA | AETNA | $107.60 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA PPO | $113.65 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $113.65 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $116.93 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $119.93 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $126.00 | ↑ +233% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $176.19 | ↑ +366% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $176.19 | ↑ +366% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $176.19 | ↑ +366% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $176.40 | ↑ +367% |
| BLUE CROSS | BLUE CROSS S NETWORK | $181.44 | ↑ +380% |
| BLUE CROSS | BLUE CROSS P NETWORK | $181.44 | ↑ +380% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $201.60 | ↑ +433% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $252.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $252.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $252.00 | ↑ +567% |
Visitor-reported prices
Comments
Advance care planning each additional 30 min 99498 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $37.26 | $162.00 – $185.00 |
| Bristol Regional Medical Center | BRISTOL | $37.80 | $165.07 – $168.27 |
| Holston Valley Medical Center | KINGSPORT | $37.80 | $160.26 – $168.27 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $37.80 | $181.47 – $185.00 |