Exc mal+marg tal 3.1-4 cm 11604 at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$180.45
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.
$1,203.00
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.
$199.36 with BLUE CROSS vs $1,707.50 with OPTIMA HEALTH — 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $199.36 | ↑ +10% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $297.57 | ↑ +65% |
| SENTARA HEALTH | SENTARA HEALTH | $310.49 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $369.32 | ↑ +105% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $388.57 | ↑ +115% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $388.57 | ↑ +115% |
| AMERIGROUP | AMERIGROUP | $486.59 | ↑ +170% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $513.68 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA HMO | $513.68 | ↑ +185% |
| AETNA | AETNA | $513.68 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $542.55 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA PPO | $542.55 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $558.19 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $572.51 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $601.50 | ↑ +233% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $660.79 | ↑ +266% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $660.79 | ↑ +266% |
| AETNA | AETNA HEALTHCARE MEDICARE | $660.79 | ↑ +266% |
| HUMANA | HUMANA MEDICARE | $660.79 | ↑ +266% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $660.79 | ↑ +266% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $660.79 | ↑ +266% |
| SENTARA HEALTH | SENTARA MEDICARE | $660.79 | ↑ +266% |
| BLUE CROSS | BLUE CROSS MEDICARE | $667.40 | ↑ +270% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $680.61 | ↑ +277% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $687.22 | ↑ +281% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $693.83 | ↑ +284% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $693.83 | ↑ +284% |
| NHC ADVANTAGE | NHC ADVANTAGE | $693.83 | ↑ +284% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $693.83 | ↑ +284% |
| WELLCARE | WELLCARE MEDICARE | $700.44 | ↑ +288% |
| BLUE CROSS | BLUE CROSS P NETWORK | $866.16 | ↑ +380% |
| BLUE CROSS | BLUE CROSS S NETWORK | $866.16 | ↑ +380% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $962.40 | ↑ +433% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,203.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,203.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,203.00 | ↑ +567% |
| AMBETTER | AMBETTER | $1,440.52 | ↑ +698% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,707.50 | ↑ +846% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,707.50 | ↑ +846% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,707.50 | ↑ +846% |
Visitor-reported prices
Comments
Exc mal+marg tal 3.1-4 cm 11604 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $1,209.16 | $817.00 – $2,859.50 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,727.96 | $857.85 – $2,859.50 |
| Hancock County Hospital | SNEEDVILLE | $177.33 | $199.36 – $1,792.88 |
| Bristol Regional Medical Center | BRISTOL | $180.45 | $199.36 – $1,601.27 |
| Holston Valley Medical Center | KINGSPORT | $180.45 | $199.36 – $1,601.27 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $180.45 | $199.36 – $1,760.43 |
| Fort Sanders Regional Medical Center | Knoxville | $563.31 | $642.47 – $1,536.30 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $563.31 | $642.47 – $1,536.30 |