Paliperidone 117 mg/0.75 ml inj at Methodist Medical Center of Oak Ridge
990 Oak Ridge Turnpike, Oak Ridge, TN · Fsregional · · NPI 1700870672
$4,014.01
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.
$12,163.66
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.
$4.73 with United Healthcare vs $3,648.98 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $4.73 | ↓ -100% |
| Wellpoint | Medicaid Tenncare | $11.28 | ↓ -100% |
| Optum | VA CCN | $13.42 | ↓ -100% |
| Tricare | Humana Military | $13.42 | ↓ -100% |
| Humana | Medicare Advantage HMO | $13.82 | ↓ -100% |
| Humana | DSNP | $13.82 | ↓ -100% |
| United Healthcare | Community Plan DSNP | $13.82 | ↓ -100% |
| Humana | Medicare Advantage PPO | $13.82 | ↓ -100% |
| United Healthcare | Medicare Advantage | $13.82 | ↓ -100% |
| Farm Bureau | Medicare Advantage PPO | $13.96 | ↓ -100% |
| Farm Bureau | Medicare Advantage HMO | $13.96 | ↓ -100% |
| Blue Cross of TN | Med Adv Diamond | $14.09 | ↓ -100% |
| Blue Cross of TN | BlueEssential DSNP | $14.09 | ↓ -100% |
| Blue Cross of TN | BlueEssential HMO | $14.09 | ↓ -100% |
| United Healthcare | DSNP | $14.09 | ↓ -100% |
| Devoted Health | PPO | $14.09 | ↓ -100% |
| HealthSpring | Medicare PPO | $14.09 | ↓ -100% |
| HealthSpring | Medicare HMO POS | $14.09 | ↓ -100% |
| Blue Cross of TN | Med Adv Sapphire | $14.09 | ↓ -100% |
| Aetna | Medicare Advantage | $14.09 | ↓ -100% |
| Blue Cross of TN | Med Adv Ruby | $14.09 | ↓ -100% |
| Devoted Health | HMO | $14.09 | ↓ -100% |
| Wellcare | Medicare Advantage | $14.09 | ↓ -100% |
| Blue Cross of TN | Med Adv PPO | $14.09 | ↓ -100% |
| Cigna | Medicare HMO-POS | $14.09 | ↓ -100% |
| Wellpoint | DSNP | $14.09 | ↓ -100% |
| Wellpoint | Medicare Advantage | $14.09 | ↓ -100% |
| Cigna | Medicare PPO | $14.09 | ↓ -100% |
| Cigna | Medicare HMO | $14.09 | ↓ -100% |
| United Healthcare | Heritage Select | $16.02 | ↓ -100% |
| United Healthcare | Options PPO | $16.02 | ↓ -100% |
| United Healthcare | All Other Plans | $16.02 | ↓ -100% |
| BCBS TN | Blue Care | $16.48 | ↓ -100% |
| BCBS TN | Commercial Network S | $16.48 | ↓ -100% |
| BCBS TN | Commercial Network P | $16.48 | ↓ -100% |
| Cigna | Local Plus | $17.04 | ↓ -100% |
| Cigna | HMO | $17.04 | ↓ -100% |
| Cigna | OAP | $17.04 | ↓ -100% |
| Cigna | POS | $17.04 | ↓ -100% |
| Cigna | IFP | $17.04 | ↓ -100% |
| Aetna | Commercial | $1,570.28 | ↓ -61% |
| EHN | Network Lease | $1,824.49 | ↓ -55% |
| Ambetter | Exchange | $2,027.21 | ↓ -49% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $2,432.65 | ↓ -39% |
| Community Services Network | NonProfit Public Benefit | $2,635.37 | ↓ -34% |
| USA Managed Care Organization | PPO | $2,838.10 | ↓ -29% |
| NovaNet | Network Lease | $3,040.82 | ↓ -24% |
| Direct Care America | PPO | $3,243.54 | ↓ -19% |
| MedSave USA | Commercial | $3,243.54 | ↓ -19% |
| National Provider Network | PPO | $3,243.54 | ↓ -19% |
| Beech Street | PPO | $3,446.26 | ↓ -14% |
| CCN Managed Care | PPO | $3,446.26 | ↓ -14% |
| Initial Group | PPO | $3,567.89 | ↓ -11% |
| Galaxy Health Network | PPO | $3,648.98 | ↓ -9% |
Visitor-reported prices
Comments
Paliperidone 117 mg/0.75 ml inj at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | $3,649.10 | $4.73 – $3,648.98 |
| Roane County Medical Center | Harriman | $4,014.01 | $4.73 – $3,648.98 |
| LeConte Medical Center | Sevierville | $3,527.46 | $4.73 – $3,648.98 |
| Fort Loudoun Medical Center | Lenoir City | $4,014.01 | $4.73 – $3,648.98 |
| Fort Sanders Regional Medical Center | Knoxville | $4,014.01 | $4.73 – $3,648.98 |
| Cumberland Medical Center, Inc. | Crossville | $3,892.37 | $5.68 – $3,648.98 |
| Morristown-Hamblen Hospital Association | Morristown | $3,649.10 | $4.73 – $3,648.98 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $18.01 – $40.04 |