CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Greeneville Community Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$67
about 0.7× the $95 Medicare rate · typically $44–$114
modeled estimate · not a bill or quote
What this hospital charges insurers
$44
Below the fair price — a good deal
about $23 under the fair price · 0.5× Medicare
Medicare pays $95 Fair price $67 This hospital $44 Cash price $36 Hospital's list price $242

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

A typical price — 3 charge more and 4 charge less, among the 9 TN hospitals compared.

Cheapest $32 Priciest $47

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $67 (about 0.7× the $95 Medicare rate). Greeneville Community Hospital charges insurers about $44, or about $36 in cash — below the fair price — a good deal. Located in Greeneville, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $26 - $78 27%
Blue Cross Blue Shieldmajor $44 - $174 46%
Aetnamajor $103 108%
Cignamajor $103 - $112 108%
Molina $242 254%
Sentara $62 65%
WellCare $242 254%
+ 1 smaller / regional plan $242
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1420 Tusculum Boulevard, Greeneville, TN 37745
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals