C-1 esterase, berinert at Fort Loudoun Medical Center
550 Fort Loudoun Medical Center Dr, Lenoir City, TN · Fsregional · · NPI 1609860659
$4,804.02
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.
$14,557.65
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.
$23.32 with United Healthcare vs $13,101.88 with Galaxy Health Network — 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 | $23.32 | ↓ -100% |
| Wellpoint | Medicaid Tenncare | $50.48 | ↓ -99% |
| Optum | VA CCN | $67.37 | ↓ -99% |
| Tricare | Humana Military | $67.37 | ↓ -99% |
| Humana | Medicare Advantage HMO | $69.39 | ↓ -99% |
| Humana | DSNP | $69.39 | ↓ -99% |
| United Healthcare | Community Plan DSNP | $69.39 | ↓ -99% |
| Humana | Medicare Advantage PPO | $69.39 | ↓ -99% |
| United Healthcare | Medicare Advantage | $69.39 | ↓ -99% |
| Farm Bureau | Medicare Advantage PPO | $70.06 | ↓ -99% |
| Farm Bureau | Medicare Advantage HMO | $70.06 | ↓ -99% |
| Blue Cross of TN | Med Adv Diamond | $70.74 | ↓ -99% |
| Blue Cross of TN | BlueEssential DSNP | $70.74 | ↓ -99% |
| Blue Cross of TN | BlueEssential HMO | $70.74 | ↓ -99% |
| United Healthcare | DSNP | $70.74 | ↓ -99% |
| Devoted Health | PPO | $70.74 | ↓ -99% |
| HealthSpring | Medicare PPO | $70.74 | ↓ -99% |
| HealthSpring | Medicare HMO POS | $70.74 | ↓ -99% |
| Blue Cross of TN | Med Adv Sapphire | $70.74 | ↓ -99% |
| Aetna | Medicare Advantage | $70.74 | ↓ -99% |
| Blue Cross of TN | Med Adv Ruby | $70.74 | ↓ -99% |
| Devoted Health | HMO | $70.74 | ↓ -99% |
| Wellcare | Medicare Advantage | $70.74 | ↓ -99% |
| Blue Cross of TN | Med Adv PPO | $70.74 | ↓ -99% |
| Cigna | Medicare HMO-POS | $70.74 | ↓ -99% |
| Wellpoint | DSNP | $70.74 | ↓ -99% |
| Wellpoint | Medicare Advantage | $70.74 | ↓ -99% |
| Cigna | Medicare PPO | $70.74 | ↓ -99% |
| Cigna | Medicare HMO | $70.74 | ↓ -99% |
| United Healthcare | Heritage Select | $80.41 | ↓ -98% |
| United Healthcare | Options PPO | $80.41 | ↓ -98% |
| United Healthcare | All Other Plans | $80.41 | ↓ -98% |
| BCBS TN | Blue Care | $82.69 | ↓ -98% |
| BCBS TN | Commercial Network S | $82.69 | ↓ -98% |
| BCBS TN | Commercial Network P | $82.69 | ↓ -98% |
| Cigna | Local Plus | $85.94 | ↓ -98% |
| Cigna | HMO | $85.94 | ↓ -98% |
| Cigna | OAP | $85.94 | ↓ -98% |
| Cigna | POS | $85.94 | ↓ -98% |
| Cigna | IFP | $85.94 | ↓ -98% |
| Aetna | Commercial | $5,638.17 | ↑ +17% |
| EHN | Network Lease | $6,550.94 | ↑ +36% |
| Ambetter | Exchange | $7,278.82 | ↑ +52% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $8,734.59 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $9,462.47 | ↑ +97% |
| USA Managed Care Organization | PPO | $10,190.35 | ↑ +112% |
| NovaNet | Network Lease | $10,918.23 | ↑ +127% |
| Direct Care America | PPO | $11,646.12 | ↑ +142% |
| MedSave USA | Commercial | $11,646.12 | ↑ +142% |
| National Provider Network | PPO | $11,646.12 | ↑ +142% |
| Beech Street | PPO | $12,374.00 | ↑ +158% |
| CCN Managed Care | PPO | $12,374.00 | ↑ +158% |
| Initial Group | PPO | $12,810.73 | ↑ +167% |
| Galaxy Health Network | PPO | $13,101.88 | ↑ +173% |
Visitor-reported prices
Comments
C-1 esterase, berinert at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $4,105.03 | $27.01 – $9,707.84 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $5,866.31 | $27.01 – $9,707.84 |
| Johnson City Medical Center | JOHNSON CITY | $3,781.75 | $27.21 – $6,080.25 |
| Bristol Regional Medical Center | BRISTOL | $3,781.75 | $18.14 – $6,187.35 |
| Franklin Woods Community Hospital | JOHNSON CITY | $3,781.75 | $27.21 – $6,597.85 |
| Holston Valley Medical Center | KINGSPORT | $3,781.75 | $18.14 – $6,187.35 |
| Johnson County Community Hospital | MOUNTAIN CITY | $5,798.68 | $27.21 – $6,861.76 |
| Sycamore Shoals Hospital | ELIZABETHTON | $3,781.75 | $27.21 – $6,597.85 |