H pylori (c-13) breath at Methodist Medical Center of Oak Ridge
990 Oak Ridge Turnpike, Oak Ridge, TN · Fsregional · · NPI 1700870672
$53.13
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.
$161.00
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.
$30.31 with Wellpoint vs $150.73 with Cigna — 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 |
|---|---|---|---|
| Wellpoint | Medicaid Tenncare | $30.31 | ↓ -43% |
| United Healthcare | Tenncare | $43.08 | ↓ -19% |
| United Healthcare | Options PPO | $67.36 | ↑ +27% |
| United Healthcare | All Other Plans | $67.36 | ↑ +27% |
| United Healthcare | Heritage Select | $67.36 | ↑ +27% |
| Tricare | Humana Military | $67.36 | ↑ +27% |
| Optum | VA CCN | $67.36 | ↑ +27% |
| Humana | Medicare Advantage HMO | $69.38 | ↑ +31% |
| Humana | DSNP | $69.38 | ↑ +31% |
| Humana | Medicare Advantage PPO | $69.38 | ↑ +31% |
| United Healthcare | Medicare Advantage | $69.38 | ↑ +31% |
| United Healthcare | Community Plan DSNP | $69.38 | ↑ +31% |
| Farm Bureau | Medicare Advantage PPO | $70.05 | ↑ +32% |
| Farm Bureau | Medicare Advantage HMO | $70.05 | ↑ +32% |
| Blue Cross of TN | BlueEssential HMO | $70.73 | ↑ +33% |
| Devoted Health | HMO | $70.73 | ↑ +33% |
| Wellcare | Medicare Advantage | $70.73 | ↑ +33% |
| United Healthcare | DSNP | $70.73 | ↑ +33% |
| Devoted Health | PPO | $70.73 | ↑ +33% |
| HealthSpring | Medicare PPO | $70.73 | ↑ +33% |
| HealthSpring | Medicare HMO POS | $70.73 | ↑ +33% |
| Aetna | Medicare Advantage | $70.73 | ↑ +33% |
| Cigna | Medicare PPO | $70.73 | ↑ +33% |
| Cigna | Medicare HMO | $70.73 | ↑ +33% |
| Wellpoint | DSNP | $70.73 | ↑ +33% |
| Wellpoint | Medicare Advantage | $70.73 | ↑ +33% |
| Blue Cross of TN | Med Adv PPO | $70.73 | ↑ +33% |
| Blue Cross of TN | Med Adv Diamond | $70.73 | ↑ +33% |
| Blue Cross of TN | BlueEssential DSNP | $70.73 | ↑ +33% |
| Blue Cross of TN | Med Adv Sapphire | $70.73 | ↑ +33% |
| Blue Cross of TN | Med Adv Ruby | $70.73 | ↑ +33% |
| Cigna | Medicare HMO-POS | $70.73 | ↑ +33% |
| EHN | Network Lease | $72.45 | ↑ +36% |
| BCBS TN | Blue Care | $93.55 | ↑ +76% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $96.60 | ↑ +82% |
| Aetna | Commercial | $102.06 | ↑ +92% |
| Community Services Network | NonProfit Public Benefit | $104.65 | ↑ +97% |
| USA Managed Care Organization | PPO | $112.70 | ↑ +112% |
| NovaNet | Network Lease | $120.75 | ↑ +127% |
| Ambetter | Exchange | $121.92 | ↑ +129% |
| Direct Care America | PPO | $128.80 | ↑ +142% |
| National Provider Network | PPO | $128.80 | ↑ +142% |
| MedSave USA | Commercial | $128.80 | ↑ +142% |
| CCN Managed Care | PPO | $136.85 | ↑ +158% |
| Beech Street | PPO | $136.85 | ↑ +158% |
| Cigna | IFP | $138.06 | ↑ +160% |
| Cigna | Local Plus | $138.67 | ↑ +161% |
| Initial Group | PPO | $141.68 | ↑ +167% |
| BCBS TN | Commercial Network S | $142.20 | ↑ +168% |
| BCBS TN | Commercial Network P | $142.20 | ↑ +168% |
| Galaxy Health Network | PPO | $144.90 | ↑ +173% |
| Cigna | HMO | $150.73 | ↑ +184% |
| Cigna | OAP | $150.73 | ↑ +184% |
| Cigna | POS | $150.73 | ↑ +184% |
Visitor-reported prices
Comments
H pylori (c-13) breath at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $212.25 | $24.25 – $260.76 |
| CHI Memorial Hospital Hixson | Hixson | $56.84 | $59.83 – $161.73 |
| 62-1166050 BMH Carroll County | Huntingdon | $41.86 | $58.60 – $134.72 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $81.22 | $40.32 – $161.73 |
| Johnson City Medical Center | JOHNSON CITY | $117.90 | $33.68 – $146.84 |
| Ascension Saint Thomas DeKalb | Smithville | $212.25 | $47.22 – $260.76 |
| Ascension Saint Thomas Highlands | Sparta | $212.25 | $47.22 – $260.76 |
| Ascension Saint Thomas River Park | McMinnville | $212.25 | $47.22 – $260.76 |