Polysom <6 yrs cpap/bilvl at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$972.45
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.
$6,483.00
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.
$290.21 with UNITED HEALTHCARE vs $6,483.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $290.21 | ↓ -70% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $723.00 | ↓ -26% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $756.00 | ↓ -22% |
| AMERIGROUP | AMERIGROUP | $767.01 | ↓ -21% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $801.33 | ↓ -18% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $801.33 | ↓ -18% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $801.33 | ↓ -18% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $801.33 | ↓ -18% |
| SENTARA HEALTH | SENTARA MEDICARE | $801.33 | ↓ -18% |
| AETNA | AETNA HEALTHCARE MEDICARE | $801.33 | ↓ -18% |
| HUMANA | HUMANA MEDICARE | $801.33 | ↓ -18% |
| BLUE CROSS | BLUE CROSS MEDICARE | $809.34 | ↓ -17% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $825.37 | ↓ -15% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $833.38 | ↓ -14% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $841.39 | ↓ -13% |
| NHC ADVANTAGE | NHC ADVANTAGE | $841.39 | ↓ -13% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $841.39 | ↓ -13% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $841.39 | ↓ -13% |
| WELLCARE | WELLCARE MEDICARE | $849.41 | ↓ -13% |
| BLUE CROSS | TENNCARE BLUE CARE | $883.19 | ↓ -9% |
| BLUE CROSS | TENNCARE BLUE SELECT | $883.19 | ↓ -9% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,056.04 | ↑ +9% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,056.04 | ↑ +9% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,056.04 | ↑ +9% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,193.00 | ↑ +23% |
| SENTARA HEALTH | SENTARA HEALTH | $1,673.26 | ↑ +72% |
| AMBETTER | AMBETTER | $1,746.89 | ↑ +80% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,074.29 | ↑ +113% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,252.82 | ↑ +132% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,252.82 | ↑ +132% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,768.24 | ↑ +185% |
| AETNA | AETNA | $2,768.24 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,768.24 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $2,923.83 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,923.83 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,008.11 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $3,085.26 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $4,538.10 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,186.40 | ↑ +433% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $6,483.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $6,483.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $6,483.00 | ↑ +567% |
Visitor-reported prices
Comments
Polysom <6 yrs cpap/bilvl at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $972.45 | $725.52 – $1,746.89 |
| Bristol Regional Medical Center | BRISTOL | $972.45 | $483.68 – $1,955.15 |
| Franklin Woods Community Hospital | JOHNSON CITY | $972.45 | $725.52 – $1,699.73 |
| Holston Valley Medical Center | KINGSPORT | $972.45 | $483.68 – $1,955.15 |
| 62-0123940 BMH Collierville | Collierville | $1,294.65 | $761.37 – $1,863.24 |
| Indian Path Community Hospital | KINGSPORT | $972.45 | $725.52 – $1,869.87 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $972.45 | $403.07 – $1,698.47 |
| Sycamore Shoals Hospital | ELIZABETHTON | $972.45 | $725.52 – $1,698.47 |