Cllr miami j sm at Methodist Medical Center of Oak Ridge
990 Oak Ridge Turnpike, Oak Ridge, TN · Fsregional · · NPI 1700870672
$627.10
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.
$1,900.31
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.
$50.87 with BCBS TN vs $331.45 with Blue Cross of TN — 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 |
|---|---|---|---|
| BCBS TN | Blue Care | $50.87 | ↓ -92% |
| Aetna | Commercial | $53.30 | ↓ -92% |
| United Healthcare | All Other Plans | $67.83 | ↓ -89% |
| United Healthcare | Heritage Select | $67.83 | ↓ -89% |
| United Healthcare | Options PPO | $72.68 | ↓ -88% |
| Cigna | IFP | $102.96 | ↓ -84% |
| EHN | Network Lease | $109.02 | ↓ -83% |
| Cigna | HMO | $121.14 | ↓ -81% |
| Cigna | Local Plus | $121.14 | ↓ -81% |
| Cigna | POS | $121.14 | ↓ -81% |
| Ambetter | Exchange | $121.14 | ↓ -81% |
| Cigna | OAP | $121.14 | ↓ -81% |
| BCBS TN | Commercial Network S | $145.36 | ↓ -77% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $145.36 | ↓ -77% |
| BCBS TN | Commercial Network P | $145.36 | ↓ -77% |
| Community Services Network | NonProfit Public Benefit | $157.48 | ↓ -75% |
| USA Managed Care Organization | PPO | $169.59 | ↓ -73% |
| NovaNet | Network Lease | $181.71 | ↓ -71% |
| National Provider Network | PPO | $193.82 | ↓ -69% |
| MedSave USA | Commercial | $193.82 | ↓ -69% |
| Direct Care America | PPO | $193.82 | ↓ -69% |
| Beech Street | PPO | $205.93 | ↓ -67% |
| CCN Managed Care | PPO | $205.93 | ↓ -67% |
| Initial Group | PPO | $213.20 | ↓ -66% |
| Galaxy Health Network | PPO | $218.05 | ↓ -65% |
| Optum | VA CCN | $315.67 | ↓ -50% |
| Tricare | Humana Military | $315.67 | ↓ -50% |
| United Healthcare | Medicare Advantage | $325.14 | ↓ -48% |
| Humana | DSNP | $325.14 | ↓ -48% |
| Humana | Medicare Advantage HMO | $325.14 | ↓ -48% |
| Humana | Medicare Advantage PPO | $325.14 | ↓ -48% |
| United Healthcare | Community Plan DSNP | $325.14 | ↓ -48% |
| Farm Bureau | Medicare Advantage PPO | $328.30 | ↓ -48% |
| Farm Bureau | Medicare Advantage HMO | $328.30 | ↓ -48% |
| Blue Cross of TN | Med Adv PPO | $331.45 | ↓ -47% |
| Blue Cross of TN | Med Adv Ruby | $331.45 | ↓ -47% |
| Blue Cross of TN | Med Adv Sapphire | $331.45 | ↓ -47% |
| Devoted Health | HMO | $331.45 | ↓ -47% |
| United Healthcare | DSNP | $331.45 | ↓ -47% |
| Wellcare | Medicare Advantage | $331.45 | ↓ -47% |
| Cigna | Medicare PPO | $331.45 | ↓ -47% |
| Cigna | Medicare HMO | $331.45 | ↓ -47% |
| Devoted Health | PPO | $331.45 | ↓ -47% |
| Aetna | Medicare Advantage | $331.45 | ↓ -47% |
| HealthSpring | Medicare HMO POS | $331.45 | ↓ -47% |
| Cigna | Medicare HMO-POS | $331.45 | ↓ -47% |
| Wellpoint | DSNP | $331.45 | ↓ -47% |
| Wellpoint | Medicare Advantage | $331.45 | ↓ -47% |
| HealthSpring | Medicare PPO | $331.45 | ↓ -47% |
| Blue Cross of TN | BlueEssential DSNP | $331.45 | ↓ -47% |
| Blue Cross of TN | BlueEssential HMO | $331.45 | ↓ -47% |
| Blue Cross of TN | Med Adv Diamond | $331.45 | ↓ -47% |
Visitor-reported prices
Comments
Cllr miami j sm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | $708.00 | $50.87 – $331.45 |
| Claiborne Medical Center | Tazewell | $67.84 | $50.87 – $218.05 |
| Fort Sanders Regional Medical Center | Knoxville | $627.10 | $50.87 – $331.45 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $315.67 – $464.03 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $306.20 – $464.03 |
| HORIZON MEDICAL CENTER | DICKSON | not published | $284.10 – $464.03 |
| SKYLINE MADISON CAMPUS | NASHVILLE | not published | $227.28 – $464.03 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH | not published | $227.28 – $464.03 |