Closure paravalvlr leak pq at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$1,499.30
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.
?
What you pay up front if you don't use insurance.
$5,170.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$609.54 with Optum vs $4,653.00 with Galaxy Health Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Optum | VA CCN | $609.54 | ↓ -59% |
| Tricare | Humana Military | $609.54 | ↓ -59% |
| Humana | Medicare Advantage PPO | $627.83 | ↓ -58% |
| United Healthcare | Medicare Advantage | $627.83 | ↓ -58% |
| Humana | Medicare Advantage HMO | $627.83 | ↓ -58% |
| Humana | DSNP | $627.83 | ↓ -58% |
| United Healthcare | Community Plan DSNP | $627.83 | ↓ -58% |
| Farm Bureau | Medicare Advantage PPO | $633.92 | ↓ -58% |
| Farm Bureau | Medicare Advantage HMO | $633.92 | ↓ -58% |
| Blue Cross of TN | Med Adv Sapphire | $640.02 | ↓ -57% |
| Devoted Health | HMO | $640.02 | ↓ -57% |
| Wellcare | Medicare Advantage | $640.02 | ↓ -57% |
| United Healthcare | DSNP | $640.02 | ↓ -57% |
| Devoted Health | PPO | $640.02 | ↓ -57% |
| Blue Cross of TN | Med Adv PPO | $640.02 | ↓ -57% |
| Blue Cross of TN | Med Adv Diamond | $640.02 | ↓ -57% |
| Blue Cross of TN | BlueEssential HMO | $640.02 | ↓ -57% |
| Blue Cross of TN | BlueEssential DSNP | $640.02 | ↓ -57% |
| Cigna | Medicare HMO-POS | $640.02 | ↓ -57% |
| Wellpoint | DSNP | $640.02 | ↓ -57% |
| Wellpoint | Medicare Advantage | $640.02 | ↓ -57% |
| HealthSpring | Medicare PPO | $640.02 | ↓ -57% |
| HealthSpring | Medicare HMO POS | $640.02 | ↓ -57% |
| Aetna | Medicare Advantage | $640.02 | ↓ -57% |
| Cigna | Medicare PPO | $640.02 | ↓ -57% |
| Cigna | Medicare HMO | $640.02 | ↓ -57% |
| Blue Cross of TN | Med Adv Ruby | $640.02 | ↓ -57% |
| United Healthcare | Tenncare | $819.00 | ↓ -45% |
| United Healthcare | All Other Plans | $1,066.00 | ↓ -29% |
| United Healthcare | Heritage Select | $1,254.00 | ↓ -16% |
| Wellpoint | Medicaid Tenncare | $1,259.81 | ↓ -16% |
| United Healthcare | Options PPO | $1,526.00 | ↑ +2% |
| BCBS TN | Blue Care | $1,575.00 | ↑ +5% |
| Ambetter | Exchange | $2,009.00 | ↑ +34% |
| EHN | Network Lease | $2,326.50 | ↑ +55% |
| BCBS TN | Commercial Network P | $2,356.00 | ↑ +57% |
| BCBS TN | Commercial Network S | $2,356.00 | ↑ +57% |
| Cigna | IFP | $2,372.00 | ↑ +58% |
| Aetna | Commercial | $2,811.90 | ↑ +88% |
| Cigna | Local Plus | $2,857.00 | ↑ +91% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $3,102.00 | ↑ +107% |
| Community Services Network | NonProfit Public Benefit | $3,360.50 | ↑ +124% |
| Cigna | HMO | $3,419.00 | ↑ +128% |
| Cigna | OAP | $3,419.00 | ↑ +128% |
| Cigna | POS | $3,419.00 | ↑ +128% |
| USA Managed Care Organization | PPO | $3,619.00 | ↑ +141% |
| NovaNet | Network Lease | $3,877.50 | ↑ +159% |
| Direct Care America | PPO | $4,136.00 | ↑ +176% |
| MedSave USA | Commercial | $4,136.00 | ↑ +176% |
| National Provider Network | PPO | $4,136.00 | ↑ +176% |
| Beech Street | PPO | $4,394.50 | ↑ +193% |
| CCN Managed Care | PPO | $4,394.50 | ↑ +193% |
| Initial Group | PPO | $4,549.60 | ↑ +203% |
| Galaxy Health Network | PPO | $4,653.00 | ↑ +210% |
Visitor-reported prices
Comments
Closure paravalvlr leak pq at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $28,242.62 | $532.90 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | $926.48 | $626.00 – $2,191.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,323.99 | $657.30 – $2,191.00 |
| 62-0123940 BMH Collierville | Collierville | $9,811.83 | $537.83 – $1,132.28 |
| Parkwest Medical Center | Knoxville | $13,035.00 | $569.14 – $4,653.00 |
| Roane County Medical Center | Harriman | $1,706.10 | $569.14 – $4,653.00 |
| Fort Sanders Regional Medical Center | Knoxville | $1,706.10 | $569.14 – $4,653.00 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $1,706.10 | $569.14 – $4,653.00 |