Clsd tx fx radius/ulna without manip 25560 at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$185.25
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.
$1,235.00
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.
$87.89 with BLUE CROSS vs $1,235.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $87.89 | ↓ -53% |
| BLUE CROSS | TENNCARE BLUE CARE | $87.89 | ↓ -53% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $117.00 | ↓ -37% |
| AMERIGROUP | AMERIGROUP | $182.54 | ↓ -1% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $189.76 | ↑ +2% |
| HUMANA | HUMANA MEDICARE | $230.18 | ↑ +24% |
| AETNA | AETNA HEALTHCARE MEDICARE | $230.18 | ↑ +24% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $230.18 | ↑ +24% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $230.18 | ↑ +24% |
| SENTARA HEALTH | SENTARA MEDICARE | $230.18 | ↑ +24% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $230.18 | ↑ +24% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $230.18 | ↑ +24% |
| BLUE CROSS | BLUE CROSS MEDICARE | $232.48 | ↑ +25% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $237.08 | ↑ +28% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $239.38 | ↑ +29% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $241.68 | ↑ +30% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $241.68 | ↑ +30% |
| NHC ADVANTAGE | NHC ADVANTAGE | $241.68 | ↑ +30% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $241.68 | ↑ +30% |
| WELLCARE | WELLCARE MEDICARE | $243.99 | ↑ +32% |
| SENTARA HEALTH | SENTARA HEALTH | $318.75 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $471.00 | ↑ +154% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↑ +165% |
| AMBETTER | AMBETTER | $501.78 | ↑ +171% |
| AETNA | AETNA | $527.35 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $587.74 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $669.87 | ↑ +262% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $669.87 | ↑ +262% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $669.87 | ↑ +262% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $847.00 | ↑ +357% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $988.00 | ↑ +433% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,235.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,235.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,235.00 | ↑ +567% |
Visitor-reported prices
Comments
Clsd tx fx radius/ulna without manip 25560 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $185.25 | $189.76 – $617.32 |
| Hancock County Hospital | SNEEDVILLE | $181.93 | $87.89 – $703.36 |
| Bristol Regional Medical Center | BRISTOL | $185.25 | $87.89 – $628.19 |
| Franklin Woods Community Hospital | JOHNSON CITY | $185.25 | $189.76 – $669.87 |
| Holston Valley Medical Center | KINGSPORT | $185.25 | $87.89 – $628.19 |
| Indian Path Community Hospital | KINGSPORT | $185.25 | $189.76 – $589.46 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $185.25 | $87.89 – $690.64 |
| Johnson County Community Hospital | MOUNTAIN CITY | $181.93 | $189.76 – $696.66 |