Hlth bhv ivntj fam 1st 30 at Fort Sanders Regional Medical Center
1901 Clinch Ave, Knoxville, TN · Fsregional · · NPI 1942294814
$31.35
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.
$95.00
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.
$13.66 with United Healthcare vs $85.50 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $13.66 | ↓ -56% |
| BCBS TN | Blue Care | $19.95 | ↓ -36% |
| Wellpoint | Medicaid Tenncare | $25.47 | ↓ -19% |
| Optum | VA CCN | $33.99 | ↑ +8% |
| Tricare | Humana Military | $33.99 | ↑ +8% |
| United Healthcare | Community Plan DSNP | $35.01 | ↑ +12% |
| United Healthcare | Medicare Advantage | $35.01 | ↑ +12% |
| Humana | Medicare Advantage HMO | $35.01 | ↑ +12% |
| Humana | DSNP | $35.01 | ↑ +12% |
| Humana | Medicare Advantage PPO | $35.01 | ↑ +12% |
| Farm Bureau | Medicare Advantage PPO | $35.35 | ↑ +13% |
| Farm Bureau | Medicare Advantage HMO | $35.35 | ↑ +13% |
| Blue Cross of TN | BlueEssential HMO | $35.69 | ↑ +14% |
| Cigna | Medicare PPO | $35.69 | ↑ +14% |
| Cigna | Medicare HMO | $35.69 | ↑ +14% |
| Blue Cross of TN | BlueEssential DSNP | $35.69 | ↑ +14% |
| Wellpoint | Medicare Advantage | $35.69 | ↑ +14% |
| Wellpoint | DSNP | $35.69 | ↑ +14% |
| Cigna | Medicare HMO-POS | $35.69 | ↑ +14% |
| Devoted Health | HMO | $35.69 | ↑ +14% |
| Wellcare | Medicare Advantage | $35.69 | ↑ +14% |
| United Healthcare | DSNP | $35.69 | ↑ +14% |
| Blue Cross of TN | Med Adv Sapphire | $35.69 | ↑ +14% |
| Blue Cross of TN | Med Adv Ruby | $35.69 | ↑ +14% |
| Blue Cross of TN | Med Adv PPO | $35.69 | ↑ +14% |
| Devoted Health | PPO | $35.69 | ↑ +14% |
| HealthSpring | Medicare PPO | $35.69 | ↑ +14% |
| HealthSpring | Medicare HMO POS | $35.69 | ↑ +14% |
| Blue Cross of TN | Med Adv Diamond | $35.69 | ↑ +14% |
| Aetna | Medicare Advantage | $35.69 | ↑ +14% |
| Aetna | Commercial | $38.00 | ↑ +21% |
| EHN | Network Lease | $42.75 | ↑ +36% |
| United Healthcare | All Other Plans | $47.50 | ↑ +52% |
| United Healthcare | Heritage Select | $47.50 | ↑ +52% |
| United Healthcare | Options PPO | $47.50 | ↑ +52% |
| Cigna | IFP | $48.26 | ↑ +54% |
| Cigna | Local Plus | $48.26 | ↑ +54% |
| Cigna | HMO | $56.81 | ↑ +81% |
| Cigna | POS | $56.81 | ↑ +81% |
| Cigna | OAP | $56.81 | ↑ +81% |
| Ambetter | Exchange | $57.00 | ↑ +82% |
| BCBS TN | Commercial Network S | $57.00 | ↑ +82% |
| BCBS TN | Commercial Network P | $57.00 | ↑ +82% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $57.00 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $61.75 | ↑ +97% |
| USA Managed Care Organization | PPO | $66.50 | ↑ +112% |
| Beech Street | PPO | $71.25 | ↑ +127% |
| NovaNet | Network Lease | $71.25 | ↑ +127% |
| National Provider Network | PPO | $76.00 | ↑ +142% |
| Direct Care America | PPO | $76.00 | ↑ +142% |
| MedSave USA | Commercial | $76.00 | ↑ +142% |
| CCN Managed Care | PPO | $80.75 | ↑ +158% |
| Initial Group | PPO | $83.60 | ↑ +167% |
| Galaxy Health Network | PPO | $85.50 | ↑ +173% |
Visitor-reported prices
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Hlth bhv ivntj fam 1st 30 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | not published | $13.66 – $35.69 |
| Ascension Saint Thomas Midtown | Nashville | not published | $25.68 – $39.94 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $25.31 – $39.37 |
| Ascension Saint Thomas Highlands | Sparta | not published | $25.31 – $39.37 |
| Ascension Saint Thomas River Park | McMinnville | not published | $25.31 – $39.37 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $25.68 – $39.94 |
| Roane County Medical Center | Harriman | not published | $13.66 – $35.69 |
| Claiborne Medical Center | Tazewell | not published | $13.66 – $38.23 |