M.tuberculo dna dir probe at Fort Sanders Regional Medical Center
1901 Clinch Ave, Knoxville, TN · Fsregional · · NPI 1942294814
$66.66
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.
$202.00
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.
$12.10 with Wellpoint vs $181.80 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 |
|---|---|---|---|
| Wellpoint | Medicaid Tenncare | $12.10 | ↓ -82% |
| United Healthcare | Tenncare | $12.83 | ↓ -81% |
| United Healthcare | Heritage Select | $26.88 | ↓ -60% |
| Tricare | Humana Military | $26.88 | ↓ -60% |
| Optum | VA CCN | $26.88 | ↓ -60% |
| United Healthcare | Options PPO | $26.88 | ↓ -60% |
| United Healthcare | All Other Plans | $26.88 | ↓ -60% |
| United Healthcare | Medicare Advantage | $27.69 | ↓ -58% |
| United Healthcare | Community Plan DSNP | $27.69 | ↓ -58% |
| Humana | Medicare Advantage HMO | $27.69 | ↓ -58% |
| Humana | DSNP | $27.69 | ↓ -58% |
| Humana | Medicare Advantage PPO | $27.69 | ↓ -58% |
| Farm Bureau | Medicare Advantage PPO | $27.96 | ↓ -58% |
| Farm Bureau | Medicare Advantage HMO | $27.96 | ↓ -58% |
| Devoted Health | PPO | $28.22 | ↓ -58% |
| HealthSpring | Medicare PPO | $28.22 | ↓ -58% |
| HealthSpring | Medicare HMO POS | $28.22 | ↓ -58% |
| Blue Cross of TN | Med Adv Sapphire | $28.22 | ↓ -58% |
| Aetna | Medicare Advantage | $28.22 | ↓ -58% |
| Wellcare | Medicare Advantage | $28.22 | ↓ -58% |
| Blue Cross of TN | Med Adv Ruby | $28.22 | ↓ -58% |
| Devoted Health | HMO | $28.22 | ↓ -58% |
| Cigna | Medicare PPO | $28.22 | ↓ -58% |
| Cigna | Medicare HMO | $28.22 | ↓ -58% |
| Blue Cross of TN | Med Adv PPO | $28.22 | ↓ -58% |
| Blue Cross of TN | Med Adv Diamond | $28.22 | ↓ -58% |
| Blue Cross of TN | BlueEssential HMO | $28.22 | ↓ -58% |
| Blue Cross of TN | BlueEssential DSNP | $28.22 | ↓ -58% |
| United Healthcare | DSNP | $28.22 | ↓ -58% |
| Cigna | Medicare HMO-POS | $28.22 | ↓ -58% |
| Wellpoint | DSNP | $28.22 | ↓ -58% |
| Wellpoint | Medicare Advantage | $28.22 | ↓ -58% |
| BCBS TN | Blue Care | $33.60 | ↓ -50% |
| Aetna | Commercial | $40.73 | ↓ -39% |
| BCBS TN | Commercial Network S | $47.04 | ↓ -29% |
| Ambetter | Exchange | $48.65 | ↓ -27% |
| BCBS TN | Commercial Network P | $51.07 | ↓ -23% |
| Cigna | IFP | $54.80 | ↓ -18% |
| Cigna | Local Plus | $55.04 | ↓ -17% |
| Cigna | POS | $59.83 | ↓ -10% |
| Cigna | OAP | $59.83 | ↓ -10% |
| Cigna | HMO | $59.83 | ↓ -10% |
| EHN | Network Lease | $90.90 | ↑ +36% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $121.20 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $131.30 | ↑ +97% |
| USA Managed Care Organization | PPO | $141.40 | ↑ +112% |
| Beech Street | PPO | $151.50 | ↑ +127% |
| NovaNet | Network Lease | $151.50 | ↑ +127% |
| National Provider Network | PPO | $161.60 | ↑ +142% |
| Direct Care America | PPO | $161.60 | ↑ +142% |
| MedSave USA | Commercial | $161.60 | ↑ +142% |
| CCN Managed Care | PPO | $171.70 | ↑ +158% |
| Initial Group | PPO | $177.76 | ↑ +167% |
| Galaxy Health Network | PPO | $181.80 | ↑ +173% |
Visitor-reported prices
Comments
M.tuberculo dna dir probe at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | $127.26 | $12.10 – $181.80 |
| Hancock County Hospital | SNEEDVILLE | $18.40 | $11.55 – $59.19 |
| Greeneville Community Hospital | GREENEVILLE | $18.75 | $10.22 – $58.60 |
| Bristol Regional Medical Center | BRISTOL | $18.75 | $10.50 – $64.51 |
| Holston Valley Medical Center | KINGSPORT | $18.75 | $10.20 – $64.51 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $18.75 | $11.55 – $58.60 |
| LeConte Medical Center | Sevierville | $58.58 | $12.10 – $181.80 |
| Fort Loudoun Medical Center | Lenoir City | $66.66 | $12.10 – $181.80 |