High inten beh couns std 30m at Fort Sanders Regional Medical Center
1901 Clinch Ave, Knoxville, TN · Fsregional · · NPI 1942294814
not published by hospital
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.
not published by hospital
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.
$35.13 with United Healthcare vs $283.00 with United Healthcare — 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $35.13 | — |
| Wellpoint | Medicaid Tenncare | $73.23 | — |
| Tricare | Humana Military | $92.17 | — |
| Optum | VA CCN | $92.17 | — |
| Humana | Medicare Advantage PPO | $94.94 | — |
| United Healthcare | Medicare Advantage | $94.94 | — |
| United Healthcare | Community Plan DSNP | $94.94 | — |
| Humana | Medicare Advantage HMO | $94.94 | — |
| Humana | DSNP | $94.94 | — |
| Farm Bureau | Medicare Advantage HMO | $95.86 | — |
| Farm Bureau | Medicare Advantage PPO | $95.86 | — |
| Blue Cross of TN | Med Adv Sapphire | $96.78 | — |
| HealthSpring | Medicare PPO | $96.78 | — |
| HealthSpring | Medicare HMO POS | $96.78 | — |
| Wellcare | Medicare Advantage | $96.78 | — |
| Aetna | Medicare Advantage | $96.78 | — |
| Devoted Health | PPO | $96.78 | — |
| Cigna | Medicare PPO | $96.78 | — |
| Cigna | Medicare HMO | $96.78 | — |
| United Healthcare | DSNP | $96.78 | — |
| Devoted Health | HMO | $96.78 | — |
| Wellpoint | Medicare Advantage | $96.78 | — |
| Blue Cross of TN | BlueEssential DSNP | $96.78 | — |
| Blue Cross of TN | BlueEssential HMO | $96.78 | — |
| Blue Cross of TN | Med Adv Diamond | $96.78 | — |
| Blue Cross of TN | Med Adv PPO | $96.78 | — |
| Blue Cross of TN | Med Adv Ruby | $96.78 | — |
| Cigna | Medicare HMO-POS | $96.78 | — |
| Wellpoint | DSNP | $96.78 | — |
| United Healthcare | All Other Plans | $198.00 | — |
| United Healthcare | Heritage Select | $232.00 | — |
| United Healthcare | Options PPO | $283.00 | — |
| USA Managed Care Organization | PPO | not published by hospital | — |
| National Provider Network | PPO | not published by hospital | — |
| Aetna | Commercial | not published by hospital | — |
| Ambetter | Exchange | not published by hospital | — |
| Beech Street | PPO | not published by hospital | — |
| Cigna | HMO | not published by hospital | — |
| Cigna | OAP | not published by hospital | — |
| Cigna | POS | not published by hospital | — |
| Cigna | Local Plus | not published by hospital | — |
| Cigna | IFP | not published by hospital | — |
| NovaNet | Network Lease | not published by hospital | — |
| Galaxy Health Network | PPO | not published by hospital | — |
| BCBS TN | Blue Care | not published by hospital | — |
| BCBS TN | Commercial Network P | not published by hospital | — |
| BCBS TN | Commercial Network S | not published by hospital | — |
| CCN Managed Care | PPO | not published by hospital | — |
| Community Services Network | NonProfit Public Benefit | not published by hospital | — |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | not published by hospital | — |
| Direct Care America | PPO | not published by hospital | — |
| EHN | Network Lease | not published by hospital | — |
| Initial Group | PPO | not published by hospital | — |
| MedSave USA | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
High inten beh couns std 30m at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | not published | $28.47 – $96.78 |
| Hancock County Hospital | SNEEDVILLE | $53.59 | $17.83 – $187.64 |
| Roane County Medical Center | Harriman | not published | $35.13 – $96.78 |
| Claiborne Medical Center | Tazewell | not published | $35.13 – $103.65 |
| LeConte Medical Center | Sevierville | not published | $35.13 – $103.65 |
| Fort Loudoun Medical Center | Lenoir City | not published | $35.13 – $96.78 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | not published | $35.13 – $96.78 |
| Cumberland Medical Center, Inc. | Crossville | not published | $42.16 – $103.65 |