Ghs ot dds rom at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$16.80
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.
$112.00
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.
$19.36 with BLUE CROSS vs $112.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $19.36 | ↑ +15% |
| BLUE CROSS | TENNCARE BLUE CARE | $19.36 | ↑ +15% |
| AMERIGROUP | AMERIGROUP | $22.36 | ↑ +33% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $24.04 | ↑ +43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $24.04 | ↑ +43% |
| AETNA | AETNA HEALTHCARE MEDICARE | $24.04 | ↑ +43% |
| HUMANA | HUMANA MEDICARE | $24.04 | ↑ +43% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $24.04 | ↑ +43% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $24.04 | ↑ +43% |
| SENTARA HEALTH | SENTARA MEDICARE | $24.04 | ↑ +43% |
| BLUE CROSS | BLUE CROSS MEDICARE | $24.28 | ↑ +45% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $24.76 | ↑ +47% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $25.00 | ↑ +49% |
| NHC ADVANTAGE | NHC ADVANTAGE | $25.24 | ↑ +50% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $25.24 | ↑ +50% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $25.24 | ↑ +50% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $25.24 | ↑ +50% |
| WELLCARE | WELLCARE MEDICARE | $25.48 | ↑ +52% |
| SENTARA HEALTH | SENTARA HEALTH | $28.91 | ↑ +72% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $37.00 | ↑ +120% |
| BLUE CROSS | BLUE CROSS S NETWORK | $40.36 | ↑ +140% |
| BLUE CROSS | BLUE CROSS P NETWORK | $43.83 | ↑ +161% |
| BLUE CROSS | BLUE CROSS E NETWORK | $43.83 | ↑ +161% |
| AETNA | AETNA | $47.82 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA HMO | $47.82 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $47.82 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA PPO | $50.51 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $50.51 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $51.97 | ↑ +209% |
| AMBETTER | AMBETTER | $52.41 | ↑ +212% |
| MEDCOST | MEDCOST VHN | $53.30 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $89.60 | ↑ +433% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $112.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $112.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $112.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $112.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $112.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $112.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $112.00 | ↑ +567% |
Visitor-reported prices
Comments
Ghs ot dds rom at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $10.71 | $6.64 – $38.04 |
| Johnson City Medical Center | JOHNSON CITY | $16.80 | $19.36 – $52.41 |
| Ascension Saint Thomas DeKalb | Smithville | $14.28 | $3.75 – $38.04 |
| Ascension Saint Thomas Highlands | Sparta | $10.71 | $3.75 – $38.04 |
| Ascension Saint Thomas River Park | McMinnville | $10.71 | $3.75 – $38.04 |
| Bristol Regional Medical Center | BRISTOL | $16.80 | $19.36 – $57.70 |
| Franklin Woods Community Hospital | JOHNSON CITY | $16.80 | $22.17 – $52.41 |
| Holston Valley Medical Center | KINGSPORT | $16.80 | $19.36 – $57.70 |