Valvuloplasty mitral at Greeneville Community Hospital
1420 TUSCULUM BLVD., GREENEVILLE, TN · Balladhealth · · NPI 1699819003
$4,357.65
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.
$29,051.00
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.
$1,305.46 with BLUE CROSS vs $29,051.00 with MOLINA HEALTHCARE — 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 | TENNCARE BLUE SELECT | $1,305.46 | ↓ -70% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,305.46 | ↓ -70% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,574.76 | ↓ -64% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $2,426.00 | ↓ -44% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $7,198.00 | ↑ +65% |
| SENTARA HEALTH | SENTARA HEALTH | $7,498.06 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $7,525.00 | ↑ +73% |
| AMERIGROUP | AMERIGROUP | $8,927.85 | ↑ +105% |
| BLUE CROSS | BLUE CROSS P NETWORK | $9,376.00 | ↑ +115% |
| CIGNA HEALTHCARE | CIGNA HMO | $9,440.00 | ↑ +117% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $9,440.00 | ↑ +117% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $9,628.00 | ↑ +121% |
| AETNA | AETNA HEALTHCARE MEDICARE | $10,772.38 | ↑ +147% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $10,772.38 | ↑ +147% |
| HUMANA | HUMANA MEDICARE | $10,772.38 | ↑ +147% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $10,772.38 | ↑ +147% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $10,772.38 | ↑ +147% |
| SENTARA HEALTH | SENTARA MEDICARE | $10,772.38 | ↑ +147% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $10,772.38 | ↑ +147% |
| BLUE CROSS | BLUE CROSS MEDICARE | $10,880.10 | ↑ +150% |
| CIGNA HEALTHCARE | CIGNA HEALTHCARE | $10,971.00 | ↑ +152% |
| CIGNA HEALTHCARE | CIGNA PPO | $10,971.00 | ↑ +152% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $11,095.55 | ↑ +155% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $11,203.27 | ↑ +157% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $11,311.00 | ↑ +160% |
| NHC ADVANTAGE | NHC ADVANTAGE | $11,311.00 | ↑ +160% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $11,311.00 | ↑ +160% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $11,311.00 | ↑ +160% |
| WELLCARE | WELLCARE MEDICARE | $11,418.72 | ↑ +162% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $11,764.02 | ↑ +170% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $11,764.02 | ↑ +170% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $11,764.02 | ↑ +170% |
| AETNA | AETNA | $12,404.78 | ↑ +185% |
| BLUE CROSS | BLUE CROSS E NETWORK | $12,700.00 | ↑ +191% |
| BLUE CROSS | BLUE CROSS S NETWORK | $13,404.00 | ↑ +208% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $13,479.66 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $13,825.37 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $23,240.80 | ↑ +433% |
| AMBETTER | AMBETTER | $23,483.78 | ↑ +439% |
| WELLCARE | WELLCARE MEDICAID | $29,051.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $29,051.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $29,051.00 | ↑ +567% |
Visitor-reported prices
Comments
Valvuloplasty mitral at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $24,000.75 | $1,125.40 – $48,001.50 |
| Bristol Regional Medical Center | BRISTOL | $4,357.65 | $1,305.46 – $26,283.39 |
| Holston Valley Medical Center | KINGSPORT | $4,357.65 | $1,305.46 – $26,283.39 |
| 62-0123940 BMH Collierville | Collierville | $2,722.65 | $1,907.10 – $20,769.12 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $4,357.65 | $1,305.46 – $22,832.77 |
| Parkwest Medical Center | Knoxville | $2,931.60 | $1,455.42 – $10,997.44 |
| Fort Sanders Regional Medical Center | Knoxville | $3,224.76 | $4,397.40 – $10,997.44 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $1,125.40 – $16,047.00 |