Repair pm/icd lead sgl at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$2,481.00
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.
$16,540.00
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.
$370.85 with BLUE CROSS vs $16,540.00 with WELLCARE — 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 | $370.85 | ↓ -85% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,599.00 | ↓ -36% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,092.92 | ↓ -16% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,092.92 | ↓ -16% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,092.92 | ↓ -16% |
| AMERIGROUP | AMERIGROUP | $2,436.11 | ↓ -2% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3,336.00 | ↑ +34% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,487.12 | ↑ +41% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,487.12 | ↑ +41% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,487.12 | ↑ +41% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,487.12 | ↑ +41% |
| HUMANA | HUMANA MEDICARE | $3,487.12 | ↑ +41% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,487.12 | ↑ +41% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,487.12 | ↑ +41% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $3,488.00 | ↑ +41% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,521.99 | ↑ +42% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,591.73 | ↑ +45% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,626.60 | ↑ +46% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,661.47 | ↑ +48% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,661.47 | ↑ +48% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,661.47 | ↑ +48% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,661.47 | ↑ +48% |
| WELLCARE | WELLCARE MEDICARE | $3,696.34 | ↑ +49% |
| BLUE CROSS | BLUE CROSS E NETWORK | $4,109.00 | ↑ +66% |
| BLUE CROSS | BLUE CROSS S NETWORK | $4,213.00 | ↑ +70% |
| SENTARA HEALTH | SENTARA HEALTH | $4,268.97 | ↑ +72% |
| BLUE CROSS | BLUE CROSS P NETWORK | $4,580.00 | ↑ +85% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $5,883.00 | ↑ +137% |
| AETNA | AETNA | $7,062.58 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $7,062.58 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA HMO | $7,062.58 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $7,459.54 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA PPO | $7,459.54 | ↑ +201% |
| AMBETTER | AMBETTER | $7,601.92 | ↑ +206% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $7,674.56 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $7,871.39 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $13,232.00 | ↑ +433% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $16,540.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $16,540.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $16,540.00 | ↑ +567% |
Visitor-reported prices
Comments
Repair pm/icd lead sgl at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $4,069.52 | $1,752.88 – $14,894.00 |
| CHI Memorial Hospital Hixson | Hixson | $1,629.78 | $1,101.20 – $3,854.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $4,174.27 | $2,364.00 – $6,646.24 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,329.04 | $1,156.26 – $3,854.20 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $4,069.52 | $1,869.19 – $13,471.00 |
| Bristol Regional Medical Center | BRISTOL | $2,481.00 | $370.85 – $8,508.17 |
| Holston Valley Medical Center | KINGSPORT | $2,481.00 | $370.85 – $8,508.17 |
| 62-0123940 BMH Collierville | Collierville | $3,811.29 | $3,165.88 – $6,665.02 |