Revision tips at Fort Sanders Regional Medical Center
1901 Clinch Ave, Knoxville, TN · Fsregional · · NPI 1942294814
$3,498.00
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.
$10,600.00
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.
$2,009.00 with Ambetter vs $15,328.00 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 |
|---|---|---|---|
| Ambetter | Exchange | $2,009.00 | ↓ -43% |
| BCBS TN | Blue Care | $2,310.00 | ↓ -34% |
| Cigna | IFP | $2,372.00 | ↓ -32% |
| Cigna | Local Plus | $2,857.00 | ↓ -18% |
| Cigna | OAP | $3,419.00 | ↓ -2% |
| Cigna | POS | $3,419.00 | ↓ -2% |
| Cigna | HMO | $3,419.00 | ↓ -2% |
| EHN | Network Lease | $4,770.00 | ↑ +36% |
| BCBS TN | Commercial Network S | $5,144.00 | ↑ +47% |
| Optum | VA CCN | $5,163.81 | ↑ +48% |
| Tricare | Humana Military | $5,163.81 | ↑ +48% |
| Humana | Medicare Advantage HMO | $5,318.72 | ↑ +52% |
| United Healthcare | Medicare Advantage | $5,318.72 | ↑ +52% |
| United Healthcare | Community Plan DSNP | $5,318.72 | ↑ +52% |
| Humana | DSNP | $5,318.72 | ↑ +52% |
| Humana | Medicare Advantage PPO | $5,318.72 | ↑ +52% |
| Farm Bureau | Medicare Advantage PPO | $5,370.36 | ↑ +54% |
| Farm Bureau | Medicare Advantage HMO | $5,370.36 | ↑ +54% |
| Blue Cross of TN | BlueEssential HMO | $5,422.00 | ↑ +55% |
| Devoted Health | HMO | $5,422.00 | ↑ +55% |
| Wellcare | Medicare Advantage | $5,422.00 | ↑ +55% |
| United Healthcare | DSNP | $5,422.00 | ↑ +55% |
| Devoted Health | PPO | $5,422.00 | ↑ +55% |
| HealthSpring | Medicare PPO | $5,422.00 | ↑ +55% |
| HealthSpring | Medicare HMO POS | $5,422.00 | ↑ +55% |
| Aetna | Medicare Advantage | $5,422.00 | ↑ +55% |
| Cigna | Medicare PPO | $5,422.00 | ↑ +55% |
| Cigna | Medicare HMO | $5,422.00 | ↑ +55% |
| Blue Cross of TN | Med Adv Ruby | $5,422.00 | ↑ +55% |
| Blue Cross of TN | Med Adv PPO | $5,422.00 | ↑ +55% |
| Blue Cross of TN | BlueEssential DSNP | $5,422.00 | ↑ +55% |
| Blue Cross of TN | Med Adv Diamond | $5,422.00 | ↑ +55% |
| Cigna | Medicare HMO-POS | $5,422.00 | ↑ +55% |
| Wellpoint | DSNP | $5,422.00 | ↑ +55% |
| Wellpoint | Medicare Advantage | $5,422.00 | ↑ +55% |
| Blue Cross of TN | Med Adv Sapphire | $5,422.00 | ↑ +55% |
| BCBS TN | Commercial Network P | $5,761.00 | ↑ +65% |
| Aetna | Commercial | $6,083.44 | ↑ +74% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $6,360.00 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $6,890.00 | ↑ +97% |
| USA Managed Care Organization | PPO | $7,420.00 | ↑ +112% |
| Beech Street | PPO | $7,950.00 | ↑ +127% |
| NovaNet | Network Lease | $7,950.00 | ↑ +127% |
| United Healthcare | Tenncare | $8,192.00 | ↑ +134% |
| Wellpoint | Medicaid Tenncare | $8,400.00 | ↑ +140% |
| MedSave USA | Commercial | $8,480.00 | ↑ +142% |
| National Provider Network | PPO | $8,480.00 | ↑ +142% |
| Direct Care America | PPO | $8,480.00 | ↑ +142% |
| CCN Managed Care | PPO | $9,010.00 | ↑ +158% |
| Initial Group | PPO | $9,328.00 | ↑ +167% |
| Galaxy Health Network | PPO | $9,540.00 | ↑ +173% |
| United Healthcare | All Other Plans | $10,677.00 | ↑ +205% |
| United Healthcare | Heritage Select | $12,557.00 | ↑ +259% |
| United Healthcare | Options PPO | $15,328.00 | ↑ +338% |
Visitor-reported prices
Comments
Revision tips at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | $3,180.00 | $707.01 – $9,540.00 |
| Ascension Saint Thomas Midtown | Nashville | $7,858.20 | $2,118.00 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | $3,233.51 | $2,184.80 – $7,646.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $4,620.86 | $2,294.04 – $7,646.80 |
| Johnson City Medical Center | JOHNSON CITY | $2,983.35 | $4,830.21 – $11,578.07 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $7,209.36 | $2,118.00 – $2,306.90 |
| Greeneville Community Hospital | GREENEVILLE | $2,983.35 | $4,319.33 – $11,578.07 |
| Bristol Regional Medical Center | BRISTOL | $2,983.35 | $5,399.31 – $12,958.35 |