Amputation toe metatarsophalangeal joint at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$1,343.25
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.
$8,955.00
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.
$291.15 with BLUE CROSS vs $8,955.00 with MOLINA HEALTHCARE — 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $291.15 | ↓ -78% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $627.67 | ↓ -53% |
| AMERIGROUP | AMERIGROUP | $2,246.92 | ↑ +67% |
| SENTARA HEALTH | SENTARA HEALTH | $2,311.29 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,749.19 | ↑ +105% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,892.47 | ↑ +115% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,892.47 | ↑ +115% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $3,008.33 | ↑ +124% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $3,008.33 | ↑ +124% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,008.33 | ↑ +124% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,053.24 | ↑ +127% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,053.24 | ↑ +127% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,053.24 | ↑ +127% |
| HUMANA | HUMANA MEDICARE | $3,053.24 | ↑ +127% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,053.24 | ↑ +127% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,053.24 | ↑ +127% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,053.24 | ↑ +127% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,083.78 | ↑ +130% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,144.84 | ↑ +134% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,175.37 | ↑ +136% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,205.91 | ↑ +139% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,205.91 | ↑ +139% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,205.91 | ↑ +139% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,205.91 | ↑ +139% |
| WELLCARE | WELLCARE MEDICARE | $3,236.44 | ↑ +141% |
| AETNA | AETNA | $3,823.79 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA HMO | $3,823.79 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $3,823.79 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $4,038.71 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA PPO | $4,038.71 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $4,155.12 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $4,261.68 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $4,477.50 | ↑ +233% |
| BLUE CROSS | BLUE CROSS P NETWORK | $6,447.60 | ↑ +380% |
| BLUE CROSS | BLUE CROSS S NETWORK | $6,447.60 | ↑ +380% |
| AMBETTER | AMBETTER | $6,656.07 | ↑ +396% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $7,164.00 | ↑ +433% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $8,955.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $8,955.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $8,955.00 | ↑ +567% |
Visitor-reported prices
Comments
Amputation toe metatarsophalangeal joint at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $1,024.46 | $692.20 – $2,422.70 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,464.01 | $726.81 – $2,422.70 |
| Johnson City Medical Center | JOHNSON CITY | $1,343.25 | $291.15 – $6,656.07 |
| Hancock County Hospital | SNEEDVILLE | $1,318.36 | $291.15 – $3,720.95 |
| Bristol Regional Medical Center | BRISTOL | $1,343.25 | $291.15 – $7,449.57 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,343.25 | $291.15 – $6,476.36 |
| Holston Valley Medical Center | KINGSPORT | $1,343.25 | $291.15 – $7,449.57 |
| Indian Path Community Hospital | KINGSPORT | $1,343.25 | $291.15 – $7,124.65 |