Unlisted px biliary tract at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$377.85
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.
$2,519.00
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.
$631.54 with AMERIGROUP vs $3,162.01 with BLUE CROSS — 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 | $631.54 | ↑ +67% |
| SENTARA HEALTH | SENTARA HEALTH | $650.15 | ↑ +72% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $823.00 | ↑ +118% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $846.35 | ↑ +124% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $846.35 | ↑ +124% |
| SENTARA HEALTH | SENTARA MEDICARE | $846.35 | ↑ +124% |
| HUMANA | HUMANA MEDICARE | $846.35 | ↑ +124% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $846.35 | ↑ +124% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $846.35 | ↑ +124% |
| AETNA | AETNA HEALTHCARE MEDICARE | $846.35 | ↑ +124% |
| BLUE CROSS | BLUE CROSS MEDICARE | $854.81 | ↑ +126% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $871.74 | ↑ +131% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $880.20 | ↑ +133% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $888.66 | ↑ +135% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $888.66 | ↑ +135% |
| NHC ADVANTAGE | NHC ADVANTAGE | $888.66 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $888.66 | ↑ +135% |
| WELLCARE | WELLCARE MEDICARE | $897.13 | ↑ +137% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,055.00 | ↑ +179% |
| AETNA | AETNA | $1,075.61 | ↑ +185% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,082.00 | ↑ +186% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,103.00 | ↑ +192% |
| MEDCOST | MEDCOST VHN | $1,198.79 | ↑ +217% |
| AMBETTER | AMBETTER | $1,845.04 | ↑ +388% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,861.00 | ↑ +393% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,015.20 | ↑ +433% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,071.00 | ↑ +448% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,124.00 | ↑ +462% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,309.00 | ↑ +511% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,333.00 | ↑ +517% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,333.00 | ↑ +517% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,519.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,519.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $2,519.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,519.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $2,519.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,519.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $3,162.01 | ↑ +737% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $3,162.01 | ↑ +737% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,162.01 | ↑ +737% |
Visitor-reported prices
Comments
Unlisted px biliary tract at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bristol Regional Medical Center | BRISTOL | $377.85 | $860.41 – $2,965.28 |
| Holston Valley Medical Center | KINGSPORT | $377.85 | $860.41 – $2,965.28 |
| 62-0123940 BMH Collierville | Collierville | $1,049.37 | $815.59 – $1,717.04 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $377.85 | $822.88 – $3,260.03 |
| Ascension Saint Thomas Midtown | Nashville | not published | $808.11 – $2,225.50 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $796.46 – $2,225.50 |
| Ascension Saint Thomas Highlands | Sparta | not published | $796.46 – $2,225.50 |
| Ascension Saint Thomas River Park | McMinnville | not published | $796.46 – $2,225.50 |