Established Patient Office Visit (level 3) at Fort Sanders Regional Medical Center
1901 Clinch Ave, Knoxville, TN · Fsregional · · NPI 1942294814
$54.45
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.
$165.00
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.
$22.68 with BCBS TN vs $97.20 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 |
|---|---|---|---|
| BCBS TN | Blue Care | $22.68 | ↓ -58% |
| Aetna | Commercial | $43.20 | ↓ -21% |
| EHN | Network Lease | $48.60 | ↓ -11% |
| United Healthcare | Heritage Select | $54.00 | ↓ -1% |
| United Healthcare | Options PPO | $54.00 | ↓ -1% |
| United Healthcare | All Other Plans | $54.00 | ↓ -1% |
| Cigna | Local Plus | $54.86 | ↑ +1% |
| Cigna | IFP | $54.86 | ↑ +1% |
| Cigna | OAP | $64.58 | ↑ +19% |
| Cigna | POS | $64.58 | ↑ +19% |
| Cigna | HMO | $64.58 | ↑ +19% |
| BCBS TN | Commercial Network P | $64.80 | ↑ +19% |
| Ambetter | Exchange | $64.80 | ↑ +19% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $64.80 | ↑ +19% |
| BCBS TN | Commercial Network S | $64.80 | ↑ +19% |
| Community Services Network | NonProfit Public Benefit | $70.20 | ↑ +29% |
| USA Managed Care Organization | PPO | $75.60 | ↑ +39% |
| NovaNet | Network Lease | $81.00 | ↑ +49% |
| Beech Street | PPO | $81.00 | ↑ +49% |
| National Provider Network | PPO | $86.40 | ↑ +59% |
| Direct Care America | PPO | $86.40 | ↑ +59% |
| MedSave USA | Commercial | $86.40 | ↑ +59% |
| CCN Managed Care | PPO | $91.80 | ↑ +69% |
| Initial Group | PPO | $95.04 | ↑ +75% |
| Galaxy Health Network | PPO | $97.20 | ↑ +79% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | $141.75 | $22.68 – $97.20 |
| CHI Memorial Hospital Hixson | Hixson | $71.04 | $48.00 – $168.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $112.01 | $37.88 – $53.73 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $101.52 | $50.40 – $168.00 |
| Johnson City Medical Center | JOHNSON CITY | $36.30 | $43.80 – $64.91 |
| Hancock County Hospital | SNEEDVILLE | $35.42 | $36.06 – $43.80 |
| Greeneville Community Hospital | GREENEVILLE | $36.30 | $25.96 – $43.80 |
| Bristol Regional Medical Center | BRISTOL | $36.30 | $43.27 – $43.80 |