Allograft dermis 20x25x1mm decell w/matracell arthroflex at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$5,147.50
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.
$17,750.00
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.
$120.92 with Tricare vs $15,975.00 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 |
|---|---|---|---|
| Tricare | Humana Military | $120.92 | ↓ -98% |
| Optum | VA CCN | $120.92 | ↓ -98% |
| Humana | DSNP | $124.55 | ↓ -98% |
| Humana | Medicare Advantage HMO | $124.55 | ↓ -98% |
| United Healthcare | Medicare Advantage | $124.55 | ↓ -98% |
| United Healthcare | Community Plan DSNP | $124.55 | ↓ -98% |
| Humana | Medicare Advantage PPO | $124.55 | ↓ -98% |
| Farm Bureau | Medicare Advantage PPO | $125.76 | ↓ -98% |
| Farm Bureau | Medicare Advantage HMO | $125.76 | ↓ -98% |
| Blue Cross of TN | Med Adv Sapphire | $126.97 | ↓ -98% |
| Devoted Health | HMO | $126.97 | ↓ -98% |
| Wellcare | Medicare Advantage | $126.97 | ↓ -98% |
| United Healthcare | DSNP | $126.97 | ↓ -98% |
| Devoted Health | PPO | $126.97 | ↓ -98% |
| HealthSpring | Medicare PPO | $126.97 | ↓ -98% |
| HealthSpring | Medicare HMO POS | $126.97 | ↓ -98% |
| Aetna | Medicare Advantage | $126.97 | ↓ -98% |
| Cigna | Medicare PPO | $126.97 | ↓ -98% |
| Cigna | Medicare HMO | $126.97 | ↓ -98% |
| Cigna | Medicare HMO-POS | $126.97 | ↓ -98% |
| Wellpoint | DSNP | $126.97 | ↓ -98% |
| Wellpoint | Medicare Advantage | $126.97 | ↓ -98% |
| Blue Cross of TN | BlueEssential DSNP | $126.97 | ↓ -98% |
| Blue Cross of TN | BlueEssential HMO | $126.97 | ↓ -98% |
| Blue Cross of TN | Med Adv Diamond | $126.97 | ↓ -98% |
| Blue Cross of TN | Med Adv PPO | $126.97 | ↓ -98% |
| Blue Cross of TN | Med Adv Ruby | $126.97 | ↓ -98% |
| United Healthcare | Heritage Select | $134.77 | ↓ -97% |
| United Healthcare | Options PPO | $134.77 | ↓ -97% |
| United Healthcare | All Other Plans | $134.77 | ↓ -97% |
| Cigna | IFP | $143.67 | ↓ -97% |
| Cigna | HMO | $143.67 | ↓ -97% |
| Cigna | OAP | $143.67 | ↓ -97% |
| Cigna | POS | $143.67 | ↓ -97% |
| Cigna | Local Plus | $143.67 | ↓ -97% |
| BCBS TN | Blue Care | $3,727.50 | ↓ -28% |
| EHN | Network Lease | $7,987.50 | ↑ +55% |
| Ambetter | Exchange | $8,875.00 | ↑ +72% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $10,650.00 | ↑ +107% |
| BCBS TN | Commercial Network P | $11,005.00 | ↑ +114% |
| BCBS TN | Commercial Network S | $11,005.00 | ↑ +114% |
| Community Services Network | NonProfit Public Benefit | $11,537.50 | ↑ +124% |
| USA Managed Care Organization | PPO | $12,425.00 | ↑ +141% |
| NovaNet | Network Lease | $13,312.50 | ↑ +159% |
| National Provider Network | PPO | $14,200.00 | ↑ +176% |
| MedSave USA | Commercial | $14,200.00 | ↑ +176% |
| Direct Care America | PPO | $14,200.00 | ↑ +176% |
| Beech Street | PPO | $15,087.50 | ↑ +193% |
| CCN Managed Care | PPO | $15,087.50 | ↑ +193% |
| Initial Group | PPO | $15,620.00 | ↑ +203% |
| Galaxy Health Network | PPO | $15,975.00 | ↑ +210% |
| Aetna | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Allograft dermis 20x25x1mm decell w/matracell arthroflex at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | $5,325.00 | $112.91 – $5,895.00 |
| Roane County Medical Center | Harriman | $5,857.50 | $112.91 – $11,677.50 |
| Fort Sanders Regional Medical Center | Knoxville | $6,849.15 | $112.91 – $4,702.50 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $5,857.50 | $112.91 – $7,229.25 |
| Cumberland Medical Center, Inc. | Crossville | $5,680.00 | $120.92 – $7,229.25 |
| Morristown-Hamblen Hospital Association | Morristown | $5,293.50 | $112.91 – $4,702.50 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $336.92 – $336.92 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $336.92 – $336.92 |