Biopsy skin incisional single lesion at Fort Sanders Regional Medical Center
1901 Clinch Ave, Knoxville, TN · Fsregional · · NPI 1942294814
$373.89
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.
$1,133.00
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.
$509.85 with EHN vs $2,009.00 with Ambetter — 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 | $509.85 | ↑ +36% |
| Tricare | Humana Military | $670.54 | ↑ +79% |
| Optum | VA CCN | $670.54 | ↑ +79% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $679.80 | ↑ +82% |
| Humana | Medicare Advantage HMO | $690.66 | ↑ +85% |
| United Healthcare | Community Plan DSNP | $690.66 | ↑ +85% |
| Humana | DSNP | $690.66 | ↑ +85% |
| Humana | Medicare Advantage PPO | $690.66 | ↑ +85% |
| United Healthcare | Medicare Advantage | $690.66 | ↑ +85% |
| Farm Bureau | Medicare Advantage HMO | $697.36 | ↑ +87% |
| Farm Bureau | Medicare Advantage PPO | $697.36 | ↑ +87% |
| Cigna | Medicare HMO-POS | $704.07 | ↑ +88% |
| Devoted Health | HMO | $704.07 | ↑ +88% |
| Wellcare | Medicare Advantage | $704.07 | ↑ +88% |
| United Healthcare | DSNP | $704.07 | ↑ +88% |
| Devoted Health | PPO | $704.07 | ↑ +88% |
| HealthSpring | Medicare PPO | $704.07 | ↑ +88% |
| HealthSpring | Medicare HMO POS | $704.07 | ↑ +88% |
| Aetna | Medicare Advantage | $704.07 | ↑ +88% |
| Wellpoint | DSNP | $704.07 | ↑ +88% |
| Blue Cross of TN | Med Adv Sapphire | $704.07 | ↑ +88% |
| Blue Cross of TN | Med Adv Ruby | $704.07 | ↑ +88% |
| Cigna | Medicare PPO | $704.07 | ↑ +88% |
| Cigna | Medicare HMO | $704.07 | ↑ +88% |
| Blue Cross of TN | Med Adv PPO | $704.07 | ↑ +88% |
| Blue Cross of TN | Med Adv Diamond | $704.07 | ↑ +88% |
| Blue Cross of TN | BlueEssential HMO | $704.07 | ↑ +88% |
| Blue Cross of TN | BlueEssential DSNP | $704.07 | ↑ +88% |
| Wellpoint | Medicare Advantage | $704.07 | ↑ +88% |
| Community Services Network | NonProfit Public Benefit | $736.45 | ↑ +97% |
| USA Managed Care Organization | PPO | $793.10 | ↑ +112% |
| NovaNet | Network Lease | $849.75 | ↑ +127% |
| Beech Street | PPO | $849.75 | ↑ +127% |
| Direct Care America | PPO | $906.40 | ↑ +142% |
| MedSave USA | Commercial | $906.40 | ↑ +142% |
| National Provider Network | PPO | $906.40 | ↑ +142% |
| CCN Managed Care | PPO | $963.05 | ↑ +158% |
| Initial Group | PPO | $997.04 | ↑ +167% |
| Galaxy Health Network | PPO | $1,019.70 | ↑ +173% |
| United Healthcare | All Other Plans | $1,066.00 | ↑ +185% |
| United Healthcare | Tenncare | $1,200.00 | ↑ +221% |
| Cigna | IFP | $1,250.00 | ↑ +234% |
| United Healthcare | Heritage Select | $1,254.00 | ↑ +235% |
| Wellpoint | Medicaid Tenncare | $1,259.81 | ↑ +237% |
| Aetna | Commercial | $1,349.71 | ↑ +261% |
| United Healthcare | Options PPO | $1,526.00 | ↑ +308% |
| Cigna | Local Plus | $1,532.00 | ↑ +310% |
| BCBS TN | Blue Care | $1,575.00 | ↑ +321% |
| BCBS TN | Commercial Network S | $1,685.00 | ↑ +351% |
| Cigna | HMO | $1,802.00 | ↑ +382% |
| Cigna | POS | $1,802.00 | ↑ +382% |
| Cigna | OAP | $1,802.00 | ↑ +382% |
| BCBS TN | Commercial Network P | $1,887.00 | ↑ +405% |
| Ambetter | Exchange | $2,009.00 | ↑ +437% |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | not published | $69.64 – $704.07 |
| CHI Memorial Hospital Hixson | Hixson | $459.69 | $310.60 – $1,087.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $656.92 | $326.13 – $1,087.10 |
| Johnson City Medical Center | JOHNSON CITY | $114.15 | $282.67 – $1,503.46 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $353.28 | $527.62 – $1,004.50 |
| Greeneville Community Hospital | GREENEVILLE | $114.15 | $113.07 – $1,503.46 |
| Bristol Regional Medical Center | BRISTOL | $114.15 | $188.45 – $1,528.45 |
| Franklin Woods Community Hospital | JOHNSON CITY | $114.15 | $282.67 – $1,462.87 |