Bhv id assmt by phys/qhp at Fort Sanders Regional Medical Center
1901 Clinch Ave, Knoxville, TN · Fsregional · · NPI 1942294814
$20.13
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.
$61.00
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.
$12.81 with BCBS TN vs $158.00 with Aetna — 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 |
|---|---|---|---|
| BCBS TN | Blue Care | $12.81 | ↓ -36% |
| United Healthcare | Tenncare | $16.69 | ↓ -17% |
| Wellpoint | Medicaid Tenncare | $25.47 | ↑ +27% |
| EHN | Network Lease | $27.45 | ↑ +36% |
| United Healthcare | Heritage Select | $30.50 | ↑ +52% |
| United Healthcare | Options PPO | $30.50 | ↑ +52% |
| United Healthcare | All Other Plans | $30.50 | ↑ +52% |
| Cigna | IFP | $30.98 | ↑ +54% |
| Cigna | Local Plus | $30.98 | ↑ +54% |
| Cigna | POS | $36.47 | ↑ +81% |
| Cigna | OAP | $36.47 | ↑ +81% |
| Cigna | HMO | $36.47 | ↑ +81% |
| Ambetter | Exchange | $36.60 | ↑ +82% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $36.60 | ↑ +82% |
| BCBS TN | Commercial Network S | $36.60 | ↑ +82% |
| BCBS TN | Commercial Network P | $36.60 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $39.65 | ↑ +97% |
| USA Managed Care Organization | PPO | $42.70 | ↑ +112% |
| NovaNet | Network Lease | $45.75 | ↑ +127% |
| Beech Street | PPO | $45.75 | ↑ +127% |
| Direct Care America | PPO | $48.80 | ↑ +142% |
| National Provider Network | PPO | $48.80 | ↑ +142% |
| MedSave USA | Commercial | $48.80 | ↑ +142% |
| CCN Managed Care | PPO | $51.85 | ↑ +158% |
| Initial Group | PPO | $53.68 | ↑ +167% |
| Galaxy Health Network | PPO | $54.90 | ↑ +173% |
| Optum | VA CCN | $92.17 | ↑ +358% |
| Tricare | Humana Military | $92.17 | ↑ +358% |
| Humana | Medicare Advantage HMO | $94.94 | ↑ +372% |
| United Healthcare | Community Plan DSNP | $94.94 | ↑ +372% |
| United Healthcare | Medicare Advantage | $94.94 | ↑ +372% |
| Humana | Medicare Advantage PPO | $94.94 | ↑ +372% |
| Humana | DSNP | $94.94 | ↑ +372% |
| Farm Bureau | Medicare Advantage PPO | $95.86 | ↑ +376% |
| Farm Bureau | Medicare Advantage HMO | $95.86 | ↑ +376% |
| Blue Cross of TN | Med Adv Ruby | $96.78 | ↑ +381% |
| Blue Cross of TN | Med Adv Sapphire | $96.78 | ↑ +381% |
| Devoted Health | PPO | $96.78 | ↑ +381% |
| Wellcare | Medicare Advantage | $96.78 | ↑ +381% |
| Cigna | Medicare PPO | $96.78 | ↑ +381% |
| Aetna | Medicare Advantage | $96.78 | ↑ +381% |
| HealthSpring | Medicare HMO POS | $96.78 | ↑ +381% |
| HealthSpring | Medicare PPO | $96.78 | ↑ +381% |
| Cigna | Medicare HMO-POS | $96.78 | ↑ +381% |
| Wellpoint | DSNP | $96.78 | ↑ +381% |
| Wellpoint | Medicare Advantage | $96.78 | ↑ +381% |
| United Healthcare | DSNP | $96.78 | ↑ +381% |
| Blue Cross of TN | BlueEssential DSNP | $96.78 | ↑ +381% |
| Blue Cross of TN | BlueEssential HMO | $96.78 | ↑ +381% |
| Blue Cross of TN | Med Adv Diamond | $96.78 | ↑ +381% |
| Blue Cross of TN | Med Adv PPO | $96.78 | ↑ +381% |
| Cigna | Medicare HMO | $96.78 | ↑ +381% |
| Devoted Health | HMO | $96.78 | ↑ +381% |
| Aetna | Commercial | $158.00 | ↑ +685% |
Visitor-reported prices
Comments
Bhv id assmt by phys/qhp at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | not published | $16.69 – $96.78 |
| Ascension Saint Thomas Midtown | Nashville | not published | $79.73 – $124.03 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $78.58 – $122.23 |
| Ascension Saint Thomas Highlands | Sparta | not published | $78.58 – $122.23 |
| Ascension Saint Thomas River Park | McMinnville | not published | $78.58 – $122.23 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $79.73 – $124.03 |
| Roane County Medical Center | Harriman | not published | $16.69 – $96.78 |
| Claiborne Medical Center | Tazewell | not published | $16.69 – $103.65 |