Opps service,sched team conf at Fort Sanders Regional Medical Center
1901 Clinch Ave, Knoxville, TN · Fsregional · · NPI 1942294814
$210.87
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.
?
What you pay up front if you don't use insurance.
$639.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$166.21 with United Healthcare vs $575.10 with Galaxy Health Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $166.21 | ↓ -21% |
| Aetna | Commercial | $255.60 | ↑ +21% |
| EHN | Network Lease | $287.55 | ↑ +36% |
| United Healthcare | All Other Plans | $319.50 | ↑ +52% |
| United Healthcare | Heritage Select | $319.50 | ↑ +52% |
| United Healthcare | Options PPO | $319.50 | ↑ +52% |
| Cigna | Local Plus | $324.61 | ↑ +54% |
| Cigna | IFP | $324.61 | ↑ +54% |
| Wellpoint | Medicaid Tenncare | $328.02 | ↑ +56% |
| Optum | VA CCN | $378.57 | ↑ +80% |
| Tricare | Humana Military | $378.57 | ↑ +80% |
| Cigna | HMO | $382.12 | ↑ +81% |
| Cigna | OAP | $382.12 | ↑ +81% |
| Cigna | POS | $382.12 | ↑ +81% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $383.40 | ↑ +82% |
| Ambetter | Exchange | $383.40 | ↑ +82% |
| BCBS TN | Commercial Network P | $383.40 | ↑ +82% |
| BCBS TN | Commercial Network S | $383.40 | ↑ +82% |
| United Healthcare | Community Plan DSNP | $389.93 | ↑ +85% |
| Humana | DSNP | $389.93 | ↑ +85% |
| Humana | Medicare Advantage HMO | $389.93 | ↑ +85% |
| United Healthcare | Medicare Advantage | $389.93 | ↑ +85% |
| Humana | Medicare Advantage PPO | $389.93 | ↑ +85% |
| Farm Bureau | Medicare Advantage HMO | $393.71 | ↑ +87% |
| Farm Bureau | Medicare Advantage PPO | $393.71 | ↑ +87% |
| Wellpoint | Medicare Advantage | $397.50 | ↑ +89% |
| Wellcare | Medicare Advantage | $397.50 | ↑ +89% |
| Devoted Health | HMO | $397.50 | ↑ +89% |
| Devoted Health | PPO | $397.50 | ↑ +89% |
| Blue Cross of TN | Med Adv Ruby | $397.50 | ↑ +89% |
| Cigna | Medicare PPO | $397.50 | ↑ +89% |
| Cigna | Medicare HMO | $397.50 | ↑ +89% |
| United Healthcare | DSNP | $397.50 | ↑ +89% |
| Cigna | Medicare HMO-POS | $397.50 | ↑ +89% |
| Wellpoint | DSNP | $397.50 | ↑ +89% |
| HealthSpring | Medicare HMO POS | $397.50 | ↑ +89% |
| Aetna | Medicare Advantage | $397.50 | ↑ +89% |
| Blue Cross of TN | Med Adv Sapphire | $397.50 | ↑ +89% |
| Blue Cross of TN | BlueEssential DSNP | $397.50 | ↑ +89% |
| Blue Cross of TN | BlueEssential HMO | $397.50 | ↑ +89% |
| Blue Cross of TN | Med Adv Diamond | $397.50 | ↑ +89% |
| Blue Cross of TN | Med Adv PPO | $397.50 | ↑ +89% |
| HealthSpring | Medicare PPO | $397.50 | ↑ +89% |
| Community Services Network | NonProfit Public Benefit | $415.35 | ↑ +97% |
| BCBS TN | Blue Care | $432.44 | ↑ +105% |
| USA Managed Care Organization | PPO | $447.30 | ↑ +112% |
| Beech Street | PPO | $479.25 | ↑ +127% |
| NovaNet | Network Lease | $479.25 | ↑ +127% |
| National Provider Network | PPO | $511.20 | ↑ +142% |
| Direct Care America | PPO | $511.20 | ↑ +142% |
| MedSave USA | Commercial | $511.20 | ↑ +142% |
| CCN Managed Care | PPO | $543.15 | ↑ +158% |
| Initial Group | PPO | $562.32 | ↑ +167% |
| Galaxy Health Network | PPO | $575.10 | ↑ +173% |
Visitor-reported prices
Comments
Opps service,sched team conf at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | not published | $75.80 – $432.44 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $210.87 | $166.21 – $575.10 |
| Morristown-Hamblen Hospital Association | Morristown | $191.70 | $166.21 – $575.10 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $928.29 – $928.29 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $928.29 – $928.29 |
| HORIZON MEDICAL CENTER | DICKSON | not published | $928.29 – $928.29 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD | not published | $928.29 – $928.29 |
| SKYLINE MADISON CAMPUS | NASHVILLE | not published | $928.29 – $928.29 |