Analysis gene f2 20210g>a variant at Fort Sanders Regional Medical Center
1901 Clinch Ave, Knoxville, TN · Fsregional · · NPI 1942294814
$55.44
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.
$168.00
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.
$29.56 with Wellpoint vs $151.20 with Galaxy Health Network — 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 |
|---|---|---|---|
| Wellpoint | Medicaid Tenncare | $29.56 | ↓ -47% |
| United Healthcare | Tenncare | $31.47 | ↓ -43% |
| United Healthcare | Options PPO | $65.69 | ↑ +18% |
| United Healthcare | All Other Plans | $65.69 | ↑ +18% |
| United Healthcare | Heritage Select | $65.69 | ↑ +18% |
| Tricare | Humana Military | $65.69 | ↑ +18% |
| Optum | VA CCN | $65.69 | ↑ +18% |
| Humana | Medicare Advantage HMO | $67.66 | ↑ +22% |
| Humana | DSNP | $67.66 | ↑ +22% |
| Humana | Medicare Advantage PPO | $67.66 | ↑ +22% |
| United Healthcare | Medicare Advantage | $67.66 | ↑ +22% |
| United Healthcare | Community Plan DSNP | $67.66 | ↑ +22% |
| Farm Bureau | Medicare Advantage PPO | $68.32 | ↑ +23% |
| Farm Bureau | Medicare Advantage HMO | $68.32 | ↑ +23% |
| Blue Cross of TN | BlueEssential DSNP | $68.97 | ↑ +24% |
| Devoted Health | HMO | $68.97 | ↑ +24% |
| Wellcare | Medicare Advantage | $68.97 | ↑ +24% |
| United Healthcare | DSNP | $68.97 | ↑ +24% |
| Devoted Health | PPO | $68.97 | ↑ +24% |
| HealthSpring | Medicare PPO | $68.97 | ↑ +24% |
| HealthSpring | Medicare HMO POS | $68.97 | ↑ +24% |
| Aetna | Medicare Advantage | $68.97 | ↑ +24% |
| Cigna | Medicare PPO | $68.97 | ↑ +24% |
| Cigna | Medicare HMO | $68.97 | ↑ +24% |
| Cigna | Medicare HMO-POS | $68.97 | ↑ +24% |
| Wellpoint | DSNP | $68.97 | ↑ +24% |
| Wellpoint | Medicare Advantage | $68.97 | ↑ +24% |
| Blue Cross of TN | Med Adv PPO | $68.97 | ↑ +24% |
| Blue Cross of TN | Med Adv Diamond | $68.97 | ↑ +24% |
| Blue Cross of TN | BlueEssential HMO | $68.97 | ↑ +24% |
| Blue Cross of TN | Med Adv Sapphire | $68.97 | ↑ +24% |
| Blue Cross of TN | Med Adv Ruby | $68.97 | ↑ +24% |
| EHN | Network Lease | $75.60 | ↑ +36% |
| BCBS TN | Blue Care | $82.11 | ↑ +48% |
| Aetna | Commercial | $99.53 | ↑ +80% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $100.80 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $109.20 | ↑ +97% |
| BCBS TN | Commercial Network S | $114.96 | ↑ +107% |
| USA Managed Care Organization | PPO | $117.60 | ↑ +112% |
| Ambetter | Exchange | $118.90 | ↑ +114% |
| BCBS TN | Commercial Network P | $124.81 | ↑ +125% |
| Beech Street | PPO | $126.00 | ↑ +127% |
| NovaNet | Network Lease | $126.00 | ↑ +127% |
| National Provider Network | PPO | $134.40 | ↑ +142% |
| Direct Care America | PPO | $134.40 | ↑ +142% |
| MedSave USA | Commercial | $134.40 | ↑ +142% |
| Cigna | IFP | $134.58 | ↑ +143% |
| Cigna | Local Plus | $135.17 | ↑ +144% |
| CCN Managed Care | PPO | $142.80 | ↑ +158% |
| Cigna | POS | $146.93 | ↑ +165% |
| Cigna | HMO | $146.93 | ↑ +165% |
| Cigna | OAP | $146.93 | ↑ +165% |
| Initial Group | PPO | $147.84 | ↑ +167% |
| Galaxy Health Network | PPO | $151.20 | ↑ +173% |
Visitor-reported prices
Comments
Analysis gene f2 20210g>a variant at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | $105.84 | $29.56 – $151.20 |
| Ascension Saint Thomas Midtown | Nashville | $589.58 | $23.65 – $205.42 |
| CHI Memorial Hospital Hixson | Hixson | $79.63 | $40.00 – $188.30 |
| 62-1166050 BMH Carroll County | Huntingdon | $176.18 | $40.62 – $131.38 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $113.79 | $40.00 – $188.30 |
| Johnson City Medical Center | JOHNSON CITY | $86.10 | $32.85 – $143.20 |
| Ascension Saint Thomas DeKalb | Smithville | $78.08 | $33.23 – $205.42 |
| Ascension Saint Thomas Highlands | Sparta | $78.08 | $33.23 – $205.42 |