Cardiac perf planar mult/ef/wm at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$481.50
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.
$3,210.00
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.
$102.09 with BLUE CROSS vs $3,210.00 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 | TENNCARE BLUE CARE | $102.09 | ↓ -79% |
| BLUE CROSS | TENNCARE BLUE SELECT | $102.09 | ↓ -79% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $242.09 | ↓ -50% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $300.69 | ↓ -38% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $629.00 | ↑ +31% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $774.00 | ↑ +61% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $810.00 | ↑ +68% |
| SENTARA HEALTH | SENTARA HEALTH | $828.50 | ↑ +72% |
| BLUE CROSS | BLUE CROSS S NETWORK | $862.30 | ↑ +79% |
| BLUE CROSS | BLUE CROSS P NETWORK | $940.39 | ↑ +95% |
| BLUE CROSS | BLUE CROSS E NETWORK | $940.39 | ↑ +95% |
| AMERIGROUP | AMERIGROUP | $1,021.59 | ↑ +112% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,208.09 | ↑ +151% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,208.09 | ↑ +151% |
| HUMANA | HUMANA MEDICARE | $1,208.09 | ↑ +151% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,208.09 | ↑ +151% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,208.09 | ↑ +151% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,208.09 | ↑ +151% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,208.09 | ↑ +151% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,220.17 | ↑ +153% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,244.33 | ↑ +158% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,252.56 | ↑ +160% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,252.56 | ↑ +160% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,252.56 | ↑ +160% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,256.42 | ↑ +161% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,268.50 | ↑ +163% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,268.50 | ↑ +163% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,268.50 | ↑ +163% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,268.50 | ↑ +163% |
| WELLCARE | WELLCARE MEDICARE | $1,280.58 | ↑ +166% |
| AETNA | AETNA | $1,370.67 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $1,527.64 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,599.00 | ↑ +232% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $2,364.63 | ↑ +391% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,364.63 | ↑ +391% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,545.18 | ↑ +429% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,545.18 | ↑ +429% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,568.00 | ↑ +433% |
| AMBETTER | AMBETTER | $2,633.64 | ↑ +447% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,210.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $3,210.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $3,210.00 | ↑ +567% |
Visitor-reported prices
Comments
Cardiac perf planar mult/ef/wm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $1,260.17 | $88.01 – $2,384.12 |
| Bristol Regional Medical Center | BRISTOL | $481.50 | $102.09 – $2,947.61 |
| Holston Valley Medical Center | KINGSPORT | $481.50 | $102.09 – $2,947.61 |
| 62-0123940 BMH Collierville | Collierville | $1,434.93 | $88.01 – $2,390.86 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $481.50 | $102.09 – $2,560.63 |
| Ascension Saint Thomas Midtown | Nashville | not published | $88.01 – $2,035.50 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $88.01 – $2,035.50 |
| Ascension Saint Thomas Highlands | Sparta | not published | $88.01 – $2,035.50 |