Dstr mal ls f/e/e/n/l/m2.1-3 at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$111.15
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.
$741.00
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.
$101.93 with UNITED HEALTHCARE vs $826.95 with AMBETTER — 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 | $101.93 | ↓ -8% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $184.28 | ↑ +66% |
| SENTARA HEALTH | SENTARA HEALTH | $191.25 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $240.27 | ↑ +116% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $240.27 | ↑ +116% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $240.27 | ↑ +116% |
| AMERIGROUP | AMERIGROUP | $264.00 | ↑ +138% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $316.41 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA HMO | $316.41 | ↑ +185% |
| AETNA | AETNA | $316.41 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $334.19 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA PPO | $334.19 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $343.82 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $352.64 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $370.50 | ↑ +233% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $379.34 | ↑ +241% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $379.34 | ↑ +241% |
| AETNA | AETNA HEALTHCARE MEDICARE | $379.34 | ↑ +241% |
| HUMANA | HUMANA MEDICARE | $379.34 | ↑ +241% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $379.34 | ↑ +241% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $379.34 | ↑ +241% |
| SENTARA HEALTH | SENTARA MEDICARE | $379.34 | ↑ +241% |
| BLUE CROSS | BLUE CROSS MEDICARE | $383.13 | ↑ +245% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $390.72 | ↑ +252% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $394.51 | ↑ +255% |
| NHC ADVANTAGE | NHC ADVANTAGE | $398.30 | ↑ +258% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $398.30 | ↑ +258% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $398.30 | ↑ +258% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $398.30 | ↑ +258% |
| WELLCARE | WELLCARE MEDICARE | $402.10 | ↑ +262% |
| BLUE CROSS | BLUE CROSS P NETWORK | $533.52 | ↑ +380% |
| BLUE CROSS | BLUE CROSS S NETWORK | $533.52 | ↑ +380% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $592.80 | ↑ +433% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $741.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $741.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $741.00 | ↑ +567% |
| AMBETTER | AMBETTER | $826.95 | ↑ +644% |
Visitor-reported prices
Comments
Dstr mal ls f/e/e/n/l/m2.1-3 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $109.25 | $141.57 – $437.19 |
| Bristol Regional Medical Center | BRISTOL | $111.15 | $169.88 – $840.70 |
| Holston Valley Medical Center | KINGSPORT | $111.15 | $169.88 – $840.70 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $111.15 | $141.57 – $804.03 |
| Ascension Saint Thomas Midtown | Nashville | not published | $45.00 – $2,225.50 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $45.00 – $2,225.50 |
| Ascension Saint Thomas Highlands | Sparta | not published | $45.00 – $2,225.50 |
| Ascension Saint Thomas River Park | McMinnville | not published | $45.00 – $2,225.50 |