Rsv assay w/optic at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$20.55
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.
$137.00
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.
$5.90 with AMERIGROUP vs $137.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $5.90 | ↓ -71% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $6.12 | ↓ -70% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $11.21 | ↓ -45% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $11.21 | ↓ -45% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $11.21 | ↓ -45% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $13.10 | ↓ -36% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $13.10 | ↓ -36% |
| SENTARA HEALTH | SENTARA MEDICARE | $13.10 | ↓ -36% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $13.10 | ↓ -36% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $13.10 | ↓ -36% |
| AETNA | AETNA HEALTHCARE MEDICARE | $13.10 | ↓ -36% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $13.10 | ↓ -36% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $13.10 | ↓ -36% |
| HUMANA | HUMANA MEDICARE | $13.10 | ↓ -36% |
| BLUE CROSS | BLUE CROSS MEDICARE | $13.23 | ↓ -36% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $13.49 | ↓ -34% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $13.62 | ↓ -34% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $13.62 | ↓ -34% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $13.76 | ↓ -33% |
| NHC ADVANTAGE | NHC ADVANTAGE | $13.76 | ↓ -33% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $13.76 | ↓ -33% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $13.76 | ↓ -33% |
| WELLCARE | WELLCARE MEDICARE | $13.89 | ↓ -32% |
| BLUE CROSS | TENNCARE BLUE SELECT | $15.09 | ↓ -27% |
| BLUE CROSS | TENNCARE BLUE CARE | $15.09 | ↓ -27% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $16.01 | ↓ -22% |
| AMBETTER | AMBETTER | $28.56 | ↑ +39% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $28.87 | ↑ +40% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $33.78 | ↑ +64% |
| CIGNA HEALTHCARE | CIGNA HMO | $33.78 | ↑ +64% |
| CIGNA HEALTHCARE | CIGNA PPO | $33.78 | ↑ +64% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $33.78 | ↑ +64% |
| SENTARA HEALTH | SENTARA HEALTH | $35.36 | ↑ +72% |
| BLUE CROSS | BLUE CROSS S NETWORK | $39.67 | ↑ +93% |
| BLUE CROSS | BLUE CROSS E NETWORK | $43.27 | ↑ +111% |
| BLUE CROSS | BLUE CROSS P NETWORK | $43.27 | ↑ +111% |
| AETNA | AETNA | $58.50 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $65.20 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $109.60 | ↑ +433% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $137.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $137.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $137.00 | ↑ +567% |
Visitor-reported prices
Comments
Rsv assay w/optic at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $23.39 | $10.65 – $55.30 |
| 62-1166050 BMH Carroll County | Huntingdon | $39.56 | $11.40 – $26.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $33.42 | $10.65 – $55.30 |
| Johnson City Medical Center | JOHNSON CITY | $20.55 | $6.55 – $28.56 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $46.32 | $11.79 – $46.28 |
| Hancock County Hospital | SNEEDVILLE | $20.01 | $8.50 – $28.87 |
| Bristol Regional Medical Center | BRISTOL | $20.55 | $6.55 – $31.44 |
| Franklin Woods Community Hospital | JOHNSON CITY | $20.55 | $6.55 – $28.56 |