Ghs i and d perirectal abscess 46040 at Fort Sanders Regional Medical Center
1901 Clinch Ave, Knoxville, TN · Fsregional · · NPI 1942294814
$768.57
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.
$2,329.00
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.
$1,048.05 with EHN vs $2,769.00 with Cigna — 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 | $1,048.05 | ↑ +36% |
| Optum | VA CCN | $1,085.68 | ↑ +41% |
| Tricare | Humana Military | $1,085.68 | ↑ +41% |
| United Healthcare | Community Plan DSNP | $1,118.25 | ↑ +45% |
| United Healthcare | Medicare Advantage | $1,118.25 | ↑ +45% |
| Humana | Medicare Advantage PPO | $1,118.25 | ↑ +45% |
| Humana | Medicare Advantage HMO | $1,118.25 | ↑ +45% |
| Humana | DSNP | $1,118.25 | ↑ +45% |
| Farm Bureau | Medicare Advantage PPO | $1,129.11 | ↑ +47% |
| Farm Bureau | Medicare Advantage HMO | $1,129.11 | ↑ +47% |
| Wellpoint | Medicare Advantage | $1,139.96 | ↑ +48% |
| Devoted Health | PPO | $1,139.96 | ↑ +48% |
| Devoted Health | HMO | $1,139.96 | ↑ +48% |
| Wellcare | Medicare Advantage | $1,139.96 | ↑ +48% |
| United Healthcare | DSNP | $1,139.96 | ↑ +48% |
| HealthSpring | Medicare PPO | $1,139.96 | ↑ +48% |
| HealthSpring | Medicare HMO POS | $1,139.96 | ↑ +48% |
| Blue Cross of TN | BlueEssential HMO | $1,139.96 | ↑ +48% |
| Blue Cross of TN | BlueEssential DSNP | $1,139.96 | ↑ +48% |
| Cigna | Medicare HMO-POS | $1,139.96 | ↑ +48% |
| Wellpoint | DSNP | $1,139.96 | ↑ +48% |
| Aetna | Medicare Advantage | $1,139.96 | ↑ +48% |
| Blue Cross of TN | Med Adv Sapphire | $1,139.96 | ↑ +48% |
| Cigna | Medicare PPO | $1,139.96 | ↑ +48% |
| Cigna | Medicare HMO | $1,139.96 | ↑ +48% |
| Blue Cross of TN | Med Adv Ruby | $1,139.96 | ↑ +48% |
| Blue Cross of TN | Med Adv PPO | $1,139.96 | ↑ +48% |
| Blue Cross of TN | Med Adv Diamond | $1,139.96 | ↑ +48% |
| Wellpoint | Medicaid Tenncare | $1,391.00 | ↑ +81% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $1,397.40 | ↑ +82% |
| United Healthcare | Tenncare | $1,512.00 | ↑ +97% |
| Community Services Network | NonProfit Public Benefit | $1,513.85 | ↑ +97% |
| USA Managed Care Organization | PPO | $1,630.30 | ↑ +112% |
| NovaNet | Network Lease | $1,746.75 | ↑ +127% |
| Beech Street | PPO | $1,746.75 | ↑ +127% |
| MedSave USA | Commercial | $1,863.20 | ↑ +142% |
| National Provider Network | PPO | $1,863.20 | ↑ +142% |
| Direct Care America | PPO | $1,863.20 | ↑ +142% |
| BCBS TN | Blue Care | $1,890.00 | ↑ +146% |
| United Healthcare | All Other Plans | $1,894.00 | ↑ +146% |
| Cigna | IFP | $1,921.00 | ↑ +150% |
| CCN Managed Care | PPO | $1,979.65 | ↑ +158% |
| Ambetter | Exchange | $2,009.00 | ↑ +161% |
| BCBS TN | Commercial Network S | $2,046.00 | ↑ +166% |
| Initial Group | PPO | $2,049.52 | ↑ +167% |
| Aetna | Commercial | $2,074.32 | ↑ +170% |
| Galaxy Health Network | PPO | $2,096.10 | ↑ +173% |
| United Healthcare | Heritage Select | $2,227.00 | ↑ +190% |
| BCBS TN | Commercial Network P | $2,290.00 | ↑ +198% |
| Cigna | Local Plus | $2,354.00 | ↑ +206% |
| United Healthcare | Options PPO | $2,717.00 | ↑ +254% |
| Cigna | HMO | $2,769.00 | ↑ +260% |
| Cigna | POS | $2,769.00 | ↑ +260% |
| Cigna | OAP | $2,769.00 | ↑ +260% |
Visitor-reported prices
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Ghs i and d perirectal abscess 46040 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | not published | $659.03 – $1,139.96 |
| 62-1166050 BMH Carroll County | Huntingdon | $806.84 | $936.68 – $2,153.28 |
| Johnson City Medical Center | JOHNSON CITY | $881.70 | $242.12 – $2,434.27 |
| Hancock County Hospital | SNEEDVILLE | $865.26 | $242.12 – $2,126.94 |
| Greeneville Community Hospital | GREENEVILLE | $881.70 | $242.12 – $2,434.27 |
| Bristol Regional Medical Center | BRISTOL | $881.70 | $242.12 – $2,724.47 |
| Franklin Woods Community Hospital | JOHNSON CITY | $881.70 | $242.12 – $2,368.55 |
| Holston Valley Medical Center | KINGSPORT | $881.70 | $242.12 – $2,724.47 |