Apl(pml-rara) quant - sendout at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$363.00
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.
$2,420.00
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.
$93.29 with AMERIGROUP vs $2,420.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $93.29 | ↓ -74% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $101.82 | ↓ -72% |
| BLUE CROSS | TENNCARE BLUE CARE | $115.92 | ↓ -68% |
| BLUE CROSS | TENNCARE BLUE SELECT | $115.92 | ↓ -68% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $181.79 | ↓ -50% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $181.79 | ↓ -50% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $181.79 | ↓ -50% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $207.31 | ↓ -43% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $207.31 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $207.31 | ↓ -43% |
| AETNA | AETNA HEALTHCARE MEDICARE | $207.31 | ↓ -43% |
| HUMANA | HUMANA MEDICARE | $207.31 | ↓ -43% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $207.31 | ↓ -43% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $207.31 | ↓ -43% |
| SENTARA HEALTH | SENTARA MEDICARE | $207.31 | ↓ -43% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $207.31 | ↓ -43% |
| BLUE CROSS | BLUE CROSS MEDICARE | $209.38 | ↓ -42% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $213.53 | ↓ -41% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $215.60 | ↓ -41% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $215.60 | ↓ -41% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $217.68 | ↓ -40% |
| NHC ADVANTAGE | NHC ADVANTAGE | $217.68 | ↓ -40% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $217.68 | ↓ -40% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $217.68 | ↓ -40% |
| WELLCARE | WELLCARE MEDICARE | $219.75 | ↓ -39% |
| AMBETTER | AMBETTER | $451.94 | ↑ +25% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $456.89 | ↑ +26% |
| SENTARA HEALTH | SENTARA HEALTH | $624.60 | ↑ +72% |
| BLUE CROSS | BLUE CROSS S NETWORK | $718.39 | ↑ +98% |
| BLUE CROSS | BLUE CROSS E NETWORK | $783.44 | ↑ +116% |
| BLUE CROSS | BLUE CROSS P NETWORK | $783.44 | ↑ +116% |
| AETNA | AETNA | $1,033.34 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $1,151.68 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,694.00 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,936.00 | ↑ +433% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,420.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,420.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $2,420.00 | ↑ +567% |
Visitor-reported prices
Comments
Apl(pml-rara) quant - sendout at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $429.53 | $74.63 – $802.56 |
| Johnson City Medical Center | JOHNSON CITY | $363.00 | $103.66 – $451.94 |
| Ascension Saint Thomas DeKalb | Smithville | $429.53 | $99.93 – $802.56 |
| Ascension Saint Thomas Highlands | Sparta | $429.53 | $99.93 – $802.56 |
| Ascension Saint Thomas River Park | McMinnville | $429.53 | $140.01 – $802.56 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $429.53 | $99.93 – $802.56 |
| Hancock County Hospital | SNEEDVILLE | $356.27 | $115.92 – $456.89 |
| Bristol Regional Medical Center | BRISTOL | $363.00 | $103.66 – $497.54 |