Destruction premal lesions 15/> 17004 at Methodist Medical Center of Oak Ridge
990 Oak Ridge Turnpike, Oak Ridge, TN · Fsregional · · NPI 1700870672
$335.94
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.
$1,018.00
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.
$216.00 with United Healthcare vs $1,869.00 with BCBS TN — 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 | $216.00 | ↓ -36% |
| Wellpoint | Medicaid Tenncare | $307.90 | ↓ -8% |
| Optum | VA CCN | $368.82 | ↑ +10% |
| Tricare | Humana Military | $368.82 | ↑ +10% |
| United Healthcare | Medicare Advantage | $379.88 | ↑ +13% |
| United Healthcare | Community Plan DSNP | $379.88 | ↑ +13% |
| Humana | Medicare Advantage HMO | $379.88 | ↑ +13% |
| Humana | DSNP | $379.88 | ↑ +13% |
| Humana | Medicare Advantage PPO | $379.88 | ↑ +13% |
| Farm Bureau | Medicare Advantage PPO | $383.57 | ↑ +14% |
| Farm Bureau | Medicare Advantage HMO | $383.57 | ↑ +14% |
| Blue Cross of TN | BlueEssential HMO | $387.26 | ↑ +15% |
| Devoted Health | HMO | $387.26 | ↑ +15% |
| Wellcare | Medicare Advantage | $387.26 | ↑ +15% |
| United Healthcare | DSNP | $387.26 | ↑ +15% |
| Devoted Health | PPO | $387.26 | ↑ +15% |
| HealthSpring | Medicare PPO | $387.26 | ↑ +15% |
| HealthSpring | Medicare HMO POS | $387.26 | ↑ +15% |
| Aetna | Medicare Advantage | $387.26 | ↑ +15% |
| Blue Cross of TN | Med Adv PPO | $387.26 | ↑ +15% |
| Cigna | Medicare HMO-POS | $387.26 | ↑ +15% |
| Wellpoint | DSNP | $387.26 | ↑ +15% |
| Wellpoint | Medicare Advantage | $387.26 | ↑ +15% |
| Blue Cross of TN | Med Adv Diamond | $387.26 | ↑ +15% |
| Blue Cross of TN | BlueEssential DSNP | $387.26 | ↑ +15% |
| Cigna | Medicare PPO | $387.26 | ↑ +15% |
| Cigna | Medicare HMO | $387.26 | ↑ +15% |
| Blue Cross of TN | Med Adv Sapphire | $387.26 | ↑ +15% |
| Blue Cross of TN | Med Adv Ruby | $387.26 | ↑ +15% |
| United Healthcare | All Other Plans | $433.00 | ↑ +29% |
| EHN | Network Lease | $458.10 | ↑ +36% |
| United Healthcare | Heritage Select | $509.00 | ↑ +52% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $610.80 | ↑ +82% |
| United Healthcare | Options PPO | $624.00 | ↑ +86% |
| Community Services Network | NonProfit Public Benefit | $661.70 | ↑ +97% |
| USA Managed Care Organization | PPO | $712.60 | ↑ +112% |
| NovaNet | Network Lease | $763.50 | ↑ +127% |
| MedSave USA | Commercial | $814.40 | ↑ +142% |
| Direct Care America | PPO | $814.40 | ↑ +142% |
| National Provider Network | PPO | $814.40 | ↑ +142% |
| Beech Street | PPO | $865.30 | ↑ +158% |
| CCN Managed Care | PPO | $865.30 | ↑ +158% |
| Initial Group | PPO | $895.84 | ↑ +167% |
| Galaxy Health Network | PPO | $916.20 | ↑ +173% |
| Cigna | IFP | $1,250.00 | ↑ +272% |
| Ambetter | Exchange | $1,308.00 | ↑ +289% |
| Aetna | Commercial | $1,349.71 | ↑ +302% |
| Cigna | Local Plus | $1,532.00 | ↑ +356% |
| BCBS TN | Blue Care | $1,575.00 | ↑ +369% |
| Cigna | OAP | $1,802.00 | ↑ +436% |
| Cigna | POS | $1,802.00 | ↑ +436% |
| Cigna | HMO | $1,802.00 | ↑ +436% |
| BCBS TN | Commercial Network P | $1,869.00 | ↑ +456% |
| BCBS TN | Commercial Network S | $1,869.00 | ↑ +456% |
Visitor-reported prices
Comments
Destruction premal lesions 15/> 17004 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $159.90 | $98.61 – $826.95 |
| Hancock County Hospital | SNEEDVILLE | $157.09 | $98.61 – $437.19 |
| Greeneville Community Hospital | GREENEVILLE | $159.90 | $98.61 – $826.95 |
| Bristol Regional Medical Center | BRISTOL | $159.90 | $98.61 – $925.54 |
| Franklin Woods Community Hospital | JOHNSON CITY | $159.90 | $119.86 – $804.63 |
| Holston Valley Medical Center | KINGSPORT | $159.90 | $98.61 – $925.54 |
| Indian Path Community Hospital | KINGSPORT | $159.90 | $98.61 – $885.17 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $159.90 | $98.61 – $804.03 |