Membrane collgn porcine maci w/autologous cult chondrocytes at Methodist Medical Center of Oak Ridge
990 Oak Ridge Turnpike, Oak Ridge, TN · Fsregional · · NPI 1700870672
$75,398.40
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.
$228,480.00
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.
$47,980.80 with BCBS TN vs $205,632.00 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 |
|---|---|---|---|
| BCBS TN | Blue Care | $47,980.80 | ↓ -36% |
| Cigna | OAP | $80,418.82 | ↑ +7% |
| Cigna | POS | $80,418.82 | ↑ +7% |
| Cigna | HMO | $80,418.82 | ↑ +7% |
| Cigna | IFP | $80,418.82 | ↑ +7% |
| Cigna | Local Plus | $80,418.82 | ↑ +7% |
| Aetna | Commercial | $88,490.30 | ↑ +17% |
| United Healthcare | All Other Plans | $88,749.83 | ↑ +18% |
| United Healthcare | Heritage Select | $88,749.83 | ↑ +18% |
| United Healthcare | Options PPO | $88,749.83 | ↑ +18% |
| EHN | Network Lease | $102,816.00 | ↑ +36% |
| Ambetter | Exchange | $114,240.00 | ↑ +52% |
| BCBS TN | Commercial Network P | $137,088.00 | ↑ +82% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $137,088.00 | ↑ +82% |
| BCBS TN | Commercial Network S | $137,088.00 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $148,512.00 | ↑ +97% |
| USA Managed Care Organization | PPO | $159,936.00 | ↑ +112% |
| NovaNet | Network Lease | $171,360.00 | ↑ +127% |
| National Provider Network | PPO | $182,784.00 | ↑ +142% |
| MedSave USA | Commercial | $182,784.00 | ↑ +142% |
| Direct Care America | PPO | $182,784.00 | ↑ +142% |
| Beech Street | PPO | $194,208.00 | ↑ +158% |
| CCN Managed Care | PPO | $194,208.00 | ↑ +158% |
| Initial Group | PPO | $201,062.40 | ↑ +167% |
| Galaxy Health Network | PPO | $205,632.00 | ↑ +173% |
Visitor-reported prices
Comments
Membrane collgn porcine maci w/autologous cult chondrocytes at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH | $212,918.00 | $76,729.09 – $221,874.56 |
| Fort Sanders Regional Medical Center | Knoxville | $75,398.40 | $47,980.80 – $205,632.00 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $76,729.09 – $221,874.56 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $76,729.09 – $221,874.56 |
| HORIZON MEDICAL CENTER | DICKSON | not published | $76,729.09 – $221,874.56 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD | not published | $76,729.09 – $221,874.56 |
| SKYLINE MADISON CAMPUS | NASHVILLE | not published | $76,729.09 – $221,874.56 |
| STONECREST MEDICAL CENTER | Smyrna | not published | $76,729.09 – $221,874.56 |