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Short Term Acute Care Hospital

Greenville Community Hospital East

Ballad Health · Greeneville, TN

1420 Tusculum Boulevard, Greeneville, TN 377454237875000

17

In-network payers

23

Disclosed rate categories

140

Beds

About this hospital

Greenville Community Hospital East is a 140-bed hospital in Greeneville, TN, affiliated with Ballad Health. Below you'll find publicly disclosed negotiated rates and facility details, including 17 in-network payers and 23 disclosed rate categories.

CCN (Medicare provider number)

440025

NPI

1881669778

Type

Short Term Acute Care Hospital

Beds

140

Insurance Accepted

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.

Medicare
Cigna
CenteneHealth SmartJohns Hopkins Health PlansKaiser PermanenteLuminare HealthMVP Health Care

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Cigna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Cigna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Cigna

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Negotiated

Very Low

Cigna

Outpatient

HCPCS Administrative, Miscellaneous and Investigational

Range: A9150 - A9999

Negotiated

Average

Cigna

Outpatient

HCPCS Chemotherapy Drugs

Range: J9000 - J9999

Negotiated

High

Cigna

Outpatient

HCPCS Drugs Administered Other than Oral Method

Range: J0120 - J8999

Negotiated

Very Low

Cigna

Outpatient

HCPCS Matrix for Wound Management (Placental, Equine, Synthetic)

Range: A2001 - A2021

Negotiated

Very Low

Cigna

Outpatient

HCPCS Outpatient PPS

Range: C1713 - C9899

Negotiated

Very Low

Cigna

Outpatient

HCPCS Pathology and Laboratory Services

Range: P2028 - P9615

Negotiated

Very Low

Cigna

Outpatient

HCPCS Temporary Codes

Range: Q0035 - Q9992

Negotiated

High

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

Showing 1 - 10 of 23

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Location

1420 Tusculum Boulevard, Greeneville, TN 37745

4237875000

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Frequently asked questions

About Greenville Community Hospital East's rates and hospital price transparency.

How many beds does Greenville Community Hospital East have?

Greenville Community Hospital East has 140 beds. Facility type: Short Term Acute Care Hospital.

Where is Greenville Community Hospital East and what is its phone number?

Greenville Community Hospital East is located at 1420 Tusculum Boulevard, Greeneville, TN 37745. Its main phone number is 4237875000.

What is Greenville Community Hospital East's CCN (Medicare provider number)?

Greenville Community Hospital East's CMS Certification Number (CCN), also called its Medicare provider number, is 440025.

What is Greenville Community Hospital East's NPI number?

The National Provider Identifier (NPI) on file for Greenville Community Hospital East is 1881669778.

What health system is Greenville Community Hospital East part of?

Greenville Community Hospital East is affiliated with Ballad Health.

Which insurance plans are in network at Greenville Community Hospital East?

Greenville Community Hospital East lists 17 in-network payers, including Centene, Cigna, Health Smart, Johns Hopkins Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for Greenville Community Hospital East?

23 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.

What is a hospital price transparency MRF?

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.

What is a chargemaster review?

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.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster