MRI without fol w/cont, brst, un at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$636.75
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.
$4,245.00
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.
$192.25 with UNITED HEALTHCARE vs $4,245.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $192.25 | ↓ -70% |
| HUMANA | HUMANA MEDICARE | $325.55 | ↓ -49% |
| AETNA | AETNA HEALTHCARE MEDICARE | $325.55 | ↓ -49% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $325.55 | ↓ -49% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $325.55 | ↓ -49% |
| SENTARA HEALTH | SENTARA MEDICARE | $325.55 | ↓ -49% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $325.55 | ↓ -49% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $325.55 | ↓ -49% |
| BLUE CROSS | BLUE CROSS MEDICARE | $328.80 | ↓ -48% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $335.32 | ↓ -47% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $338.57 | ↓ -47% |
| NHC ADVANTAGE | NHC ADVANTAGE | $341.83 | ↓ -46% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $341.83 | ↓ -46% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $341.83 | ↓ -46% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $341.83 | ↓ -46% |
| WELLCARE | WELLCARE MEDICARE | $345.08 | ↓ -46% |
| AMERIGROUP | AMERIGROUP | $387.63 | ↓ -39% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $555.00 | ↓ -13% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $555.00 | ↓ -13% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $555.00 | ↓ -13% |
| AMBETTER | AMBETTER | $709.70 | ↑ +11% |
| CIGNA HEALTHCARE | CIGNA HMO | $777.00 | ↑ +22% |
| CIGNA HEALTHCARE | CIGNA PPO | $777.00 | ↑ +22% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $777.00 | ↑ +22% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $777.00 | ↑ +22% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $786.00 | ↑ +23% |
| SENTARA HEALTH | SENTARA HEALTH | $1,095.63 | ↑ +72% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,252.02 | ↑ +97% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,365.39 | ↑ +114% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,365.39 | ↑ +114% |
| AETNA | AETNA | $1,812.62 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $2,020.20 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,448.00 | ↑ +284% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,559.00 | ↑ +302% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $2,971.50 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,396.00 | ↑ +433% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,035.00 | ↑ +534% |
| WELLCARE | WELLCARE MEDICAID | $4,245.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $4,245.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,245.00 | ↑ +567% |
Visitor-reported prices
Comments
MRI without fol w/cont, brst, un at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $636.75 | $325.55 – $709.70 |
| Hancock County Hospital | SNEEDVILLE | $624.68 | $267.02 – $786.00 |
| Bristol Regional Medical Center | BRISTOL | $636.75 | $320.42 – $794.30 |
| Franklin Woods Community Hospital | JOHNSON CITY | $636.75 | $316.76 – $690.54 |
| Holston Valley Medical Center | KINGSPORT | $636.75 | $320.42 – $794.30 |
| 62-0123940 BMH Collierville | Collierville | $856.59 | $310.67 – $654.04 |
| Indian Path Community Hospital | KINGSPORT | $636.75 | $316.52 – $759.66 |
| 62-1138045 BMH Union City | Union City | $823.20 | $283.71 – $652.20 |