Biopsy of heart lining at Parkwest Medical Center
9352 Park West Blvd, Knoxville, TN · Fsregional · · NPI 1396739165
$886.20
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.
$2,954.00
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.
$620.34 with BCBS TN vs $5,705.00 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 |
|---|---|---|---|
| BCBS TN | Blue Care | $620.34 | ↓ -30% |
| Aetna | Commercial | $754.04 | ↓ -15% |
| EHN | Network Lease | $1,329.30 | ↑ +50% |
| Cigna | IFP | $1,500.63 | ↑ +69% |
| Cigna | Local Plus | $1,500.63 | ↑ +69% |
| Cigna | POS | $1,766.49 | ↑ +99% |
| Cigna | OAP | $1,766.49 | ↑ +99% |
| Cigna | HMO | $1,766.49 | ↑ +99% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $1,772.40 | ↑ +100% |
| Community Services Network | NonProfit Public Benefit | $1,920.10 | ↑ +117% |
| Ambetter | Exchange | $2,009.00 | ↑ +127% |
| USA Managed Care Organization | PPO | $2,067.80 | ↑ +133% |
| Beech Street | PPO | $2,215.50 | ↑ +150% |
| NovaNet | Network Lease | $2,215.50 | ↑ +150% |
| National Provider Network | PPO | $2,363.20 | ↑ +167% |
| Direct Care America | PPO | $2,363.20 | ↑ +167% |
| MedSave USA | Commercial | $2,363.20 | ↑ +167% |
| Cigna | BHO | $2,363.20 | ↑ +167% |
| CCN Managed Care | PPO | $2,510.90 | ↑ +183% |
| United Healthcare | Tenncare | $2,533.00 | ↑ +186% |
| Initial Group | PPO | $2,599.52 | ↑ +193% |
| Galaxy Health Network | PPO | $2,658.60 | ↑ +200% |
| Optum | VA CCN | $2,864.70 | ↑ +223% |
| Tricare | Humana Military | $2,864.70 | ↑ +223% |
| Wellpoint | Medicaid Tenncare | $2,875.00 | ↑ +224% |
| BCBS TN | Commercial Network S | $2,889.00 | ↑ +226% |
| Humana | Medicare Advantage HMO | $2,950.64 | ↑ +233% |
| Humana | Medicare Advantage PPO | $2,950.64 | ↑ +233% |
| United Healthcare | Medicare Advantage | $2,950.64 | ↑ +233% |
| Humana | Medicare Advantage | $2,950.64 | ↑ +233% |
| United Healthcare | Community Plan DSNP | $2,950.64 | ↑ +233% |
| Humana | DSNP | $2,950.64 | ↑ +233% |
| Farm Bureau | Medicare Advantage PPO | $2,979.29 | ↑ +236% |
| Farm Bureau | Medicare Advantage HMO | $2,979.29 | ↑ +236% |
| Devoted Health | PPO | $3,007.94 | ↑ +239% |
| HealthSpring | Medicare PPO | $3,007.94 | ↑ +239% |
| HealthSpring | Medicare HMO POS | $3,007.94 | ↑ +239% |
| Aetna | Medicare Advantage | $3,007.94 | ↑ +239% |
| Cigna | Medicare PPO | $3,007.94 | ↑ +239% |
| Cigna | Medicare HMO | $3,007.94 | ↑ +239% |
| United Healthcare | DSNP | $3,007.94 | ↑ +239% |
| American Health Plan | ISNP | $3,007.94 | ↑ +239% |
| Cigna | Medicare HMO-POS | $3,007.94 | ↑ +239% |
| Wellpoint | DSNP | $3,007.94 | ↑ +239% |
| Wellpoint | Medicare Advantage | $3,007.94 | ↑ +239% |
| NHC Advantage | ISNP | $3,007.94 | ↑ +239% |
| Blue Cross of TN | BlueEssential DSNP | $3,007.94 | ↑ +239% |
| Blue Cross of TN | BlueEssential HMO | $3,007.94 | ↑ +239% |
| Blue Cross of TN | Med Adv Diamond | $3,007.94 | ↑ +239% |
| Blue Cross of TN | Med Adv PPO | $3,007.94 | ↑ +239% |
| Blue Cross of TN | Med Adv Ruby | $3,007.94 | ↑ +239% |
| Blue Cross of TN | Med Adv Sapphire | $3,007.94 | ↑ +239% |
| Wellcare | Medicare Advantage | $3,007.94 | ↑ +239% |
| Devoted Health | HMO | $3,007.94 | ↑ +239% |
| BCBS TN | Commercial Network P | $3,234.00 | ↑ +265% |
| United Healthcare | All Other Plans | $3,976.00 | ↑ +349% |
| United Healthcare | Heritage Select | $4,675.00 | ↑ +428% |
| United Healthcare | Options PPO | $5,705.00 | ↑ +544% |
Visitor-reported prices
Comments
Biopsy of heart lining at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fort Sanders Regional Medical Center | Knoxville | $974.82 | $620.34 – $3,007.94 |
| Ascension Saint Thomas Midtown | Nashville | $1,880.60 | $379.11 – $8,875.00 |
| CHI Memorial Hospital Hixson | Hixson | $3,411.40 | $564.23 – $8,067.50 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $4,875.08 | $564.23 – $8,067.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,880.60 | $379.11 – $8,875.00 |
| 62-0123940 BMH Collierville | Collierville | $1,038.45 | $642.44 – $5,764.34 |
| Roane County Medical Center | Harriman | $974.82 | $620.34 – $3,007.94 |
| LeConte Medical Center | Sevierville | $856.66 | $620.34 – $3,221.51 |