Dup scan/lwr xtr vasc stdy bilat 93924 at Methodist Medical Center of Oak Ridge
990 Oak Ridge Turnpike, Oak Ridge, TN · Fsregional · · NPI 1700870672
$173.25
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.
$525.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$63.55 with United Healthcare vs $516.00 with United Healthcare — 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $63.55 | ↓ -63% |
| Wellpoint | Medicaid Tenncare | $129.00 | ↓ -26% |
| BCBS TN | Blue Care | $154.37 | ↓ -11% |
| BCBS TN | Commercial Network S | $192.96 | ↑ +11% |
| BCBS TN | Commercial Network P | $192.96 | ↑ +11% |
| Optum | VA CCN | $195.90 | ↑ +13% |
| Tricare | Humana Military | $195.90 | ↑ +13% |
| United Healthcare | Community Plan DSNP | $201.78 | ↑ +16% |
| Humana | Medicare Advantage HMO | $201.78 | ↑ +16% |
| Humana | Medicare Advantage PPO | $201.78 | ↑ +16% |
| United Healthcare | Medicare Advantage | $201.78 | ↑ +16% |
| Humana | DSNP | $201.78 | ↑ +16% |
| Farm Bureau | Medicare Advantage PPO | $203.74 | ↑ +18% |
| Farm Bureau | Medicare Advantage HMO | $203.74 | ↑ +18% |
| Blue Cross of TN | Med Adv PPO | $205.70 | ↑ +19% |
| Devoted Health | HMO | $205.70 | ↑ +19% |
| Wellcare | Medicare Advantage | $205.70 | ↑ +19% |
| United Healthcare | DSNP | $205.70 | ↑ +19% |
| Devoted Health | PPO | $205.70 | ↑ +19% |
| HealthSpring | Medicare PPO | $205.70 | ↑ +19% |
| HealthSpring | Medicare HMO POS | $205.70 | ↑ +19% |
| Aetna | Medicare Advantage | $205.70 | ↑ +19% |
| Cigna | Medicare PPO | $205.70 | ↑ +19% |
| Cigna | Medicare HMO | $205.70 | ↑ +19% |
| Cigna | Medicare HMO-POS | $205.70 | ↑ +19% |
| Wellpoint | DSNP | $205.70 | ↑ +19% |
| Wellpoint | Medicare Advantage | $205.70 | ↑ +19% |
| Blue Cross of TN | Med Adv Sapphire | $205.70 | ↑ +19% |
| Blue Cross of TN | BlueEssential DSNP | $205.70 | ↑ +19% |
| Blue Cross of TN | BlueEssential HMO | $205.70 | ↑ +19% |
| Blue Cross of TN | Med Adv Diamond | $205.70 | ↑ +19% |
| Blue Cross of TN | Med Adv Ruby | $205.70 | ↑ +19% |
| EHN | Network Lease | $236.25 | ↑ +36% |
| Aetna | Commercial | $236.32 | ↑ +36% |
| Cigna | IFP | $277.02 | ↑ +60% |
| Cigna | Local Plus | $278.23 | ↑ +61% |
| Cigna | POS | $302.43 | ↑ +75% |
| Cigna | OAP | $302.43 | ↑ +75% |
| Cigna | HMO | $302.43 | ↑ +75% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $315.00 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $341.25 | ↑ +97% |
| United Healthcare | All Other Plans | $360.00 | ↑ +108% |
| USA Managed Care Organization | PPO | $367.50 | ↑ +112% |
| NovaNet | Network Lease | $393.75 | ↑ +127% |
| MedSave USA | Commercial | $420.00 | ↑ +142% |
| Direct Care America | PPO | $420.00 | ↑ +142% |
| National Provider Network | PPO | $420.00 | ↑ +142% |
| United Healthcare | Heritage Select | $424.00 | ↑ +145% |
| CCN Managed Care | PPO | $446.25 | ↑ +158% |
| Beech Street | PPO | $446.25 | ↑ +158% |
| Initial Group | PPO | $462.00 | ↑ +167% |
| Galaxy Health Network | PPO | $472.50 | ↑ +173% |
| Ambetter | Exchange | $486.31 | ↑ +181% |
| United Healthcare | Options PPO | $516.00 | ↑ +198% |
Visitor-reported prices
Comments
Dup scan/lwr xtr vasc stdy bilat 93924 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $246.02 | $73.24 – $387.29 |
| CHI Memorial Hospital Hixson | Hixson | $271.14 | $78.90 – $641.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $387.47 | $78.90 – $641.20 |
| Johnson City Medical Center | JOHNSON CITY | $229.50 | $81.91 – $439.24 |
| Ascension Saint Thomas DeKalb | Smithville | $293.79 | $53.33 – $387.29 |
| Ascension Saint Thomas Highlands | Sparta | $293.79 | $53.33 – $387.29 |
| Ascension Saint Thomas River Park | McMinnville | $293.79 | $53.33 – $387.29 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $246.02 | $73.24 – $387.29 |