Assay of procainamide w/metab at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$39.15
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.
$135.00
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.
$7.54 with Wellpoint vs $41.40 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 |
|---|---|---|---|
| Wellpoint | Medicaid Tenncare | $7.54 | ↓ -81% |
| United Healthcare | Tenncare | $10.72 | ↓ -73% |
| United Healthcare | Options PPO | $16.75 | ↓ -57% |
| United Healthcare | All Other Plans | $16.75 | ↓ -57% |
| United Healthcare | Heritage Select | $16.75 | ↓ -57% |
| Tricare | Humana Military | $17.94 | ↓ -54% |
| Optum | VA CCN | $17.94 | ↓ -54% |
| Humana | Medicare Advantage HMO | $18.48 | ↓ -53% |
| Humana | DSNP | $18.48 | ↓ -53% |
| Humana | Medicare Advantage PPO | $18.48 | ↓ -53% |
| United Healthcare | Medicare Advantage | $18.48 | ↓ -53% |
| United Healthcare | Community Plan DSNP | $18.48 | ↓ -53% |
| Farm Bureau | Medicare Advantage HMO | $18.66 | ↓ -52% |
| Farm Bureau | Medicare Advantage PPO | $18.66 | ↓ -52% |
| Blue Cross of TN | BlueEssential HMO | $18.84 | ↓ -52% |
| Devoted Health | HMO | $18.84 | ↓ -52% |
| Wellcare | Medicare Advantage | $18.84 | ↓ -52% |
| United Healthcare | DSNP | $18.84 | ↓ -52% |
| Devoted Health | PPO | $18.84 | ↓ -52% |
| HealthSpring | Medicare PPO | $18.84 | ↓ -52% |
| HealthSpring | Medicare HMO POS | $18.84 | ↓ -52% |
| Aetna | Medicare Advantage | $18.84 | ↓ -52% |
| Cigna | Medicare PPO | $18.84 | ↓ -52% |
| Cigna | Medicare HMO | $18.84 | ↓ -52% |
| Wellpoint | DSNP | $18.84 | ↓ -52% |
| Wellpoint | Medicare Advantage | $18.84 | ↓ -52% |
| Blue Cross of TN | Med Adv Ruby | $18.84 | ↓ -52% |
| Blue Cross of TN | Med Adv PPO | $18.84 | ↓ -52% |
| Blue Cross of TN | Med Adv Diamond | $18.84 | ↓ -52% |
| Blue Cross of TN | BlueEssential DSNP | $18.84 | ↓ -52% |
| Blue Cross of TN | Med Adv Sapphire | $18.84 | ↓ -52% |
| Cigna | Medicare HMO-POS | $18.84 | ↓ -52% |
| EHN | Network Lease | $20.70 | ↓ -47% |
| BCBS TN | Blue Care | $23.26 | ↓ -41% |
| Aetna | Commercial | $25.39 | ↓ -35% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $27.60 | ↓ -30% |
| Community Services Network | NonProfit Public Benefit | $29.90 | ↓ -24% |
| Ambetter | Exchange | $30.32 | ↓ -23% |
| USA Managed Care Organization | PPO | $32.20 | ↓ -18% |
| Cigna | IFP | $33.98 | ↓ -13% |
| Cigna | Local Plus | $34.13 | ↓ -13% |
| NovaNet | Network Lease | $34.50 | ↓ -12% |
| BCBS TN | Commercial Network P | $35.36 | ↓ -10% |
| BCBS TN | Commercial Network S | $35.36 | ↓ -10% |
| National Provider Network | PPO | $36.80 | ↓ -6% |
| Direct Care America | PPO | $36.80 | ↓ -6% |
| MedSave USA | Commercial | $36.80 | ↓ -6% |
| Cigna | POS | $37.10 | ↓ -5% |
| Cigna | OAP | $37.10 | ↓ -5% |
| Cigna | HMO | $37.10 | ↓ -5% |
| Beech Street | PPO | $39.10 | ↓ -0% |
| CCN Managed Care | PPO | $39.10 | ↓ -0% |
| Initial Group | PPO | $40.48 | ↑ +3% |
| Galaxy Health Network | PPO | $41.40 | ↑ +6% |
Visitor-reported prices
Comments
Assay of procainamide w/metab at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $120.75 | $6.03 – $64.35 |
| CHI Memorial Hospital Hixson | Hixson | $30.79 | $14.88 – $72.80 |
| 62-1166050 BMH Carroll County | Huntingdon | $19.32 | $14.57 – $33.50 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $44.00 | $14.88 – $72.80 |
| Johnson City Medical Center | JOHNSON CITY | $29.25 | $8.38 – $36.52 |
| Ascension Saint Thomas DeKalb | Smithville | $84.27 | $11.74 – $64.35 |
| Ascension Saint Thomas Highlands | Sparta | $84.27 | $11.74 – $64.35 |
| Ascension Saint Thomas River Park | McMinnville | $84.27 | $11.74 – $64.35 |