Ercp biliary & pancreas at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$86.10
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.
?
What you pay up front if you don't use insurance.
$574.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$103.26 with BLUE CROSS vs $574.00 with SEVEN CORNERS, INC. — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $103.26 | ↑ +20% |
| BLUE CROSS | TENNCARE BLUE SELECT | $103.26 | ↑ +20% |
| SENTARA HEALTH | SENTARA HEALTH | $148.15 | ↑ +72% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $180.68 | ↑ +110% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $224.00 | ↑ +160% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $233.00 | ↑ +171% |
| AETNA | AETNA | $245.10 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $258.87 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA PPO | $258.87 | ↑ +201% |
| MEDCOST | MEDCOST VHN | $273.17 | ↑ +217% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $281.52 | ↑ +227% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $281.52 | ↑ +227% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $281.52 | ↑ +227% |
| BLUE CROSS | BLUE CROSS S NETWORK | $290.30 | ↑ +237% |
| BLUE CROSS | BLUE CROSS P NETWORK | $316.58 | ↑ +268% |
| BLUE CROSS | BLUE CROSS E NETWORK | $316.58 | ↑ +268% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $370.00 | ↑ +330% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $459.20 | ↑ +433% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $574.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $574.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $574.00 | ↑ +567% |
Visitor-reported prices
Comments
Ercp biliary & pancreas at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $142.73 | $89.02 – $222.88 |
| CHI Memorial Hospital Hixson | Hixson | $195.96 | $132.40 – $463.40 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $280.03 | $132.49 – $463.40 |
| Johnson City Medical Center | JOHNSON CITY | $86.10 | $103.26 – $269.81 |
| Ascension Saint Thomas DeKalb | Smithville | $149.87 | $89.02 – $241.15 |
| Ascension Saint Thomas River Park | McMinnville | $142.73 | $123.70 – $241.15 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $142.73 | $89.02 – $222.88 |
| Bristol Regional Medical Center | BRISTOL | $86.10 | $103.26 – $268.86 |