Prostate biopsy, any mthd at Methodist Medical Center of Oak Ridge
990 Oak Ridge Turnpike, Oak Ridge, TN · Fsregional · · NPI 1700870672
$194.04
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.
$588.00
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.
$92.01 with United Healthcare vs $1,099.97 with Ambetter — 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 | $92.01 | ↓ -53% |
| BCBS TN | Blue Care | $225.58 | ↑ +16% |
| Wellpoint | Medicaid Tenncare | $264.26 | ↑ +36% |
| EHN | Network Lease | $264.60 | ↑ +36% |
| United Healthcare | All Other Plans | $283.41 | ↑ +46% |
| United Healthcare | Options PPO | $283.41 | ↑ +46% |
| United Healthcare | Heritage Select | $283.41 | ↑ +46% |
| Tricare | Humana Military | $325.21 | ↑ +68% |
| Optum | VA CCN | $325.21 | ↑ +68% |
| Humana | Medicare Advantage PPO | $334.97 | ↑ +73% |
| United Healthcare | Medicare Advantage | $334.97 | ↑ +73% |
| United Healthcare | Community Plan DSNP | $334.97 | ↑ +73% |
| Humana | Medicare Advantage HMO | $334.97 | ↑ +73% |
| Humana | DSNP | $334.97 | ↑ +73% |
| Aetna | Commercial | $336.36 | ↑ +73% |
| Farm Bureau | Medicare Advantage HMO | $338.22 | ↑ +74% |
| Farm Bureau | Medicare Advantage PPO | $338.22 | ↑ +74% |
| Blue Cross of TN | Med Adv Diamond | $341.47 | ↑ +76% |
| Devoted Health | HMO | $341.47 | ↑ +76% |
| Wellcare | Medicare Advantage | $341.47 | ↑ +76% |
| United Healthcare | DSNP | $341.47 | ↑ +76% |
| Devoted Health | PPO | $341.47 | ↑ +76% |
| HealthSpring | Medicare PPO | $341.47 | ↑ +76% |
| HealthSpring | Medicare HMO POS | $341.47 | ↑ +76% |
| Aetna | Medicare Advantage | $341.47 | ↑ +76% |
| Cigna | Medicare PPO | $341.47 | ↑ +76% |
| Cigna | Medicare HMO | $341.47 | ↑ +76% |
| Wellpoint | Medicare Advantage | $341.47 | ↑ +76% |
| Blue Cross of TN | Med Adv Sapphire | $341.47 | ↑ +76% |
| Blue Cross of TN | Med Adv Ruby | $341.47 | ↑ +76% |
| Blue Cross of TN | BlueEssential DSNP | $341.47 | ↑ +76% |
| Blue Cross of TN | BlueEssential HMO | $341.47 | ↑ +76% |
| Blue Cross of TN | Med Adv PPO | $341.47 | ↑ +76% |
| Cigna | Medicare HMO-POS | $341.47 | ↑ +76% |
| Wellpoint | DSNP | $341.47 | ↑ +76% |
| BCBS TN | Commercial Network P | $342.87 | ↑ +77% |
| BCBS TN | Commercial Network S | $342.87 | ↑ +77% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $352.80 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $382.20 | ↑ +97% |
| Cigna | IFP | $384.56 | ↑ +98% |
| Cigna | Local Plus | $386.24 | ↑ +99% |
| USA Managed Care Organization | PPO | $411.60 | ↑ +112% |
| Cigna | OAP | $419.83 | ↑ +116% |
| Cigna | HMO | $419.83 | ↑ +116% |
| Cigna | POS | $419.83 | ↑ +116% |
| NovaNet | Network Lease | $441.00 | ↑ +127% |
| National Provider Network | PPO | $470.40 | ↑ +142% |
| Direct Care America | PPO | $470.40 | ↑ +142% |
| MedSave USA | Commercial | $470.40 | ↑ +142% |
| Beech Street | PPO | $499.80 | ↑ +158% |
| CCN Managed Care | PPO | $499.80 | ↑ +158% |
| Initial Group | PPO | $517.44 | ↑ +167% |
| Galaxy Health Network | PPO | $529.20 | ↑ +173% |
| Ambetter | Exchange | $1,099.97 | ↑ +467% |
Visitor-reported prices
Comments
Prostate biopsy, any mthd at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $194.58 | $285.77 – $656.94 |
| Johnson City Medical Center | JOHNSON CITY | $326.70 | $98.38 – $729.17 |
| Hancock County Hospital | SNEEDVILLE | $320.39 | $82.18 – $674.76 |
| Greeneville Community Hospital | GREENEVILLE | $326.70 | $59.17 – $729.17 |
| Bristol Regional Medical Center | BRISTOL | $326.70 | $98.62 – $816.10 |
| Franklin Woods Community Hospital | JOHNSON CITY | $326.70 | $95.73 – $709.48 |
| Holston Valley Medical Center | KINGSPORT | $326.70 | $98.62 – $816.10 |
| 62-0123940 BMH Collierville | Collierville | $177.66 | $307.66 – $658.80 |