Application clubfoot cast at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$68.40
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.
$456.00
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.
$26.68 with BLUE CROSS vs $456.00 with SEVEN CORNERS, INC. — 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 SELECT | $26.68 | ↓ -61% |
| BLUE CROSS | TENNCARE BLUE CARE | $26.68 | ↓ -61% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $70.26 | ↑ +3% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $80.38 | ↑ +18% |
| AMERIGROUP | AMERIGROUP | $115.03 | ↑ +68% |
| SENTARA HEALTH | SENTARA HEALTH | $117.69 | ↑ +72% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $151.64 | ↑ +122% |
| AETNA | AETNA HEALTHCARE MEDICARE | $151.64 | ↑ +122% |
| HUMANA | HUMANA MEDICARE | $151.64 | ↑ +122% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $151.64 | ↑ +122% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $151.64 | ↑ +122% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $151.64 | ↑ +122% |
| SENTARA HEALTH | SENTARA MEDICARE | $151.64 | ↑ +122% |
| BLUE CROSS | BLUE CROSS MEDICARE | $153.15 | ↑ +124% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $156.19 | ↑ +128% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $157.70 | ↑ +131% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $159.22 | ↑ +133% |
| NHC ADVANTAGE | NHC ADVANTAGE | $159.22 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $159.22 | ↑ +133% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $159.22 | ↑ +133% |
| WELLCARE | WELLCARE MEDICARE | $160.73 | ↑ +135% |
| AETNA | AETNA | $194.71 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA HMO | $194.71 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $194.71 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA PPO | $205.66 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $205.66 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $211.58 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $217.01 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $228.00 | ↑ +233% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $272.31 | ↑ +298% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $272.31 | ↑ +298% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $272.31 | ↑ +298% |
| BLUE CROSS | BLUE CROSS S NETWORK | $328.32 | ↑ +380% |
| BLUE CROSS | BLUE CROSS P NETWORK | $328.32 | ↑ +380% |
| AMBETTER | AMBETTER | $330.57 | ↑ +383% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $364.80 | ↑ +433% |
| WELLCARE | WELLCARE MEDICAID | $456.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $456.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $456.00 | ↑ +567% |
Visitor-reported prices
Comments
Application clubfoot cast at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Rutherford | Murfreesboro | $390.11 | $23.00 – $2,225.50 |
| Hancock County Hospital | SNEEDVILLE | $66.93 | $26.68 – $285.93 |
| Bristol Regional Medical Center | BRISTOL | $68.40 | $26.68 – $369.97 |
| Holston Valley Medical Center | KINGSPORT | $68.40 | $26.68 – $369.97 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $68.40 | $26.68 – $321.40 |
| Ascension Saint Thomas Midtown | Nashville | not published | $23.00 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | not published | $34.23 – $34.23 |
| CHI Memorial Hospital Chattanooga | Chattanooga | not published | $34.23 – $34.23 |