Aco med nutria tx/group, ea 30 min 97804aco at Fort Sanders Regional Medical Center
1901 Clinch Ave, Knoxville, TN · Fsregional · · NPI 1942294814
$15.51
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.
?
What you pay up front if you don't use insurance.
$47.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.51 with Cigna vs $283.00 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Cigna | IFP | $0.51 | ↓ -97% |
| Cigna | Local Plus | $0.51 | ↓ -97% |
| Cigna | HMO | $0.60 | ↓ -96% |
| Cigna | POS | $0.60 | ↓ -96% |
| Cigna | OAP | $0.60 | ↓ -96% |
| United Healthcare | Tenncare | $7.72 | ↓ -50% |
| Aetna | Commercial | $18.80 | ↑ +21% |
| BCBS TN | Blue Care | $19.61 | ↑ +26% |
| EHN | Network Lease | $21.15 | ↑ +36% |
| BCBS TN | Commercial Network S | $22.55 | ↑ +45% |
| BCBS TN | Commercial Network P | $24.51 | ↑ +58% |
| Ambetter | Exchange | $28.20 | ↑ +82% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $28.20 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $30.55 | ↑ +97% |
| USA Managed Care Organization | PPO | $32.90 | ↑ +112% |
| NovaNet | Network Lease | $35.25 | ↑ +127% |
| Beech Street | PPO | $35.25 | ↑ +127% |
| MedSave USA | Commercial | $37.60 | ↑ +142% |
| National Provider Network | PPO | $37.60 | ↑ +142% |
| Direct Care America | PPO | $37.60 | ↑ +142% |
| CCN Managed Care | PPO | $39.95 | ↑ +158% |
| Initial Group | PPO | $41.36 | ↑ +167% |
| Galaxy Health Network | PPO | $42.30 | ↑ +173% |
| United Healthcare | All Other Plans | $198.00 | ↑ +1177% |
| United Healthcare | Heritage Select | $232.00 | ↑ +1396% |
| United Healthcare | Options PPO | $283.00 | ↑ +1725% |
Visitor-reported prices
Comments
Aco med nutria tx/group, ea 30 min 97804aco at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | $14.10 | $7.72 – $42.30 |
| Ascension Saint Thomas Midtown | Nashville | $37.97 | $12.99 – $35.08 |
| CHI Memorial Hospital Hixson | Hixson | $9.77 | $6.60 – $29.16 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $13.96 | $6.93 – $29.16 |
| Johnson City Medical Center | JOHNSON CITY | $5.25 | $13.18 – $261.82 |
| Ascension Saint Thomas DeKalb | Smithville | $126.06 | $7.32 – $35.08 |
| Ascension Saint Thomas Highlands | Sparta | $126.06 | $7.32 – $35.08 |
| Ascension Saint Thomas River Park | McMinnville | $126.06 | $7.32 – $35.08 |