Compatibility test each unit immediate spin technique at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$62.25
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.
$415.00
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.
$5.37 with UNITED HEALTHCARE vs $415.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $5.37 | ↓ -91% |
| BLUE CROSS | TENNCARE BLUE CARE | $25.49 | ↓ -59% |
| BLUE CROSS | TENNCARE BLUE SELECT | $25.49 | ↓ -59% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $28.67 | ↓ -54% |
| CIGNA HEALTHCARE | CIGNA PPO | $46.61 | ↓ -25% |
| CIGNA HEALTHCARE | CIGNA HMO | $46.61 | ↓ -25% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $46.61 | ↓ -25% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $46.61 | ↓ -25% |
| AMERIGROUP | AMERIGROUP | $53.09 | ↓ -15% |
| BLUE CROSS | BLUE CROSS S NETWORK | $56.39 | ↓ -9% |
| BLUE CROSS | BLUE CROSS E NETWORK | $61.49 | ↓ -1% |
| BLUE CROSS | BLUE CROSS P NETWORK | $61.49 | ↓ -1% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $72.90 | ↑ +17% |
| SENTARA HEALTH | SENTARA HEALTH | $107.11 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $143.50 | ↑ +131% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $143.50 | ↑ +131% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $149.24 | ↑ +140% |
| AETNA | AETNA HEALTHCARE MEDICARE | $158.98 | ↑ +155% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $158.98 | ↑ +155% |
| HUMANA | HUMANA MEDICARE | $158.98 | ↑ +155% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $158.98 | ↑ +155% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $158.98 | ↑ +155% |
| SENTARA HEALTH | SENTARA MEDICARE | $158.98 | ↑ +155% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $158.98 | ↑ +155% |
| BLUE CROSS | BLUE CROSS MEDICARE | $160.57 | ↑ +158% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $163.75 | ↑ +163% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $165.34 | ↑ +166% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $166.93 | ↑ +168% |
| NHC ADVANTAGE | NHC ADVANTAGE | $166.93 | ↑ +168% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $166.93 | ↑ +168% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $166.93 | ↑ +168% |
| WELLCARE | WELLCARE MEDICARE | $168.52 | ↑ +171% |
| AETNA | AETNA | $177.21 | ↑ +185% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $186.23 | ↑ +199% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $186.23 | ↑ +199% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $186.23 | ↑ +199% |
| MEDCOST | MEDCOST VHN | $197.50 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $332.00 | ↑ +433% |
| AMBETTER | AMBETTER | $346.58 | ↑ +457% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $415.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $415.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $415.00 | ↑ +567% |
Visitor-reported prices
Comments
Compatibility test each unit immediate spin technique at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $102.11 | $21.97 – $229.75 |
| CHI Memorial Hospital Hixson | Hixson | $100.94 | $32.70 – $238.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $69.92 | $21.97 – $312.94 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $144.25 | $32.70 – $238.70 |
| Johnson City Medical Center | JOHNSON CITY | $62.25 | $13.44 – $346.58 |
| Ascension Saint Thomas DeKalb | Smithville | $102.11 | $7.40 – $226.45 |
| Ascension Saint Thomas Highlands | Sparta | $102.11 | $7.40 – $226.45 |
| Ascension Saint Thomas River Park | McMinnville | $102.11 | $7.40 – $226.45 |