Tissue culture tumor at Methodist Medical Center of Oak Ridge
990 Oak Ridge Turnpike, Oak Ridge, TN · Fsregional · · NPI 1700870672
$112.86
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.
$342.00
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.
$66.38 with Wellpoint vs $329.45 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 | $66.38 | ↓ -41% |
| United Healthcare | Tenncare | $94.35 | ↓ -16% |
| Optum | VA CCN | $147.52 | ↑ +31% |
| Tricare | Humana Military | $147.52 | ↑ +31% |
| United Healthcare | Options PPO | $147.52 | ↑ +31% |
| United Healthcare | All Other Plans | $147.52 | ↑ +31% |
| United Healthcare | Heritage Select | $147.52 | ↑ +31% |
| Humana | Medicare Advantage PPO | $151.95 | ↑ +35% |
| Humana | Medicare Advantage HMO | $151.95 | ↑ +35% |
| United Healthcare | Community Plan DSNP | $151.95 | ↑ +35% |
| United Healthcare | Medicare Advantage | $151.95 | ↑ +35% |
| Humana | DSNP | $151.95 | ↑ +35% |
| Farm Bureau | Medicare Advantage PPO | $153.42 | ↑ +36% |
| Farm Bureau | Medicare Advantage HMO | $153.42 | ↑ +36% |
| EHN | Network Lease | $153.90 | ↑ +36% |
| Blue Cross of TN | BlueEssential HMO | $154.90 | ↑ +37% |
| Devoted Health | HMO | $154.90 | ↑ +37% |
| Wellcare | Medicare Advantage | $154.90 | ↑ +37% |
| United Healthcare | DSNP | $154.90 | ↑ +37% |
| Devoted Health | PPO | $154.90 | ↑ +37% |
| HealthSpring | Medicare PPO | $154.90 | ↑ +37% |
| HealthSpring | Medicare HMO POS | $154.90 | ↑ +37% |
| Aetna | Medicare Advantage | $154.90 | ↑ +37% |
| Cigna | Medicare PPO | $154.90 | ↑ +37% |
| Cigna | Medicare HMO | $154.90 | ↑ +37% |
| Wellpoint | Medicare Advantage | $154.90 | ↑ +37% |
| Blue Cross of TN | Med Adv PPO | $154.90 | ↑ +37% |
| Blue Cross of TN | Med Adv Diamond | $154.90 | ↑ +37% |
| Blue Cross of TN | BlueEssential DSNP | $154.90 | ↑ +37% |
| Blue Cross of TN | Med Adv Sapphire | $154.90 | ↑ +37% |
| Blue Cross of TN | Med Adv Ruby | $154.90 | ↑ +37% |
| Cigna | Medicare HMO-POS | $154.90 | ↑ +37% |
| Wellpoint | DSNP | $154.90 | ↑ +37% |
| BCBS TN | Blue Care | $204.89 | ↑ +82% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $205.20 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $222.30 | ↑ +97% |
| Aetna | Commercial | $223.52 | ↑ +98% |
| USA Managed Care Organization | PPO | $239.40 | ↑ +112% |
| NovaNet | Network Lease | $256.50 | ↑ +127% |
| Ambetter | Exchange | $267.01 | ↑ +137% |
| National Provider Network | PPO | $273.60 | ↑ +142% |
| Direct Care America | PPO | $273.60 | ↑ +142% |
| MedSave USA | Commercial | $273.60 | ↑ +142% |
| Beech Street | PPO | $290.70 | ↑ +158% |
| CCN Managed Care | PPO | $290.70 | ↑ +158% |
| Initial Group | PPO | $300.96 | ↑ +167% |
| Cigna | IFP | $301.78 | ↑ +167% |
| Cigna | Local Plus | $303.09 | ↑ +169% |
| Galaxy Health Network | PPO | $307.80 | ↑ +173% |
| BCBS TN | Commercial Network S | $311.43 | ↑ +176% |
| BCBS TN | Commercial Network P | $311.43 | ↑ +176% |
| Cigna | HMO | $329.45 | ↑ +192% |
| Cigna | OAP | $329.45 | ↑ +192% |
| Cigna | POS | $329.45 | ↑ +192% |
Visitor-reported prices
Comments
Tissue culture tumor at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $492.41 | $53.11 – $571.14 |
| Ascension Saint Thomas DeKalb | Smithville | $492.41 | $103.44 – $571.14 |
| Ascension Saint Thomas Highlands | Sparta | $492.41 | $103.44 – $571.14 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $492.41 | $132.77 – $571.14 |
| Hancock County Hospital | SNEEDVILLE | $119.37 | $104.48 – $325.52 |
| Greeneville Community Hospital | GREENEVILLE | $121.50 | $66.38 – $321.59 |
| Bristol Regional Medical Center | BRISTOL | $121.50 | $73.76 – $354.05 |
| Holston Valley Medical Center | KINGSPORT | $121.50 | $73.76 – $354.05 |