Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$15,687.75
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.
$104,585.00
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.
$1,017.92 with BLUE CROSS vs $104,585.00 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,017.92 | ↓ -94% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,571.00 | ↓ -90% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,642.00 | ↓ -90% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,097.00 | ↓ -80% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $11,094.64 | ↓ -29% |
| BLUE CROSS | BLUE CROSS S NETWORK | $12,271.00 | ↓ -22% |
| BLUE CROSS | BLUE CROSS E NETWORK | $12,512.00 | ↓ -20% |
| BLUE CROSS | BLUE CROSS P NETWORK | $13,946.00 | ↓ -11% |
| AMERIGROUP | AMERIGROUP | $26,300.00 | ↑ +68% |
| SENTARA HEALTH | SENTARA HEALTH | $26,993.39 | ↑ +72% |
| AETNA | AETNA HEALTHCARE MEDICARE | $29,290.30 | ↑ +87% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $29,290.30 | ↑ +87% |
| HUMANA | HUMANA MEDICARE | $29,290.30 | ↑ +87% |
| SENTARA HEALTH | SENTARA MEDICARE | $29,290.30 | ↑ +87% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $29,290.30 | ↑ +87% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $29,290.30 | ↑ +87% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $29,290.30 | ↑ +87% |
| BLUE CROSS | BLUE CROSS MEDICARE | $29,583.20 | ↑ +89% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $30,169.00 | ↑ +92% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $30,461.91 | ↑ +94% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $30,754.81 | ↑ +96% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $30,754.81 | ↑ +96% |
| NHC ADVANTAGE | NHC ADVANTAGE | $30,754.81 | ↑ +96% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $30,754.81 | ↑ +96% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $30,845.86 | ↑ +97% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $30,845.86 | ↑ +97% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $30,845.86 | ↑ +97% |
| WELLCARE | WELLCARE MEDICARE | $31,047.71 | ↑ +98% |
| CIGNA HEALTHCARE | CIGNA HMO | $44,657.80 | ↑ +185% |
| AETNA | AETNA | $44,657.80 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $44,657.80 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA PPO | $47,167.84 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $47,167.84 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $48,527.44 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $49,772.00 | ↑ +217% |
| AMBETTER | AMBETTER | $63,852.84 | ↑ +307% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $83,668.00 | ↑ +433% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $104,585.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $104,585.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $104,585.00 | ↑ +567% |
Visitor-reported prices
Comments
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $14,799.87 | $1,752.88 – $14,894.00 |
| CHI Memorial Hospital Hixson | Hixson | $26,545.58 | $17,936.20 – $62,776.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $18,862.76 | $5,068.00 – $58,552.14 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $37,935.07 | $18,833.01 – $62,776.70 |
| Johnson City Medical Center | JOHNSON CITY | $15,687.75 | $1,017.92 – $63,852.84 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $14,799.87 | $1,869.19 – $6,935.50 |
| Bristol Regional Medical Center | BRISTOL | $15,687.75 | $1,017.92 – $71,465.04 |
| Franklin Woods Community Hospital | JOHNSON CITY | $15,687.75 | $1,017.92 – $62,128.87 |