Valvuloplasty mitral at Fort Sanders Regional Medical Center
1901 Clinch Ave, Knoxville, TN · Fsregional · · NPI 1942294814
$3,224.76
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.
$9,772.00
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.
$3,717.00 with United Healthcare vs $11,489.00 with Cigna — 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 | $3,717.00 | ↑ +15% |
| EHN | Network Lease | $4,397.40 | ↑ +36% |
| Aetna | Commercial | $4,558.52 | ↑ +41% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $5,863.20 | ↑ +82% |
| United Healthcare | All Other Plans | $6,058.00 | ↑ +88% |
| BCBS TN | Blue Care | $6,296.00 | ↑ +95% |
| Community Services Network | NonProfit Public Benefit | $6,351.80 | ↑ +97% |
| USA Managed Care Organization | PPO | $6,840.40 | ↑ +112% |
| United Healthcare | Heritage Select | $7,125.00 | ↑ +121% |
| Beech Street | PPO | $7,329.00 | ↑ +127% |
| NovaNet | Network Lease | $7,329.00 | ↑ +127% |
| Wellpoint | Medicaid Tenncare | $7,644.26 | ↑ +137% |
| Direct Care America | PPO | $7,817.60 | ↑ +142% |
| National Provider Network | PPO | $7,817.60 | ↑ +142% |
| MedSave USA | Commercial | $7,817.60 | ↑ +142% |
| CCN Managed Care | PPO | $8,306.20 | ↑ +158% |
| Initial Group | PPO | $8,599.36 | ↑ +167% |
| United Healthcare | Options PPO | $8,693.00 | ↑ +170% |
| Cigna | IFP | $8,709.00 | ↑ +170% |
| Galaxy Health Network | PPO | $8,794.80 | ↑ +173% |
| BCBS TN | Commercial Network S | $9,143.00 | ↑ +184% |
| Cigna | Local Plus | $9,766.00 | ↑ +203% |
| Ambetter | Exchange | $9,965.00 | ↑ +209% |
| BCBS TN | Commercial Network P | $10,238.00 | ↑ +217% |
| Optum | VA CCN | $10,473.75 | ↑ +225% |
| Tricare | Humana Military | $10,473.75 | ↑ +225% |
| Humana | Medicare Advantage HMO | $10,787.96 | ↑ +235% |
| Humana | DSNP | $10,787.96 | ↑ +235% |
| United Healthcare | Community Plan DSNP | $10,787.96 | ↑ +235% |
| Humana | Medicare Advantage PPO | $10,787.96 | ↑ +235% |
| United Healthcare | Medicare Advantage | $10,787.96 | ↑ +235% |
| Farm Bureau | Medicare Advantage HMO | $10,892.70 | ↑ +238% |
| Farm Bureau | Medicare Advantage PPO | $10,892.70 | ↑ +238% |
| Aetna | Medicare Advantage | $10,997.44 | ↑ +241% |
| Blue Cross of TN | BlueEssential DSNP | $10,997.44 | ↑ +241% |
| Blue Cross of TN | BlueEssential HMO | $10,997.44 | ↑ +241% |
| Blue Cross of TN | Med Adv Diamond | $10,997.44 | ↑ +241% |
| Blue Cross of TN | Med Adv PPO | $10,997.44 | ↑ +241% |
| Blue Cross of TN | Med Adv Ruby | $10,997.44 | ↑ +241% |
| Blue Cross of TN | Med Adv Sapphire | $10,997.44 | ↑ +241% |
| Devoted Health | PPO | $10,997.44 | ↑ +241% |
| Wellcare | Medicare Advantage | $10,997.44 | ↑ +241% |
| HealthSpring | Medicare PPO | $10,997.44 | ↑ +241% |
| Cigna | Medicare HMO-POS | $10,997.44 | ↑ +241% |
| Wellpoint | DSNP | $10,997.44 | ↑ +241% |
| Wellpoint | Medicare Advantage | $10,997.44 | ↑ +241% |
| United Healthcare | DSNP | $10,997.44 | ↑ +241% |
| Cigna | Medicare HMO | $10,997.44 | ↑ +241% |
| Cigna | Medicare PPO | $10,997.44 | ↑ +241% |
| HealthSpring | Medicare HMO POS | $10,997.44 | ↑ +241% |
| Devoted Health | HMO | $10,997.44 | ↑ +241% |
| Cigna | POS | $11,489.00 | ↑ +256% |
| Cigna | HMO | $11,489.00 | ↑ +256% |
| Cigna | OAP | $11,489.00 | ↑ +256% |
Visitor-reported prices
Comments
Valvuloplasty mitral at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | $2,931.60 | $1,455.42 – $10,997.44 |
| Ascension Saint Thomas Midtown | Nashville | $24,000.75 | $1,125.40 – $48,001.50 |
| Greeneville Community Hospital | GREENEVILLE | $4,357.65 | $1,305.46 – $23,483.78 |
| Bristol Regional Medical Center | BRISTOL | $4,357.65 | $1,305.46 – $26,283.39 |
| Holston Valley Medical Center | KINGSPORT | $4,357.65 | $1,305.46 – $26,283.39 |
| 62-0123940 BMH Collierville | Collierville | $2,722.65 | $1,907.10 – $20,769.12 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $4,357.65 | $1,305.46 – $22,832.77 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $1,125.40 – $16,047.00 |