Ballad Health · Greeneville, TN
32
In-network payers
531
Disclosed rate categories
140
Beds
2
Care quality
Greenvile Community Hospital West is a 140-bed voluntary non-profit - private hospital in Greeneville, TN, affiliated with Ballad Health. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 531 disclosed rate categories.
CCN (Medicare provider number)
440050
NPI
1699819003
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
140
Care Quality
2
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Greenvile Community Hospital West most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$3,886 - $7,114
from 4 insurers · median $5,964
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$4,957 - $10,655
from 4 insurers · median $8,705
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery
CPT 47562
$6,795 - $8,626
from 3 insurers · median $7,695
35 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$195 - $1,835
from 4 insurers · median $892
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$411 - $1,835
from 4 insurers · median $823
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$6,795 - $12,519
from 3 insurers · median $7,695
35 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$3,886 - $7,114
from 4 insurers · median $5,964
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$31,373 - $40,067
from 3 insurers · median $38,425
Hospital reports orthopedic surgery services to CMS
Cardiology and vascular testing
CPT 93306
$376 - $1,596
from 4 insurers · median $1,256
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$2,604 - $4,865
from 3 insurers · median $3,284
114 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Digestive procedures
CPT 47563
$6,079 - $7,921
from 3 insurers · median $7,695
35 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$7,710 - $28,299
from 4 insurers · median $22,853
Hospital reports orthopedic surgery services to CMS
Mammography
CPT 77067
$157 - $305
from 4 insurers · median $192
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,128 - $2,655
from 4 insurers · median $1,504
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$411 - $1,835
from 4 insurers · median $864
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$6,091 - $28,305
from 4 insurers · median $16,545
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 74176
$310 - $1,835
from 4 insurers · median $619
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$697 - $2,448
from 4 insurers · median $1,252
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,128 - $2,750
from 3 insurers · median $2,174
Common here, based on CMS Medicare volume
Urology
CPT 50590
$4,126 - $8,867
from 3 insurers · median $7,695
24 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
MRI imaging
CPT 72148
$409 - $2,448
from 4 insurers · median $1,209
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$380 - $2,448
from 4 insurers · median $1,172
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,724 - $8,540
from 3 insurers · median $7,695
Typical for a hospital with this service line
MRI imaging
CPT 73721
$427 - $2,448
from 4 insurers · median $1,182
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 335% | 15 | 5 |
| Insurer B* | 24 | 268% | 19 | 0 |
| Insurer C* | 17 | 237% | 9 | 2 |
| Insurer D* | 24 | 148% | 14 | 4 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Greenvile Community Hospital West.
401 Takoma Avenue, Greeneville, TN 37743
(423) 639-3151
The nearest hospitals of similar type and size. Their rates are compared with Greenvile Community Hospital West for the same insurers and services above.
Newport Medical Center
▼ Rates typically 22% lower than Greenvile Community Hospital West (21 services)
Morristown-Hamblen Healthcare System
▼ Rates typically 23% lower than Greenvile Community Hospital West (21 services)
Haywood Regional Medical Center
Rates about the same as Greenvile Community Hospital West (21 services)
Leconte Medical Center
▼ Rates typically 24% lower than Greenvile Community Hospital West (21 services)
Claiborne Medical Center
▼ Rates typically 23% lower than Greenvile Community Hospital West (21 services)
Harlan Arh Hospital
▲ Rates typically 16% higher than Greenvile Community Hospital West (14 services)
Greenville Community Hospital East
Johnson City Medical Center
Franklin Woods Community Hospital
Indian Path Medical Center
About Greenvile Community Hospital West's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Greenvile Community Hospital West range from $697 to $2,448 across 4 insurers. Cigna's rate is $777. The median at nearby comparable hospitals is $423. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT head or brain without contrast (CPT 70450), published negotiated rates at Greenvile Community Hospital West range from $195 to $1,835 across 4 insurers. Blue Cross Blue Shield's rate is $195. The median at nearby comparable hospitals is $175. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Greenvile Community Hospital West range from $1,128 to $2,750 across 3 insurers. UnitedHealthcare's rate is $1,128. The median at nearby comparable hospitals is $1,377. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Greenvile Community Hospital West range from $3,886 to $7,114 across 4 insurers. Aetna's rate is $5,530. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Greenvile Community Hospital West range from $157 to $305 across 4 insurers. Cigna's rate is $188. The median at nearby comparable hospitals is $201. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Greenvile Community Hospital West range from $6,091 to $28,305 across 4 insurers. Aetna's rate is $16,159. The median at nearby comparable hospitals is $13,336. What a patient pays depends on their plan's deductible, coinsurance and network status.
Greenvile Community Hospital West has 140 beds. Facility type: Short Term Acute Care Hospital.
Greenvile Community Hospital West is located at 401 Takoma Avenue, Greeneville, TN 37743. Its main phone number is (423) 639-3151.
Greenvile Community Hospital West's CMS Certification Number (CCN), also called its Medicare provider number, is 440050.
The National Provider Identifier (NPI) on file for Greenvile Community Hospital West is 1699819003.
Greenvile Community Hospital West is affiliated with Ballad Health.
Greenvile Community Hospital West lists 32 in-network payers, including Aetna, Ambetter, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
531 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers