Chromosome banding study at Fort Sanders Regional Medical Center
1901 Clinch Ave, Knoxville, TN · Fsregional · · NPI 1942294814
$61.05
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.
$185.00
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.
$30.87 with Wellpoint vs $166.50 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 | $30.87 | ↓ -49% |
| United Healthcare | Tenncare | $43.88 | ↓ -28% |
| United Healthcare | Options PPO | $68.60 | ↑ +12% |
| United Healthcare | All Other Plans | $68.60 | ↑ +12% |
| United Healthcare | Heritage Select | $68.60 | ↑ +12% |
| Tricare | Humana Military | $68.60 | ↑ +12% |
| Optum | VA CCN | $68.60 | ↑ +12% |
| Humana | Medicare Advantage HMO | $70.66 | ↑ +16% |
| Humana | DSNP | $70.66 | ↑ +16% |
| Humana | Medicare Advantage PPO | $70.66 | ↑ +16% |
| United Healthcare | Medicare Advantage | $70.66 | ↑ +16% |
| United Healthcare | Community Plan DSNP | $70.66 | ↑ +16% |
| Farm Bureau | Medicare Advantage HMO | $71.34 | ↑ +17% |
| Farm Bureau | Medicare Advantage PPO | $71.34 | ↑ +17% |
| Blue Cross of TN | BlueEssential HMO | $72.03 | ↑ +18% |
| Devoted Health | HMO | $72.03 | ↑ +18% |
| Wellcare | Medicare Advantage | $72.03 | ↑ +18% |
| United Healthcare | DSNP | $72.03 | ↑ +18% |
| Devoted Health | PPO | $72.03 | ↑ +18% |
| HealthSpring | Medicare PPO | $72.03 | ↑ +18% |
| HealthSpring | Medicare HMO POS | $72.03 | ↑ +18% |
| Aetna | Medicare Advantage | $72.03 | ↑ +18% |
| Cigna | Medicare PPO | $72.03 | ↑ +18% |
| Cigna | Medicare HMO | $72.03 | ↑ +18% |
| Wellpoint | DSNP | $72.03 | ↑ +18% |
| Wellpoint | Medicare Advantage | $72.03 | ↑ +18% |
| Blue Cross of TN | Med Adv Ruby | $72.03 | ↑ +18% |
| Blue Cross of TN | Med Adv PPO | $72.03 | ↑ +18% |
| Blue Cross of TN | Med Adv Diamond | $72.03 | ↑ +18% |
| Blue Cross of TN | BlueEssential DSNP | $72.03 | ↑ +18% |
| Blue Cross of TN | Med Adv Sapphire | $72.03 | ↑ +18% |
| Cigna | Medicare HMO-POS | $72.03 | ↑ +18% |
| EHN | Network Lease | $83.25 | ↑ +36% |
| BCBS TN | Blue Care | $95.28 | ↑ +56% |
| Aetna | Commercial | $103.94 | ↑ +70% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $111.00 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $120.25 | ↑ +97% |
| Ambetter | Exchange | $124.17 | ↑ +103% |
| USA Managed Care Organization | PPO | $129.50 | ↑ +112% |
| BCBS TN | Commercial Network S | $133.39 | ↑ +118% |
| NovaNet | Network Lease | $138.75 | ↑ +127% |
| Beech Street | PPO | $138.75 | ↑ +127% |
| Cigna | IFP | $140.15 | ↑ +130% |
| Cigna | Local Plus | $140.76 | ↑ +131% |
| BCBS TN | Commercial Network P | $144.82 | ↑ +137% |
| National Provider Network | PPO | $148.00 | ↑ +142% |
| Direct Care America | PPO | $148.00 | ↑ +142% |
| MedSave USA | Commercial | $148.00 | ↑ +142% |
| Cigna | OAP | $153.00 | ↑ +151% |
| Cigna | HMO | $153.00 | ↑ +151% |
| Cigna | POS | $153.00 | ↑ +151% |
| CCN Managed Care | PPO | $157.25 | ↑ +158% |
| Initial Group | PPO | $162.80 | ↑ +167% |
| Galaxy Health Network | PPO | $166.50 | ↑ +173% |
Visitor-reported prices
Comments
Chromosome banding study at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | $110.25 | $30.87 – $157.50 |
| Roane County Medical Center | Harriman | $57.75 | $30.87 – $157.50 |
| Cumberland Medical Center, Inc. | Crossville | $56.00 | $30.87 – $157.50 |
| Morristown-Hamblen Hospital Association | Morristown | $52.50 | $30.87 – $157.50 |
| Ascension Saint Thomas Midtown | Nashville | not published | $24.70 – $265.25 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $48.09 – $265.25 |
| Ascension Saint Thomas Highlands | Sparta | not published | $48.09 – $265.25 |
| Ascension Saint Thomas River Park | McMinnville | not published | $48.09 – $300.28 |