Advance care planning each additional 30 min 99498 at Greeneville Community Hospital

1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$37.80

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$252.00

Gross charge

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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.

Full explanation →

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 →

Payer
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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
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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

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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

All Tennessee hospitals for this procedure →