Test for porphobilinogen at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$7.35
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.
$49.00
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.
$2.18 with UNITED HEALTHCARE vs $49.00 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 | $2.18 | ↓ -70% |
| AMERIGROUP | AMERIGROUP | $2.62 | ↓ -64% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $5.82 | ↓ -21% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $5.82 | ↓ -21% |
| SENTARA HEALTH | SENTARA MEDICARE | $5.82 | ↓ -21% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $5.82 | ↓ -21% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $5.82 | ↓ -21% |
| HUMANA | HUMANA MEDICARE | $5.82 | ↓ -21% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $5.82 | ↓ -21% |
| AETNA | AETNA HEALTHCARE MEDICARE | $5.82 | ↓ -21% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $5.82 | ↓ -21% |
| BLUE CROSS | BLUE CROSS MEDICARE | $5.88 | ↓ -20% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $5.99 | ↓ -19% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $6.05 | ↓ -18% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $6.05 | ↓ -18% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $6.11 | ↓ -17% |
| NHC ADVANTAGE | NHC ADVANTAGE | $6.11 | ↓ -17% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $6.11 | ↓ -17% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $6.11 | ↓ -17% |
| WELLCARE | WELLCARE MEDICARE | $6.17 | ↓ -16% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $6.19 | ↓ -16% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $6.19 | ↓ -16% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $6.19 | ↓ -16% |
| BLUE CROSS | TENNCARE BLUE CARE | $9.71 | ↑ +32% |
| BLUE CROSS | TENNCARE BLUE SELECT | $9.71 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $12.16 | ↑ +65% |
| CIGNA HEALTHCARE | CIGNA HMO | $12.16 | ↑ +65% |
| CIGNA HEALTHCARE | CIGNA PPO | $12.16 | ↑ +65% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $12.16 | ↑ +65% |
| SENTARA HEALTH | SENTARA HEALTH | $12.65 | ↑ +72% |
| AMBETTER | AMBETTER | $12.69 | ↑ +73% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $12.99 | ↑ +77% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $14.71 | ↑ +100% |
| BLUE CROSS | BLUE CROSS S NETWORK | $14.83 | ↑ +102% |
| BLUE CROSS | BLUE CROSS P NETWORK | $16.18 | ↑ +120% |
| BLUE CROSS | BLUE CROSS E NETWORK | $16.18 | ↑ +120% |
| AETNA | AETNA | $20.92 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $23.32 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $39.20 | ↑ +433% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $49.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $49.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $49.00 | ↑ +567% |
Visitor-reported prices
Comments
Test for porphobilinogen at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bristol Regional Medical Center | BRISTOL | $7.35 | $2.91 – $13.97 |
| Holston Valley Medical Center | KINGSPORT | $7.35 | $2.91 – $13.97 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $7.35 | $2.91 – $12.69 |
| Ascension Saint Thomas Midtown | Nashville | not published | $2.10 – $18.06 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $3.00 – $18.06 |
| Ascension Saint Thomas Highlands | Sparta | not published | $3.00 – $18.06 |
| Ascension Saint Thomas River Park | McMinnville | not published | $3.00 – $18.06 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $5.24 – $18.06 |