ER Visit (level 3) at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$204.75
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.
$1,365.00
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.
$37.00 with UNITED HEALTHCARE vs $1,365.00 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 | $37.00 | ↓ -82% |
| BLUE CROSS | TENNCARE BLUE SELECT | $86.00 | ↓ -58% |
| BLUE CROSS | TENNCARE BLUE CARE | $86.00 | ↓ -58% |
| AMERIGROUP | AMERIGROUP | $186.11 | ↓ -9% |
| HUMANA | HUMANA MEDICARE | $254.73 | ↑ +24% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $254.73 | ↑ +24% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $254.73 | ↑ +24% |
| SENTARA HEALTH | SENTARA MEDICARE | $254.73 | ↑ +24% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $254.73 | ↑ +24% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $254.73 | ↑ +24% |
| AETNA | AETNA HEALTHCARE MEDICARE | $254.73 | ↑ +24% |
| BLUE CROSS | BLUE CROSS MEDICARE | $257.27 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $262.37 | ↑ +28% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $264.92 | ↑ +29% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $267.46 | ↑ +31% |
| NHC ADVANTAGE | NHC ADVANTAGE | $267.46 | ↑ +31% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $267.46 | ↑ +31% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $267.46 | ↑ +31% |
| WELLCARE | WELLCARE MEDICARE | $270.01 | ↑ +32% |
| SENTARA HEALTH | SENTARA HEALTH | $352.31 | ↑ +72% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $371.00 | ↑ +81% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $455.00 | ↑ +122% |
| CIGNA HEALTHCARE | CIGNA HMO | $455.00 | ↑ +122% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $529.00 | ↑ +158% |
| CIGNA HEALTHCARE | CIGNA PPO | $529.00 | ↑ +158% |
| BLUE CROSS | BLUE CROSS E NETWORK | $555.00 | ↑ +171% |
| AMBETTER | AMBETTER | $555.30 | ↑ +171% |
| BLUE CROSS | BLUE CROSS S NETWORK | $569.00 | ↑ +178% |
| AETNA | AETNA | $582.86 | ↑ +185% |
| BLUE CROSS | BLUE CROSS P NETWORK | $619.00 | ↑ +202% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $624.00 | ↑ +205% |
| MEDCOST | MEDCOST VHN | $649.60 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $892.00 | ↑ +336% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $933.00 | ↑ +356% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,092.00 | ↑ +433% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,365.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,365.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,365.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,365.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | not published by hospital | — |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | not published by hospital | — |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 3) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $735.00 | $56.40 – $2,166.00 |
| CHI Memorial Hospital Hixson | Hixson | $450.22 | $110.76 – $1,222.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $247.48 | $49.38 – $505.66 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $643.39 | $110.76 – $1,222.00 |
| Johnson City Medical Center | JOHNSON CITY | $204.75 | $254.73 – $555.30 |
| Ascension Saint Thomas DeKalb | Smithville | $735.00 | $56.40 – $2,166.00 |
| Ascension Saint Thomas Highlands | Sparta | $735.00 | $56.40 – $2,166.00 |
| Ascension Saint Thomas River Park | McMinnville | $735.00 | $56.40 – $2,166.00 |