Bilicheck at Fort Sanders Regional Medical Center
1901 Clinch Ave, Knoxville, TN · Fsregional · · NPI 1942294814
$12.21
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.
$37.00
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.
$2.26 with Wellpoint vs $33.30 with Galaxy Health Network — 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 |
|---|---|---|---|
| Wellpoint | Medicaid Tenncare | $2.26 | ↓ -81% |
| United Healthcare | Tenncare | $3.21 | ↓ -74% |
| United Healthcare | Heritage Select | $5.02 | ↓ -59% |
| Tricare | Humana Military | $5.02 | ↓ -59% |
| Optum | VA CCN | $5.02 | ↓ -59% |
| United Healthcare | Options PPO | $5.02 | ↓ -59% |
| United Healthcare | All Other Plans | $5.02 | ↓ -59% |
| United Healthcare | Medicare Advantage | $5.17 | ↓ -58% |
| United Healthcare | Community Plan DSNP | $5.17 | ↓ -58% |
| Humana | Medicare Advantage HMO | $5.17 | ↓ -58% |
| Humana | DSNP | $5.17 | ↓ -58% |
| Humana | Medicare Advantage PPO | $5.17 | ↓ -58% |
| Farm Bureau | Medicare Advantage PPO | $5.22 | ↓ -57% |
| Farm Bureau | Medicare Advantage HMO | $5.22 | ↓ -57% |
| Devoted Health | PPO | $5.27 | ↓ -57% |
| HealthSpring | Medicare PPO | $5.27 | ↓ -57% |
| HealthSpring | Medicare HMO POS | $5.27 | ↓ -57% |
| Blue Cross of TN | Med Adv Sapphire | $5.27 | ↓ -57% |
| Aetna | Medicare Advantage | $5.27 | ↓ -57% |
| Wellcare | Medicare Advantage | $5.27 | ↓ -57% |
| Blue Cross of TN | Med Adv Ruby | $5.27 | ↓ -57% |
| Devoted Health | HMO | $5.27 | ↓ -57% |
| Cigna | Medicare PPO | $5.27 | ↓ -57% |
| Cigna | Medicare HMO | $5.27 | ↓ -57% |
| Blue Cross of TN | Med Adv PPO | $5.27 | ↓ -57% |
| Blue Cross of TN | Med Adv Diamond | $5.27 | ↓ -57% |
| Blue Cross of TN | BlueEssential HMO | $5.27 | ↓ -57% |
| Blue Cross of TN | BlueEssential DSNP | $5.27 | ↓ -57% |
| United Healthcare | DSNP | $5.27 | ↓ -57% |
| Cigna | Medicare HMO-POS | $5.27 | ↓ -57% |
| Wellpoint | DSNP | $5.27 | ↓ -57% |
| Wellpoint | Medicare Advantage | $5.27 | ↓ -57% |
| BCBS TN | Blue Care | $6.96 | ↓ -43% |
| Aetna | Commercial | $7.61 | ↓ -38% |
| Ambetter | Exchange | $9.09 | ↓ -26% |
| BCBS TN | Commercial Network S | $9.75 | ↓ -20% |
| Cigna | IFP | $10.40 | ↓ -15% |
| Cigna | Local Plus | $10.44 | ↓ -14% |
| BCBS TN | Commercial Network P | $10.58 | ↓ -13% |
| Cigna | POS | $11.35 | ↓ -7% |
| Cigna | OAP | $11.35 | ↓ -7% |
| Cigna | HMO | $11.35 | ↓ -7% |
| EHN | Network Lease | $16.65 | ↑ +36% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $22.20 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $24.05 | ↑ +97% |
| USA Managed Care Organization | PPO | $25.90 | ↑ +112% |
| Beech Street | PPO | $27.75 | ↑ +127% |
| NovaNet | Network Lease | $27.75 | ↑ +127% |
| National Provider Network | PPO | $29.60 | ↑ +142% |
| Direct Care America | PPO | $29.60 | ↑ +142% |
| MedSave USA | Commercial | $29.60 | ↑ +142% |
| CCN Managed Care | PPO | $31.45 | ↑ +158% |
| Initial Group | PPO | $32.56 | ↑ +167% |
| Galaxy Health Network | PPO | $33.30 | ↑ +173% |
Visitor-reported prices
Comments
Bilicheck at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | $11.10 | $2.26 – $33.30 |
| 62-0123940 BMH Collierville | Collierville | $4.83 | $4.77 – $10.04 |
| 62-1138045 BMH Union City | Union City | $4.40 | $4.37 – $10.04 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD | $53.55 | $2.26 – $15.06 |
| LeConte Medical Center | Sevierville | $10.73 | $2.26 – $33.30 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $12.21 | $2.26 – $33.30 |
| Cumberland Medical Center, Inc. | Crossville | $11.84 | $2.26 – $33.30 |
| Morristown-Hamblen Hospital Association | Morristown | $11.10 | $2.26 – $33.30 |