M/phmtrc alysishquant/semiq at Parkwest Medical Center
9352 Park West Blvd, Knoxville, TN · Fsregional · · NPI 1396739165
$163.17
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.
$259.00
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.
$34.98 with United Healthcare vs $353.72 with Ambetter — 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 | $34.98 | ↓ -79% |
| United Healthcare | All Other Plans | $82.65 | ↓ -49% |
| United Healthcare | Heritage Select | $82.65 | ↓ -49% |
| United Healthcare | Options PPO | $82.65 | ↓ -49% |
| BCBS TN | Blue Care | $89.13 | ↓ -45% |
| Aetna | Commercial | $96.76 | ↓ -41% |
| EHN | Network Lease | $116.55 | ↓ -29% |
| BCBS TN | Commercial Network S | $124.78 | ↓ -24% |
| BCBS TN | Commercial Network P | $135.47 | ↓ -17% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $155.40 | ↓ -5% |
| Community Services Network | NonProfit Public Benefit | $168.35 | ↑ +3% |
| USA Managed Care Organization | PPO | $181.30 | ↑ +11% |
| Cigna | IFP | $185.63 | ↑ +14% |
| Cigna | Local Plus | $186.44 | ↑ +14% |
| NovaNet | Network Lease | $194.25 | ↑ +19% |
| Beech Street | PPO | $194.25 | ↑ +19% |
| Cigna | HMO | $202.65 | ↑ +24% |
| Cigna | POS | $202.65 | ↑ +24% |
| Cigna | OAP | $202.65 | ↑ +24% |
| National Provider Network | PPO | $207.20 | ↑ +27% |
| Cigna | BHO | $207.20 | ↑ +27% |
| Direct Care America | PPO | $207.20 | ↑ +27% |
| MedSave USA | Commercial | $207.20 | ↑ +27% |
| CCN Managed Care | PPO | $220.15 | ↑ +35% |
| Initial Group | PPO | $227.92 | ↑ +40% |
| Galaxy Health Network | PPO | $233.10 | ↑ +43% |
| Ambetter | Exchange | $353.72 | ↑ +117% |
Visitor-reported prices
Comments
M/phmtrc alysishquant/semiq at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fort Sanders Regional Medical Center | Knoxville | $85.47 | $34.98 – $353.72 |
| Hancock County Hospital | SNEEDVILLE | $32.66 | $24.35 – $142.00 |
| Greeneville Community Hospital | GREENEVILLE | $33.30 | $17.53 – $207.59 |
| Bristol Regional Medical Center | BRISTOL | $33.30 | $29.21 – $207.59 |
| Holston Valley Medical Center | KINGSPORT | $33.30 | $29.21 – $207.59 |
| 62-0123940 BMH Collierville | Collierville | $110.25 | $35.37 – $282.02 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $33.30 | $24.35 – $207.59 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $398.65 | $43.53 – $168.75 |