Unlisted CT procedure at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$559.65
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.
$3,731.00
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.
$38.40 with UNITED HEALTHCARE vs $3,731.00 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 | $38.40 | ↓ -93% |
| AMERIGROUP | AMERIGROUP | $52.77 | ↓ -91% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $81.21 | ↓ -85% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $81.21 | ↓ -85% |
| AETNA | AETNA HEALTHCARE MEDICARE | $81.21 | ↓ -85% |
| HUMANA | HUMANA MEDICARE | $81.21 | ↓ -85% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $81.21 | ↓ -85% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $81.21 | ↓ -85% |
| SENTARA HEALTH | SENTARA MEDICARE | $81.21 | ↓ -85% |
| BLUE CROSS | BLUE CROSS MEDICARE | $82.02 | ↓ -85% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $83.64 | ↓ -85% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $84.46 | ↓ -85% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $85.27 | ↓ -85% |
| NHC ADVANTAGE | NHC ADVANTAGE | $85.27 | ↓ -85% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $85.27 | ↓ -85% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $85.27 | ↓ -85% |
| WELLCARE | WELLCARE MEDICARE | $86.08 | ↓ -85% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $146.57 | ↓ -74% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $146.57 | ↓ -74% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $146.57 | ↓ -74% |
| AMBETTER | AMBETTER | $177.03 | ↓ -68% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $411.00 | ↓ -27% |
| CIGNA HEALTHCARE | CIGNA PPO | $411.00 | ↓ -27% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $411.00 | ↓ -27% |
| CIGNA HEALTHCARE | CIGNA HMO | $411.00 | ↓ -27% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $427.00 | ↓ -24% |
| SENTARA HEALTH | SENTARA HEALTH | $962.97 | ↑ +72% |
| AETNA | AETNA | $1,593.14 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $1,775.58 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,835.00 | ↑ +228% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,919.00 | ↑ +243% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,984.80 | ↑ +433% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,026.00 | ↑ +441% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,731.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $3,731.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $3,731.00 | ↑ +567% |
Visitor-reported prices
Comments
Unlisted CT procedure at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $559.65 | $59.01 – $177.03 |
| Bristol Regional Medical Center | BRISTOL | $559.65 | $64.01 – $198.14 |
| Franklin Woods Community Hospital | JOHNSON CITY | $559.65 | $51.89 – $172.25 |
| Holston Valley Medical Center | KINGSPORT | $559.65 | $64.01 – $198.14 |
| 62-0123940 BMH Collierville | Collierville | $250.11 | $76.60 – $161.26 |
| Indian Path Community Hospital | KINGSPORT | $559.65 | $57.37 – $189.49 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $559.65 | $53.34 – $172.12 |
| Sycamore Shoals Hospital | ELIZABETHTON | $559.65 | $57.37 – $172.12 |