Ins/rpl pm gen exist sgl lead at Parkwest Medical Center
9352 Park West Blvd, Knoxville, TN · Fsregional · · NPI 1396739165
$2,333.40
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.
$7,778.00
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.
$594.72 with Aetna 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 |
|---|---|---|---|
| Aetna | Commercial | $594.72 | ↓ -75% |
| BCBS TN | Blue Care | $1,890.00 | ↓ -19% |
| Cigna | IFP | $1,921.00 | ↓ -18% |
| Ambetter | Exchange | $2,009.00 | ↓ -14% |
| Cigna | Local Plus | $2,354.00 | ↑ +1% |
| Cigna | POS | $2,769.00 | ↑ +19% |
| Cigna | OAP | $2,769.00 | ↑ +19% |
| Cigna | HMO | $2,769.00 | ↑ +19% |
| EHN | Network Lease | $3,500.10 | ↑ +50% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $4,666.80 | ↑ +100% |
| Community Services Network | NonProfit Public Benefit | $5,055.70 | ↑ +117% |
| BCBS TN | Commercial Network S | $5,144.00 | ↑ +120% |
| USA Managed Care Organization | PPO | $5,444.60 | ↑ +133% |
| BCBS TN | Commercial Network P | $5,761.00 | ↑ +147% |
| NovaNet | Network Lease | $5,833.50 | ↑ +150% |
| Beech Street | PPO | $5,833.50 | ↑ +150% |
| MedSave USA | Commercial | $6,222.40 | ↑ +167% |
| National Provider Network | PPO | $6,222.40 | ↑ +167% |
| Direct Care America | PPO | $6,222.40 | ↑ +167% |
| Cigna | BHO | $6,222.40 | ↑ +167% |
| CCN Managed Care | PPO | $6,611.30 | ↑ +183% |
| Initial Group | PPO | $6,844.64 | ↑ +193% |
| United Healthcare | Tenncare | $6,937.00 | ↑ +197% |
| Galaxy Health Network | PPO | $7,000.20 | ↑ +200% |
| Optum | VA CCN | $7,508.05 | ↑ +222% |
| Tricare | Humana Military | $7,508.05 | ↑ +222% |
| Humana | Medicare Advantage PPO | $7,733.29 | ↑ +231% |
| Humana | Medicare Advantage HMO | $7,733.29 | ↑ +231% |
| United Healthcare | Community Plan DSNP | $7,733.29 | ↑ +231% |
| Humana | Medicare Advantage | $7,733.29 | ↑ +231% |
| Humana | DSNP | $7,733.29 | ↑ +231% |
| United Healthcare | Medicare Advantage | $7,733.29 | ↑ +231% |
| Farm Bureau | Medicare Advantage PPO | $7,808.37 | ↑ +235% |
| Farm Bureau | Medicare Advantage HMO | $7,808.37 | ↑ +235% |
| Devoted Health | PPO | $7,883.45 | ↑ +238% |
| HealthSpring | Medicare PPO | $7,883.45 | ↑ +238% |
| HealthSpring | Medicare HMO POS | $7,883.45 | ↑ +238% |
| Aetna | Medicare Advantage | $7,883.45 | ↑ +238% |
| Cigna | Medicare PPO | $7,883.45 | ↑ +238% |
| Cigna | Medicare HMO | $7,883.45 | ↑ +238% |
| United Healthcare | DSNP | $7,883.45 | ↑ +238% |
| American Health Plan | ISNP | $7,883.45 | ↑ +238% |
| Cigna | Medicare HMO-POS | $7,883.45 | ↑ +238% |
| Wellpoint | DSNP | $7,883.45 | ↑ +238% |
| Wellpoint | Medicare Advantage | $7,883.45 | ↑ +238% |
| NHC Advantage | ISNP | $7,883.45 | ↑ +238% |
| Blue Cross of TN | BlueEssential DSNP | $7,883.45 | ↑ +238% |
| Blue Cross of TN | BlueEssential HMO | $7,883.45 | ↑ +238% |
| Blue Cross of TN | Med Adv Diamond | $7,883.45 | ↑ +238% |
| Blue Cross of TN | Med Adv PPO | $7,883.45 | ↑ +238% |
| Blue Cross of TN | Med Adv Ruby | $7,883.45 | ↑ +238% |
| Blue Cross of TN | Med Adv Sapphire | $7,883.45 | ↑ +238% |
| Wellcare | Medicare Advantage | $7,883.45 | ↑ +238% |
| Devoted Health | HMO | $7,883.45 | ↑ +238% |
| Wellpoint | Medicaid Tenncare | $8,400.00 | ↑ +260% |
| United Healthcare | All Other Plans | $10,677.00 | ↑ +358% |
| United Healthcare | Heritage Select | $12,557.00 | ↑ +438% |
| United Healthcare | Options PPO | $15,328.00 | ↑ +557% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fort Sanders Regional Medical Center | Knoxville | $2,566.74 | $3,500.10 – $7,883.45 |
| CHI Memorial Hospital Hixson | Hixson | $4,552.78 | $3,076.20 – $10,766.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $8,529.78 | $2,685.00 – $15,113.92 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $6,506.17 | $3,230.01 – $10,766.70 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $4,069.52 | $1,869.19 – $13,471.00 |
| Greeneville Community Hospital | GREENEVILLE | $3,980.85 | $399.51 – $16,834.22 |
| Bristol Regional Medical Center | BRISTOL | $3,980.85 | $399.51 – $18,841.11 |
| Holston Valley Medical Center | KINGSPORT | $3,980.85 | $399.51 – $18,841.11 |