Assay of galactose at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$19.65
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.
$131.00
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.
$5.04 with AMERIGROUP vs $131.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $5.04 | ↓ -74% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $5.71 | ↓ -71% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $11.20 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $11.20 | ↓ -43% |
| SENTARA HEALTH | SENTARA MEDICARE | $11.20 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $11.20 | ↓ -43% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $11.20 | ↓ -43% |
| HUMANA | HUMANA MEDICARE | $11.20 | ↓ -43% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $11.20 | ↓ -43% |
| AETNA | AETNA HEALTHCARE MEDICARE | $11.20 | ↓ -43% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $11.20 | ↓ -43% |
| BLUE CROSS | BLUE CROSS MEDICARE | $11.31 | ↓ -42% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $11.54 | ↓ -41% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $11.65 | ↓ -41% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $11.65 | ↓ -41% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $11.76 | ↓ -40% |
| NHC ADVANTAGE | NHC ADVANTAGE | $11.76 | ↓ -40% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $11.76 | ↓ -40% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $11.76 | ↓ -40% |
| WELLCARE | WELLCARE MEDICARE | $11.87 | ↓ -40% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $13.72 | ↓ -30% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $13.72 | ↓ -30% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $13.72 | ↓ -30% |
| BLUE CROSS | TENNCARE BLUE CARE | $22.67 | ↑ +15% |
| BLUE CROSS | TENNCARE BLUE SELECT | $22.67 | ↑ +15% |
| AMBETTER | AMBETTER | $24.42 | ↑ +24% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $24.54 | ↑ +25% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $31.75 | ↑ +62% |
| CIGNA HEALTHCARE | CIGNA HMO | $31.75 | ↑ +62% |
| CIGNA HEALTHCARE | CIGNA PPO | $31.75 | ↑ +62% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $31.75 | ↑ +62% |
| SENTARA HEALTH | SENTARA HEALTH | $33.81 | ↑ +72% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $36.71 | ↑ +87% |
| BLUE CROSS | BLUE CROSS S NETWORK | $38.79 | ↑ +97% |
| BLUE CROSS | BLUE CROSS P NETWORK | $42.30 | ↑ +115% |
| BLUE CROSS | BLUE CROSS E NETWORK | $42.30 | ↑ +115% |
| AETNA | AETNA | $55.94 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $62.34 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $104.80 | ↑ +433% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $131.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $131.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $131.00 | ↑ +567% |
Visitor-reported prices
Comments
Assay of galactose at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $5.29 | $9.74 – $22.40 |
| Johnson City Medical Center | JOHNSON CITY | $19.65 | $5.60 – $24.42 |
| Ascension Saint Thomas DeKalb | Smithville | $39.83 | $7.85 – $42.91 |
| Ascension Saint Thomas Highlands | Sparta | $39.83 | $7.85 – $42.91 |
| Ascension Saint Thomas River Park | McMinnville | $39.83 | $7.85 – $42.91 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $39.83 | $10.08 – $42.91 |
| Hancock County Hospital | SNEEDVILLE | $19.32 | $7.93 – $24.54 |
| Bristol Regional Medical Center | BRISTOL | $19.65 | $5.60 – $26.88 |