X-ray optic foramina at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$69.30
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.
$462.00
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.
$16.13 with UNITED HEALTHCARE vs $462.00 with SEVEN CORNERS, INC. — 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 | $16.13 | ↓ -77% |
| BLUE CROSS | TENNCARE BLUE CARE | $20.54 | ↓ -70% |
| BLUE CROSS | TENNCARE BLUE SELECT | $20.54 | ↓ -70% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $36.37 | ↓ -48% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $50.49 | ↓ -27% |
| AMERIGROUP | AMERIGROUP | $52.77 | ↓ -24% |
| BLUE CROSS | BLUE CROSS S NETWORK | $59.31 | ↓ -14% |
| BLUE CROSS | BLUE CROSS P NETWORK | $64.68 | ↓ -7% |
| BLUE CROSS | BLUE CROSS E NETWORK | $64.68 | ↓ -7% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $76.55 | ↑ +10% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $76.55 | ↑ +10% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $76.55 | ↑ +10% |
| AETNA | AETNA HEALTHCARE MEDICARE | $81.21 | ↑ +17% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $81.21 | ↑ +17% |
| HUMANA | HUMANA MEDICARE | $81.21 | ↑ +17% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $81.21 | ↑ +17% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $81.21 | ↑ +17% |
| SENTARA HEALTH | SENTARA MEDICARE | $81.21 | ↑ +17% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $81.21 | ↑ +17% |
| BLUE CROSS | BLUE CROSS MEDICARE | $82.02 | ↑ +18% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $83.64 | ↑ +21% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $84.46 | ↑ +22% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $85.27 | ↑ +23% |
| NHC ADVANTAGE | NHC ADVANTAGE | $85.27 | ↑ +23% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $85.27 | ↑ +23% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $85.27 | ↑ +23% |
| WELLCARE | WELLCARE MEDICARE | $86.08 | ↑ +24% |
| SENTARA HEALTH | SENTARA HEALTH | $119.24 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA PPO | $157.53 | ↑ +127% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $157.53 | ↑ +127% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $169.56 | ↑ +145% |
| CIGNA HEALTHCARE | CIGNA HMO | $169.56 | ↑ +145% |
| AMBETTER | AMBETTER | $177.03 | ↑ +155% |
| AETNA | AETNA | $197.27 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $219.87 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $224.00 | ↑ +223% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $233.00 | ↑ +236% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $369.60 | ↑ +433% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $370.00 | ↑ +434% |
| WELLCARE | WELLCARE MEDICAID | $462.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $462.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $462.00 | ↑ +567% |
Visitor-reported prices
Comments
X-ray optic foramina at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $69.30 | $20.54 – $177.03 |
| Hancock County Hospital | SNEEDVILLE | $67.85 | $20.54 – $87.38 |
| Bristol Regional Medical Center | BRISTOL | $69.30 | $20.54 – $198.14 |
| Franklin Woods Community Hospital | JOHNSON CITY | $69.30 | $24.97 – $172.25 |
| Holston Valley Medical Center | KINGSPORT | $69.30 | $20.54 – $198.14 |
| 62-0123940 BMH Collierville | Collierville | $53.34 | $17.71 – $161.26 |
| Indian Path Community Hospital | KINGSPORT | $69.30 | $20.54 – $189.49 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $69.30 | $20.54 – $172.12 |