Abscess drain retroperitoneal surg code at Fort Sanders Regional Medical Center
1901 Clinch Ave, Knoxville, TN · Fsregional · · NPI 1942294814
$823.02
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.
$2,494.00
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.
$1,122.30 with EHN vs $4,595.00 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 |
|---|---|---|---|
| EHN | Network Lease | $1,122.30 | ↑ +36% |
| Wellpoint | Medicaid Tenncare | $1,391.00 | ↑ +69% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $1,496.40 | ↑ +82% |
| Tricare | Humana Military | $1,498.45 | ↑ +82% |
| Optum | VA CCN | $1,498.45 | ↑ +82% |
| United Healthcare | Tenncare | $1,512.00 | ↑ +84% |
| Humana | DSNP | $1,543.40 | ↑ +88% |
| United Healthcare | Medicare Advantage | $1,543.40 | ↑ +88% |
| Humana | Medicare Advantage HMO | $1,543.40 | ↑ +88% |
| United Healthcare | Community Plan DSNP | $1,543.40 | ↑ +88% |
| Humana | Medicare Advantage PPO | $1,543.40 | ↑ +88% |
| Farm Bureau | Medicare Advantage PPO | $1,558.39 | ↑ +89% |
| Farm Bureau | Medicare Advantage HMO | $1,558.39 | ↑ +89% |
| HealthSpring | Medicare HMO POS | $1,573.37 | ↑ +91% |
| Devoted Health | HMO | $1,573.37 | ↑ +91% |
| Wellcare | Medicare Advantage | $1,573.37 | ↑ +91% |
| United Healthcare | DSNP | $1,573.37 | ↑ +91% |
| Devoted Health | PPO | $1,573.37 | ↑ +91% |
| HealthSpring | Medicare PPO | $1,573.37 | ↑ +91% |
| Aetna | Medicare Advantage | $1,573.37 | ↑ +91% |
| Wellpoint | DSNP | $1,573.37 | ↑ +91% |
| Wellpoint | Medicare Advantage | $1,573.37 | ↑ +91% |
| Blue Cross of TN | Med Adv Sapphire | $1,573.37 | ↑ +91% |
| Cigna | Medicare PPO | $1,573.37 | ↑ +91% |
| Cigna | Medicare HMO | $1,573.37 | ↑ +91% |
| Blue Cross of TN | Med Adv Ruby | $1,573.37 | ↑ +91% |
| Blue Cross of TN | Med Adv PPO | $1,573.37 | ↑ +91% |
| Blue Cross of TN | Med Adv Diamond | $1,573.37 | ↑ +91% |
| Blue Cross of TN | BlueEssential HMO | $1,573.37 | ↑ +91% |
| Blue Cross of TN | BlueEssential DSNP | $1,573.37 | ↑ +91% |
| Cigna | Medicare HMO-POS | $1,573.37 | ↑ +91% |
| BCBS TN | Blue Care | $1,575.00 | ↑ +91% |
| Community Services Network | NonProfit Public Benefit | $1,621.10 | ↑ +97% |
| USA Managed Care Organization | PPO | $1,745.80 | ↑ +112% |
| Aetna | Commercial | $1,808.27 | ↑ +120% |
| NovaNet | Network Lease | $1,870.50 | ↑ +127% |
| Beech Street | PPO | $1,870.50 | ↑ +127% |
| United Healthcare | All Other Plans | $1,894.00 | ↑ +130% |
| National Provider Network | PPO | $1,995.20 | ↑ +142% |
| Direct Care America | PPO | $1,995.20 | ↑ +142% |
| MedSave USA | Commercial | $1,995.20 | ↑ +142% |
| BCBS TN | Commercial Network S | $2,046.00 | ↑ +149% |
| CCN Managed Care | PPO | $2,119.90 | ↑ +158% |
| Initial Group | PPO | $2,194.72 | ↑ +167% |
| United Healthcare | Heritage Select | $2,227.00 | ↑ +171% |
| Galaxy Health Network | PPO | $2,244.60 | ↑ +173% |
| BCBS TN | Commercial Network P | $2,290.00 | ↑ +178% |
| United Healthcare | Options PPO | $2,717.00 | ↑ +230% |
| Cigna | IFP | $3,186.00 | ↑ +287% |
| Ambetter | Exchange | $3,332.00 | ↑ +305% |
| Cigna | Local Plus | $3,907.00 | ↑ +375% |
| Cigna | POS | $4,595.00 | ↑ +458% |
| Cigna | OAP | $4,595.00 | ↑ +458% |
| Cigna | HMO | $4,595.00 | ↑ +458% |
Visitor-reported prices
Comments
Abscess drain retroperitoneal surg code at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | $748.20 | $310.98 – $2,244.60 |
| Ascension Saint Thomas Midtown | Nashville | $1,618.61 | $1,534.53 – $3,142.00 |
| CHI Memorial Hospital Hixson | Hixson | $1,338.52 | $904.40 – $3,165.40 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,912.81 | $949.62 – $3,165.40 |
| Johnson City Medical Center | JOHNSON CITY | $1,161.30 | $934.18 – $3,359.76 |
| Ascension Saint Thomas DeKalb | Smithville | $1,587.32 | $526.32 – $3,160.00 |
| Ascension Saint Thomas Highlands | Sparta | $1,587.32 | $526.32 – $3,160.00 |
| Ascension Saint Thomas River Park | McMinnville | $1,587.32 | $526.32 – $3,160.00 |