Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$304.05
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.
$2,027.00
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.
$486.59 with AMERIGROUP vs $2,027.00 with WELLCARE — 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $486.59 | ↑ +60% |
| SENTARA HEALTH | SENTARA HEALTH | $523.17 | ↑ +72% |
| BLUE CROSS | TENNCARE BLUE CARE | $578.00 | ↑ +90% |
| BLUE CROSS | TENNCARE BLUE SELECT | $578.00 | ↑ +90% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $650.00 | ↑ +114% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $656.00 | ↑ +116% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $660.79 | ↑ +117% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $660.79 | ↑ +117% |
| AETNA | AETNA HEALTHCARE MEDICARE | $660.79 | ↑ +117% |
| HUMANA | HUMANA MEDICARE | $660.79 | ↑ +117% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $660.79 | ↑ +117% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $660.79 | ↑ +117% |
| SENTARA HEALTH | SENTARA MEDICARE | $660.79 | ↑ +117% |
| BLUE CROSS | BLUE CROSS MEDICARE | $667.40 | ↑ +120% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $679.00 | ↑ +123% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $680.61 | ↑ +124% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $687.22 | ↑ +126% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $693.83 | ↑ +128% |
| NHC ADVANTAGE | NHC ADVANTAGE | $693.83 | ↑ +128% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $693.83 | ↑ +128% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $693.83 | ↑ +128% |
| WELLCARE | WELLCARE MEDICARE | $700.44 | ↑ +130% |
| AETNA | AETNA | $865.53 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $964.65 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,101.00 | ↑ +262% |
| AMBETTER | AMBETTER | $1,440.52 | ↑ +374% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +401% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,621.60 | ↑ +433% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $2,027.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,027.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,027.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,027.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,027.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,027.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,027.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,027.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,027.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $2,027.00 | ↑ +567% |
Visitor-reported prices
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Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $716.32 | $484.00 – $1,694.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $466.67 | $558.94 – $1,284.92 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,023.66 | $508.20 – $1,694.00 |
| Bristol Regional Medical Center | BRISTOL | $304.05 | $671.77 – $1,612.25 |
| Holston Valley Medical Center | KINGSPORT | $304.05 | $671.77 – $1,612.25 |
| 62-0123940 BMH Collierville | Collierville | $426.09 | $612.07 – $1,288.56 |
| 62-1138045 BMH Union City | Union City | $390.20 | $558.94 – $1,284.92 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $304.05 | $642.47 – $1,400.59 |