Valvuloplasty aortic at Methodist Medical Center of Oak Ridge
990 Oak Ridge Turnpike, Oak Ridge, TN · Fsregional · · NPI 1700870672
$3,224.76
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.
$9,772.00
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.
$2,009.00 with Ambetter vs $11,489.00 with Cigna — 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 |
|---|---|---|---|
| Ambetter | Exchange | $2,009.00 | ↓ -38% |
| United Healthcare | Tenncare | $2,671.00 | ↓ -17% |
| EHN | Network Lease | $4,397.40 | ↑ +36% |
| Aetna | Commercial | $4,558.52 | ↑ +41% |
| Tricare | Humana Military | $5,163.81 | ↑ +60% |
| Optum | VA CCN | $5,163.81 | ↑ +60% |
| Humana | Medicare Advantage PPO | $5,318.72 | ↑ +65% |
| United Healthcare | Medicare Advantage | $5,318.72 | ↑ +65% |
| Humana | Medicare Advantage HMO | $5,318.72 | ↑ +65% |
| United Healthcare | Community Plan DSNP | $5,318.72 | ↑ +65% |
| Humana | DSNP | $5,318.72 | ↑ +65% |
| Farm Bureau | Medicare Advantage PPO | $5,370.36 | ↑ +67% |
| Farm Bureau | Medicare Advantage HMO | $5,370.36 | ↑ +67% |
| Blue Cross of TN | BlueEssential DSNP | $5,422.00 | ↑ +68% |
| Devoted Health | HMO | $5,422.00 | ↑ +68% |
| Wellcare | Medicare Advantage | $5,422.00 | ↑ +68% |
| United Healthcare | DSNP | $5,422.00 | ↑ +68% |
| Devoted Health | PPO | $5,422.00 | ↑ +68% |
| HealthSpring | Medicare PPO | $5,422.00 | ↑ +68% |
| HealthSpring | Medicare HMO POS | $5,422.00 | ↑ +68% |
| Aetna | Medicare Advantage | $5,422.00 | ↑ +68% |
| Wellpoint | DSNP | $5,422.00 | ↑ +68% |
| Wellpoint | Medicare Advantage | $5,422.00 | ↑ +68% |
| Blue Cross of TN | Med Adv Diamond | $5,422.00 | ↑ +68% |
| Blue Cross of TN | BlueEssential HMO | $5,422.00 | ↑ +68% |
| Cigna | Medicare PPO | $5,422.00 | ↑ +68% |
| Cigna | Medicare HMO | $5,422.00 | ↑ +68% |
| Blue Cross of TN | Med Adv Sapphire | $5,422.00 | ↑ +68% |
| Blue Cross of TN | Med Adv Ruby | $5,422.00 | ↑ +68% |
| Blue Cross of TN | Med Adv PPO | $5,422.00 | ↑ +68% |
| Cigna | Medicare HMO-POS | $5,422.00 | ↑ +68% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $5,863.20 | ↑ +82% |
| United Healthcare | All Other Plans | $6,058.00 | ↑ +88% |
| BCBS TN | Blue Care | $6,296.00 | ↑ +95% |
| Community Services Network | NonProfit Public Benefit | $6,351.80 | ↑ +97% |
| USA Managed Care Organization | PPO | $6,840.40 | ↑ +112% |
| United Healthcare | Heritage Select | $7,125.00 | ↑ +121% |
| NovaNet | Network Lease | $7,329.00 | ↑ +127% |
| Wellpoint | Medicaid Tenncare | $7,644.26 | ↑ +137% |
| MedSave USA | Commercial | $7,817.60 | ↑ +142% |
| National Provider Network | PPO | $7,817.60 | ↑ +142% |
| Direct Care America | PPO | $7,817.60 | ↑ +142% |
| Beech Street | PPO | $8,306.20 | ↑ +158% |
| CCN Managed Care | PPO | $8,306.20 | ↑ +158% |
| Initial Group | PPO | $8,599.36 | ↑ +167% |
| United Healthcare | Options PPO | $8,693.00 | ↑ +170% |
| Cigna | IFP | $8,709.00 | ↑ +170% |
| Galaxy Health Network | PPO | $8,794.80 | ↑ +173% |
| Cigna | Local Plus | $9,766.00 | ↑ +203% |
| BCBS TN | Commercial Network P | $10,137.00 | ↑ +214% |
| BCBS TN | Commercial Network S | $10,137.00 | ↑ +214% |
| Cigna | HMO | $11,489.00 | ↑ +256% |
| Cigna | OAP | $11,489.00 | ↑ +256% |
| Cigna | POS | $11,489.00 | ↑ +256% |
Visitor-reported prices
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Valvuloplasty aortic at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $11,791.82 | $1,089.99 – $23,583.63 |
| CHI Memorial Hospital Hixson | Hixson | $9,894.69 | $1,622.23 – $23,399.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $14,140.05 | $1,622.23 – $23,399.60 |
| Johnson City Medical Center | JOHNSON CITY | $4,357.65 | $1,264.39 – $11,578.07 |
| Greeneville Community Hospital | GREENEVILLE | $4,357.65 | $1,264.39 – $11,764.02 |
| Bristol Regional Medical Center | BRISTOL | $4,357.65 | $1,264.39 – $12,958.35 |
| Franklin Woods Community Hospital | JOHNSON CITY | $4,357.65 | $1,525.20 – $11,764.02 |
| Holston Valley Medical Center | KINGSPORT | $4,357.65 | $1,264.39 – $12,958.35 |