Contrast x-ray of brain at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$321.60
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.
$2,144.00
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.
$44.51 with BLUE CROSS vs $2,144.00 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 CARE | $44.51 | ↓ -86% |
| BLUE CROSS | TENNCARE BLUE SELECT | $44.51 | ↓ -86% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $129.86 | ↓ -60% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $177.96 | ↓ -45% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $207.07 | ↓ -36% |
| BLUE CROSS | BLUE CROSS S NETWORK | $213.74 | ↓ -34% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $224.00 | ↓ -30% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $233.00 | ↓ -28% |
| BLUE CROSS | BLUE CROSS P NETWORK | $233.10 | ↓ -28% |
| BLUE CROSS | BLUE CROSS E NETWORK | $233.10 | ↓ -28% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $370.00 | ↑ +15% |
| SENTARA HEALTH | SENTARA HEALTH | $553.37 | ↑ +72% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $555.00 | ↑ +73% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $555.00 | ↑ +73% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $555.00 | ↑ +73% |
| AMERIGROUP | AMERIGROUP | $577.97 | ↑ +80% |
| AETNA | AETNA HEALTHCARE MEDICARE | $731.51 | ↑ +127% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $731.51 | ↑ +127% |
| HUMANA | HUMANA MEDICARE | $731.51 | ↑ +127% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $731.51 | ↑ +127% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $731.51 | ↑ +127% |
| SENTARA HEALTH | SENTARA MEDICARE | $731.51 | ↑ +127% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $731.51 | ↑ +127% |
| BLUE CROSS | BLUE CROSS MEDICARE | $738.83 | ↑ +130% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $753.46 | ↑ +134% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $760.77 | ↑ +137% |
| NHC ADVANTAGE | NHC ADVANTAGE | $768.09 | ↑ +139% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $768.09 | ↑ +139% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $768.09 | ↑ +139% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $768.09 | ↑ +139% |
| WELLCARE | WELLCARE MEDICARE | $775.40 | ↑ +141% |
| AETNA | AETNA | $915.49 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $1,020.33 | ↑ +217% |
| AMBETTER | AMBETTER | $1,594.69 | ↑ +396% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,715.20 | ↑ +433% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $1,738.21 | ↑ +440% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,738.21 | ↑ +440% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,870.93 | ↑ +482% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,870.93 | ↑ +482% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,144.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,144.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $2,144.00 | ↑ +567% |
Visitor-reported prices
Comments
Contrast x-ray of brain at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bristol Regional Medical Center | BRISTOL | $321.60 | $44.51 – $1,784.80 |
| Holston Valley Medical Center | KINGSPORT | $321.60 | $44.51 – $1,784.80 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $321.60 | $44.51 – $1,550.48 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $1,353.64 | $51.42 – $920.54 |
| Ascension Saint Thomas Midtown | Nashville | not published | $38.37 – $1,089.31 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $38.37 – $1,089.31 |
| Ascension Saint Thomas Highlands | Sparta | not published | $38.37 – $1,089.31 |
| Ascension Saint Thomas River Park | McMinnville | not published | $57.33 – $1,089.31 |