Exchange biliary drg cath at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$1,105.80
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.
$7,372.00
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.
$775.00 with BLUE CROSS vs $7,372.00 with SEVEN CORNERS, INC. — 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 | TENNCARE BLUE SELECT | $775.00 | ↓ -30% |
| BLUE CROSS | TENNCARE BLUE CARE | $775.00 | ↓ -30% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +38% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,599.00 | ↑ +45% |
| SENTARA HEALTH | SENTARA HEALTH | $1,902.71 | ↑ +72% |
| AMERIGROUP | AMERIGROUP | $2,472.81 | ↑ +124% |
| AETNA | AETNA | $3,147.84 | ↑ +185% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,162.01 | ↑ +186% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $3,162.01 | ↑ +186% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $3,162.01 | ↑ +186% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3,336.00 | ↑ +202% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,341.03 | ↑ +202% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,341.03 | ↑ +202% |
| HUMANA | HUMANA MEDICARE | $3,341.03 | ↑ +202% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,341.03 | ↑ +202% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,341.03 | ↑ +202% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,341.03 | ↑ +202% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,341.03 | ↑ +202% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,374.44 | ↑ +205% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,441.26 | ↑ +211% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,474.67 | ↑ +214% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $3,488.00 | ↑ +215% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,508.08 | ↑ +217% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,508.08 | ↑ +217% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,508.08 | ↑ +217% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,508.08 | ↑ +217% |
| MEDCOST | MEDCOST VHN | $3,508.33 | ↑ +217% |
| WELLCARE | WELLCARE MEDICARE | $3,541.49 | ↑ +220% |
| BLUE CROSS | BLUE CROSS E NETWORK | $4,109.00 | ↑ +272% |
| BLUE CROSS | BLUE CROSS S NETWORK | $4,213.00 | ↑ +281% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,405.00 | ↑ +298% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,405.00 | ↑ +298% |
| BLUE CROSS | BLUE CROSS P NETWORK | $4,580.00 | ↑ +314% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $5,120.00 | ↑ +363% |
| CIGNA HEALTHCARE | CIGNA PPO | $5,120.00 | ↑ +363% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $5,883.00 | ↑ +432% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,897.60 | ↑ +433% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $6,048.00 | ↑ +447% |
| AMBETTER | AMBETTER | $7,283.43 | ↑ +559% |
| WELLCARE | WELLCARE MEDICAID | $7,372.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $7,372.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $7,372.00 | ↑ +567% |
Visitor-reported prices
Comments
Exchange biliary drg cath at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,803.96 | $2,543.00 – $3,142.00 |
| CHI Memorial Hospital Hixson | Hixson | $2,664.89 | $1,800.60 – $6,302.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $1,799.75 | $2,364.00 – $6,444.92 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,808.27 | $1,890.63 – $6,302.10 |
| Johnson City Medical Center | JOHNSON CITY | $1,105.80 | $2,765.29 – $7,283.43 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,803.96 | $3,006.00 – $3,160.00 |
| Bristol Regional Medical Center | BRISTOL | $1,105.80 | $2,962.41 – $7,404.49 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,105.80 | $2,431.92 – $7,086.79 |