Ins pm gen exist dual lead at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$13,264.80
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.
$88,432.00
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.
$12,271.00 with BLUE CROSS vs $88,432.00 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 | BLUE CROSS S NETWORK | $12,271.00 | ↓ -7% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $12,486.00 | ↓ -6% |
| BLUE CROSS | BLUE CROSS E NETWORK | $12,512.00 | ↓ -6% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $12,749.00 | ↓ -4% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $13,326.00 | ↑ +0% |
| BLUE CROSS | BLUE CROSS P NETWORK | $13,946.00 | ↑ +5% |
| AMERIGROUP | AMERIGROUP | $18,781.22 | ↑ +42% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $20,756.43 | ↑ +56% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $20,756.43 | ↑ +56% |
| AETNA | AETNA HEALTHCARE MEDICARE | $20,756.43 | ↑ +56% |
| HUMANA | HUMANA MEDICARE | $20,756.43 | ↑ +56% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $20,756.43 | ↑ +56% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $20,756.43 | ↑ +56% |
| SENTARA HEALTH | SENTARA MEDICARE | $20,756.43 | ↑ +56% |
| BLUE CROSS | BLUE CROSS MEDICARE | $20,964.00 | ↑ +58% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $21,379.13 | ↑ +61% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $21,586.69 | ↑ +63% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $21,642.00 | ↑ +63% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $21,794.26 | ↑ +64% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $21,794.26 | ↑ +64% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $21,794.26 | ↑ +64% |
| NHC ADVANTAGE | NHC ADVANTAGE | $21,794.26 | ↑ +64% |
| WELLCARE | WELLCARE MEDICARE | $22,001.82 | ↑ +66% |
| SENTARA HEALTH | SENTARA HEALTH | $22,824.30 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $30,845.86 | ↑ +133% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $30,845.86 | ↑ +133% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $30,845.86 | ↑ +133% |
| AETNA | AETNA | $37,760.46 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA HMO | $37,760.46 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $37,760.46 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA PPO | $39,882.83 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $39,882.83 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $41,032.45 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $42,084.79 | ↑ +217% |
| AMBETTER | AMBETTER | $45,249.03 | ↑ +241% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $61,902.40 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $70,745.60 | ↑ +433% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $88,432.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $88,432.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $88,432.00 | ↑ +567% |
Visitor-reported prices
Comments
Ins pm gen exist dual lead at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $16,055.84 | $5,068.00 – $40,992.14 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $10,568.81 | $1,869.19 – $6,935.50 |
| Bristol Regional Medical Center | BRISTOL | $13,264.80 | $21,101.41 – $50,643.37 |
| Holston Valley Medical Center | KINGSPORT | $13,264.80 | $21,101.41 – $50,643.37 |
| 62-0123940 BMH Collierville | Collierville | $15,820.98 | $19,526.28 – $41,107.96 |
| 62-1138045 BMH Union City | Union City | $13,961.60 | $17,831.58 – $40,992.14 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $13,264.80 | $20,181.03 – $43,994.64 |
| Ascension Saint Thomas Midtown | Nashville | not published | $1,752.88 – $14,894.00 |