Exchange biliary drg cath at Parkwest Medical Center
9352 Park West Blvd, Knoxville, TN · Fsregional · · NPI 1396739165
$1,759.20
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.
?
What you pay up front if you don't use insurance.
$5,864.00
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.
$208.27 with Aetna vs $5,705.00 with United Healthcare — 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 |
|---|---|---|---|
| Aetna | Commercial | $208.27 | ↓ -88% |
| EHN | Network Lease | $1,319.40 | ↓ -25% |
| BCBS TN | Blue Care | $1,575.00 | ↓ -10% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $1,759.20 | ↑ +0% |
| Community Services Network | NonProfit Public Benefit | $1,905.80 | ↑ +8% |
| USA Managed Care Organization | PPO | $2,052.40 | ↑ +17% |
| NovaNet | Network Lease | $2,199.00 | ↑ +25% |
| Beech Street | PPO | $2,199.00 | ↑ +25% |
| Direct Care America | PPO | $2,345.60 | ↑ +33% |
| Cigna | BHO | $2,345.60 | ↑ +33% |
| MedSave USA | Commercial | $2,345.60 | ↑ +33% |
| National Provider Network | PPO | $2,345.60 | ↑ +33% |
| CCN Managed Care | PPO | $2,492.20 | ↑ +42% |
| United Healthcare | Tenncare | $2,533.00 | ↑ +44% |
| Initial Group | PPO | $2,580.16 | ↑ +47% |
| Galaxy Health Network | PPO | $2,638.80 | ↑ +50% |
| Wellpoint | Medicaid Tenncare | $2,875.00 | ↑ +63% |
| BCBS TN | Commercial Network S | $2,889.00 | ↑ +64% |
| Cigna | IFP | $3,186.00 | ↑ +81% |
| BCBS TN | Commercial Network P | $3,234.00 | ↑ +84% |
| Tricare | Humana Military | $3,248.41 | ↑ +85% |
| Optum | VA CCN | $3,248.41 | ↑ +85% |
| Ambetter | Exchange | $3,332.00 | ↑ +89% |
| United Healthcare | Medicare Advantage | $3,345.86 | ↑ +90% |
| United Healthcare | Community Plan DSNP | $3,345.86 | ↑ +90% |
| Humana | Medicare Advantage PPO | $3,345.86 | ↑ +90% |
| Humana | DSNP | $3,345.86 | ↑ +90% |
| Humana | Medicare Advantage HMO | $3,345.86 | ↑ +90% |
| Humana | Medicare Advantage | $3,345.86 | ↑ +90% |
| Farm Bureau | Medicare Advantage HMO | $3,378.35 | ↑ +92% |
| Farm Bureau | Medicare Advantage PPO | $3,378.35 | ↑ +92% |
| NHC Advantage | ISNP | $3,410.83 | ↑ +94% |
| Devoted Health | HMO | $3,410.83 | ↑ +94% |
| Wellcare | Medicare Advantage | $3,410.83 | ↑ +94% |
| American Health Plan | ISNP | $3,410.83 | ↑ +94% |
| United Healthcare | DSNP | $3,410.83 | ↑ +94% |
| HealthSpring | Medicare PPO | $3,410.83 | ↑ +94% |
| HealthSpring | Medicare HMO POS | $3,410.83 | ↑ +94% |
| Aetna | Medicare Advantage | $3,410.83 | ↑ +94% |
| Cigna | Medicare PPO | $3,410.83 | ↑ +94% |
| Cigna | Medicare HMO | $3,410.83 | ↑ +94% |
| Cigna | Medicare HMO-POS | $3,410.83 | ↑ +94% |
| Wellpoint | DSNP | $3,410.83 | ↑ +94% |
| Wellpoint | Medicare Advantage | $3,410.83 | ↑ +94% |
| Devoted Health | PPO | $3,410.83 | ↑ +94% |
| Blue Cross of TN | BlueEssential DSNP | $3,410.83 | ↑ +94% |
| Blue Cross of TN | BlueEssential HMO | $3,410.83 | ↑ +94% |
| Blue Cross of TN | Med Adv Diamond | $3,410.83 | ↑ +94% |
| Blue Cross of TN | Med Adv PPO | $3,410.83 | ↑ +94% |
| Blue Cross of TN | Med Adv Ruby | $3,410.83 | ↑ +94% |
| Blue Cross of TN | Med Adv Sapphire | $3,410.83 | ↑ +94% |
| Cigna | Local Plus | $3,907.00 | ↑ +122% |
| United Healthcare | All Other Plans | $3,976.00 | ↑ +126% |
| Cigna | OAP | $4,595.00 | ↑ +161% |
| Cigna | HMO | $4,595.00 | ↑ +161% |
| Cigna | POS | $4,595.00 | ↑ +161% |
| United Healthcare | Heritage Select | $4,675.00 | ↑ +166% |
| United Healthcare | Options PPO | $5,705.00 | ↑ +224% |
Visitor-reported prices
Comments
Exchange biliary drg cath at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fort Sanders Regional Medical Center | Knoxville | $1,935.12 | $1,319.40 – $3,410.83 |
| Ascension Saint Thomas Midtown | Nashville | $1,803.96 | $2,543.00 – $3,142.00 |
| CHI Memorial Hospital Hixson | Hixson | $2,664.89 | $1,800.60 – $6,302.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $1,799.75 | $2,364.00 – $6,444.92 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,808.27 | $1,890.63 – $6,302.10 |
| Johnson City Medical Center | JOHNSON CITY | $1,105.80 | $2,765.29 – $7,283.43 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,803.96 | $3,006.00 – $3,160.00 |
| Greeneville Community Hospital | GREENEVILLE | $1,105.80 | $2,472.81 – $7,283.43 |