M/phmtrc alys ishquant/semiq at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$105.75
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.
$705.00
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.
$53.09 with AMERIGROUP vs $705.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $53.09 | ↓ -50% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $66.10 | ↓ -37% |
| BLUE CROSS | TENNCARE BLUE SELECT | $125.44 | ↑ +19% |
| BLUE CROSS | TENNCARE BLUE CARE | $125.44 | ↑ +19% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $143.50 | ↑ +36% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $143.50 | ↑ +36% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $149.24 | ↑ +41% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $158.98 | ↑ +50% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $158.98 | ↑ +50% |
| AETNA | AETNA HEALTHCARE MEDICARE | $158.98 | ↑ +50% |
| HUMANA | HUMANA MEDICARE | $158.98 | ↑ +50% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $158.98 | ↑ +50% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $158.98 | ↑ +50% |
| SENTARA HEALTH | SENTARA MEDICARE | $158.98 | ↑ +50% |
| BLUE CROSS | BLUE CROSS MEDICARE | $160.57 | ↑ +52% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $163.75 | ↑ +55% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $165.34 | ↑ +56% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $166.93 | ↑ +58% |
| NHC ADVANTAGE | NHC ADVANTAGE | $166.93 | ↑ +58% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $166.93 | ↑ +58% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $166.93 | ↑ +58% |
| WELLCARE | WELLCARE MEDICARE | $168.52 | ↑ +59% |
| SENTARA HEALTH | SENTARA HEALTH | $181.96 | ↑ +72% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $221.03 | ↑ +109% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $221.03 | ↑ +109% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $221.03 | ↑ +109% |
| AETNA | AETNA | $301.04 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA PPO | $317.96 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $317.96 | ↑ +201% |
| MEDCOST | MEDCOST VHN | $335.51 | ↑ +217% |
| BLUE CROSS | BLUE CROSS S NETWORK | $338.10 | ↑ +220% |
| AMBETTER | AMBETTER | $346.58 | ↑ +228% |
| BLUE CROSS | BLUE CROSS E NETWORK | $368.71 | ↑ +249% |
| BLUE CROSS | BLUE CROSS P NETWORK | $368.71 | ↑ +249% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $493.50 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $564.00 | ↑ +433% |
| WELLCARE | WELLCARE MEDICAID | $705.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $705.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $705.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $705.00 | ↑ +567% |
Visitor-reported prices
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M/phmtrc alys ishquant/semiq at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $600.21 | $108.14 – $1,098.46 |
| Johnson City Medical Center | JOHNSON CITY | $105.75 | $58.99 – $346.58 |
| Ascension Saint Thomas DeKalb | Smithville | $600.21 | $90.89 – $1,098.46 |
| Ascension Saint Thomas Highlands | Sparta | $600.21 | $90.89 – $1,098.46 |
| Ascension Saint Thomas River Park | McMinnville | $600.21 | $90.89 – $1,098.46 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $600.21 | $108.14 – $1,098.46 |
| Hancock County Hospital | SNEEDVILLE | $103.50 | $91.81 – $450.00 |
| Bristol Regional Medical Center | BRISTOL | $105.75 | $110.17 – $387.89 |