Change of ureter tube/stent at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$1,193.64
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.
$4,116.00
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.
$1,034.00 with United Healthcare vs $3,680.00 with BCBS TN — 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 | $1,034.00 | ↓ -13% |
| Cigna | IFP | $1,250.00 | ↑ +5% |
| Ambetter | Exchange | $1,308.00 | ↑ +10% |
| Aetna | Commercial | $1,349.71 | ↑ +13% |
| Wellpoint | Medicaid Tenncare | $1,391.00 | ↑ +17% |
| Cigna | Local Plus | $1,532.00 | ↑ +28% |
| BCBS TN | Blue Care | $1,575.00 | ↑ +32% |
| Cigna | HMO | $1,802.00 | ↑ +51% |
| Cigna | OAP | $1,802.00 | ↑ +51% |
| Cigna | POS | $1,802.00 | ↑ +51% |
| United Healthcare | All Other Plans | $1,894.00 | ↑ +59% |
| Tricare | Humana Military | $2,031.21 | ↑ +70% |
| Optum | VA CCN | $2,031.21 | ↑ +70% |
| United Healthcare | Medicare Advantage | $2,092.15 | ↑ +75% |
| United Healthcare | Community Plan DSNP | $2,092.15 | ↑ +75% |
| Humana | DSNP | $2,092.15 | ↑ +75% |
| Humana | Medicare Advantage HMO | $2,092.15 | ↑ +75% |
| Humana | Medicare Advantage PPO | $2,092.15 | ↑ +75% |
| Farm Bureau | Medicare Advantage PPO | $2,112.46 | ↑ +77% |
| Farm Bureau | Medicare Advantage HMO | $2,112.46 | ↑ +77% |
| Wellpoint | Medicare Advantage | $2,132.77 | ↑ +79% |
| Blue Cross of TN | Med Adv Sapphire | $2,132.77 | ↑ +79% |
| United Healthcare | DSNP | $2,132.77 | ↑ +79% |
| Devoted Health | PPO | $2,132.77 | ↑ +79% |
| Devoted Health | HMO | $2,132.77 | ↑ +79% |
| HealthSpring | Medicare PPO | $2,132.77 | ↑ +79% |
| HealthSpring | Medicare HMO POS | $2,132.77 | ↑ +79% |
| Aetna | Medicare Advantage | $2,132.77 | ↑ +79% |
| Wellcare | Medicare Advantage | $2,132.77 | ↑ +79% |
| Cigna | Medicare PPO | $2,132.77 | ↑ +79% |
| Cigna | Medicare HMO | $2,132.77 | ↑ +79% |
| Cigna | Medicare HMO-POS | $2,132.77 | ↑ +79% |
| Wellpoint | DSNP | $2,132.77 | ↑ +79% |
| Blue Cross of TN | Med Adv Ruby | $2,132.77 | ↑ +79% |
| Blue Cross of TN | BlueEssential DSNP | $2,132.77 | ↑ +79% |
| Blue Cross of TN | BlueEssential HMO | $2,132.77 | ↑ +79% |
| Blue Cross of TN | Med Adv Diamond | $2,132.77 | ↑ +79% |
| Blue Cross of TN | Med Adv PPO | $2,132.77 | ↑ +79% |
| United Healthcare | Heritage Select | $2,227.00 | ↑ +87% |
| United Healthcare | Options PPO | $2,717.00 | ↑ +128% |
| BCBS TN | Commercial Network P | $3,680.00 | ↑ +208% |
| BCBS TN | Commercial Network S | $3,680.00 | ↑ +208% |
| USA Managed Care Organization | PPO | not published by hospital | — |
| National Provider Network | PPO | not published by hospital | — |
| Beech Street | PPO | not published by hospital | — |
| NovaNet | Network Lease | not published by hospital | — |
| Galaxy Health Network | PPO | not published by hospital | — |
| CCN Managed Care | PPO | not published by hospital | — |
| Community Services Network | NonProfit Public Benefit | not published by hospital | — |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | not published by hospital | — |
| Direct Care America | PPO | not published by hospital | — |
| EHN | Network Lease | not published by hospital | — |
| Initial Group | PPO | not published by hospital | — |
| MedSave USA | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Change of ureter tube/stent at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $3,312.99 | $733.50 – $1,141.72 |
| CHI Memorial Hospital Hixson | Hixson | $2,088.28 | $1,411.00 – $4,938.50 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,984.27 | $1,481.55 – $4,938.50 |
| Greeneville Community Hospital | GREENEVILLE | $629.85 | $1,440.35 – $4,252.37 |
| Bristol Regional Medical Center | BRISTOL | $629.85 | $1,921.69 – $4,323.04 |
| Holston Valley Medical Center | KINGSPORT | $629.85 | $1,865.72 – $4,323.04 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $629.85 | $1,896.55 – $4,134.48 |
| Parkwest Medical Center | Knoxville | $1,234.80 | $117.39 – $1,991.38 |