Diagnostic Mammogram (one breast) at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$74.10
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.
$494.00
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.
$34.60 with UNITED HEALTHCARE vs $494.00 with UNITED 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 | $34.60 | ↓ -53% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $64.50 | ↓ -13% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $64.50 | ↓ -13% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $64.50 | ↓ -13% |
| AMERIGROUP | AMERIGROUP | $72.74 | ↓ -2% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $78.21 | ↑ +6% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $78.21 | ↑ +6% |
| SENTARA HEALTH | SENTARA MEDICARE | $78.21 | ↑ +6% |
| AETNA | AETNA HEALTHCARE MEDICARE | $78.21 | ↑ +6% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $78.21 | ↑ +6% |
| HUMANA | HUMANA MEDICARE | $78.21 | ↑ +6% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $78.21 | ↑ +6% |
| BLUE CROSS | BLUE CROSS MEDICARE | $78.99 | ↑ +7% |
| BLUE CROSS | TENNCARE BLUE CARE | $80.54 | ↑ +9% |
| BLUE CROSS | TENNCARE BLUE SELECT | $80.54 | ↑ +9% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $80.56 | ↑ +9% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $81.34 | ↑ +10% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $82.12 | ↑ +11% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $82.12 | ↑ +11% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $82.12 | ↑ +11% |
| NHC ADVANTAGE | NHC ADVANTAGE | $82.12 | ↑ +11% |
| WELLCARE | WELLCARE MEDICARE | $82.90 | ↑ +12% |
| SENTARA HEALTH | SENTARA HEALTH | $127.50 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $163.85 | ↑ +121% |
| AMBETTER | AMBETTER | $170.50 | ↑ +130% |
| AETNA | AETNA | $210.94 | ↑ +185% |
| BLUE CROSS | BLUE CROSS S NETWORK | $217.07 | ↑ +193% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $222.79 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA PPO | $222.79 | ↑ +201% |
| MEDCOST | MEDCOST VHN | $235.09 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $236.72 | ↑ +219% |
| BLUE CROSS | BLUE CROSS P NETWORK | $236.72 | ↑ +219% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $305.00 | ↑ +312% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $320.00 | ↑ +332% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $345.80 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $395.20 | ↑ +433% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $494.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $494.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $494.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $494.00 | ↑ +567% |
Visitor-reported prices
Comments
Diagnostic Mammogram (one breast) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $215.58 | $68.40 – $249.90 |
| CHI Memorial Hospital Hixson | Hixson | $97.68 | $62.74 – $231.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $126.50 | $69.43 – $103.86 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $139.59 | $62.74 – $231.00 |
| Johnson City Medical Center | JOHNSON CITY | $74.10 | $59.44 – $170.50 |
| Ascension Saint Thomas DeKalb | Smithville | $215.58 | $68.40 – $249.90 |
| Ascension Saint Thomas Highlands | Sparta | $215.58 | $68.40 – $249.90 |
| Ascension Saint Thomas River Park | McMinnville | $215.58 | $68.40 – $249.90 |