Ins icd gen exist sgl lead at Parkwest Medical Center
9352 Park West Blvd, Knoxville, TN · Fsregional · · NPI 1396739165
$6,228.00
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.
?
What you pay up front if you don't use insurance.
$20,760.00
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.
$672.77 with Aetna vs $42,519.00 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 | $672.77 | ↓ -89% |
| BCBS TN | Blue Care | $1,890.00 | ↓ -70% |
| Ambetter | Exchange | $2,009.00 | ↓ -68% |
| Cigna | IFP | $2,372.00 | ↓ -62% |
| Cigna | Local Plus | $2,857.00 | ↓ -54% |
| Cigna | POS | $3,419.00 | ↓ -45% |
| Cigna | HMO | $3,419.00 | ↓ -45% |
| Cigna | OAP | $3,419.00 | ↓ -45% |
| EHN | Network Lease | $9,342.00 | ↑ +50% |
| BCBS TN | Commercial Network S | $11,023.00 | ↑ +77% |
| BCBS TN | Commercial Network P | $12,341.00 | ↑ +98% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $12,456.00 | ↑ +100% |
| Community Services Network | NonProfit Public Benefit | $13,494.00 | ↑ +117% |
| USA Managed Care Organization | PPO | $14,532.00 | ↑ +133% |
| NovaNet | Network Lease | $15,570.00 | ↑ +150% |
| Beech Street | PPO | $15,570.00 | ↑ +150% |
| MedSave USA | Commercial | $16,608.00 | ↑ +167% |
| National Provider Network | PPO | $16,608.00 | ↑ +167% |
| Direct Care America | PPO | $16,608.00 | ↑ +167% |
| Cigna | BHO | $16,608.00 | ↑ +167% |
| CCN Managed Care | PPO | $17,646.00 | ↑ +183% |
| Initial Group | PPO | $18,268.80 | ↑ +193% |
| Galaxy Health Network | PPO | $18,684.00 | ↑ +200% |
| Optum | VA CCN | $20,181.03 | ↑ +224% |
| Tricare | Humana Military | $20,181.03 | ↑ +224% |
| United Healthcare | Medicare Advantage | $20,786.46 | ↑ +234% |
| Humana | DSNP | $20,786.46 | ↑ +234% |
| Humana | Medicare Advantage | $20,786.46 | ↑ +234% |
| United Healthcare | Community Plan DSNP | $20,786.46 | ↑ +234% |
| Humana | Medicare Advantage HMO | $20,786.46 | ↑ +234% |
| Humana | Medicare Advantage PPO | $20,786.46 | ↑ +234% |
| Farm Bureau | Medicare Advantage PPO | $20,988.27 | ↑ +237% |
| Farm Bureau | Medicare Advantage HMO | $20,988.27 | ↑ +237% |
| Devoted Health | HMO | $21,190.08 | ↑ +240% |
| Devoted Health | PPO | $21,190.08 | ↑ +240% |
| HealthSpring | Medicare PPO | $21,190.08 | ↑ +240% |
| HealthSpring | Medicare HMO POS | $21,190.08 | ↑ +240% |
| Aetna | Medicare Advantage | $21,190.08 | ↑ +240% |
| Cigna | Medicare PPO | $21,190.08 | ↑ +240% |
| Cigna | Medicare HMO | $21,190.08 | ↑ +240% |
| United Healthcare | DSNP | $21,190.08 | ↑ +240% |
| American Health Plan | ISNP | $21,190.08 | ↑ +240% |
| Cigna | Medicare HMO-POS | $21,190.08 | ↑ +240% |
| Wellpoint | DSNP | $21,190.08 | ↑ +240% |
| Wellpoint | Medicare Advantage | $21,190.08 | ↑ +240% |
| NHC Advantage | ISNP | $21,190.08 | ↑ +240% |
| Blue Cross of TN | BlueEssential DSNP | $21,190.08 | ↑ +240% |
| Blue Cross of TN | BlueEssential HMO | $21,190.08 | ↑ +240% |
| Blue Cross of TN | Med Adv Diamond | $21,190.08 | ↑ +240% |
| Blue Cross of TN | Med Adv PPO | $21,190.08 | ↑ +240% |
| Blue Cross of TN | Med Adv Ruby | $21,190.08 | ↑ +240% |
| Blue Cross of TN | Med Adv Sapphire | $21,190.08 | ↑ +240% |
| Wellcare | Medicare Advantage | $21,190.08 | ↑ +240% |
| United Healthcare | Tenncare | $22,521.00 | ↑ +262% |
| Wellpoint | Medicaid Tenncare | $28,121.16 | ↑ +352% |
| United Healthcare | All Other Plans | $29,638.00 | ↑ +376% |
| United Healthcare | Heritage Select | $34,854.00 | ↑ +460% |
| United Healthcare | Options PPO | $42,519.00 | ↑ +583% |
Visitor-reported prices
Comments
Ins icd gen exist sgl lead at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fort Sanders Regional Medical Center | Knoxville | $6,850.80 | $9,342.00 – $21,190.08 |
| Ascension Saint Thomas Midtown | Nashville | $10,568.81 | $1,752.88 – $14,894.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $16,055.84 | $5,068.00 – $40,992.14 |
| Johnson City Medical Center | JOHNSON CITY | $14,763.15 | $488.80 – $45,249.03 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $10,568.81 | $1,869.19 – $6,935.50 |
| Greeneville Community Hospital | GREENEVILLE | $14,763.15 | $488.80 – $45,249.03 |
| Bristol Regional Medical Center | BRISTOL | $14,763.15 | $488.80 – $50,643.37 |
| Franklin Woods Community Hospital | JOHNSON CITY | $14,763.15 | $488.80 – $44,027.34 |