Cyclophosphamide 25 mg capsule at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$4.98
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.
$17.18
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.
$1.88 with BCBS TN vs $8.08 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 |
|---|---|---|---|
| BCBS TN | Blue Care | $1.88 | ↓ -62% |
| United Healthcare | All Other Plans | $1.93 | ↓ -61% |
| United Healthcare | Heritage Select | $1.93 | ↓ -61% |
| United Healthcare | Options PPO | $1.93 | ↓ -61% |
| Cigna | POS | $2.33 | ↓ -53% |
| Cigna | IFP | $2.33 | ↓ -53% |
| Cigna | Local Plus | $2.33 | ↓ -53% |
| Cigna | HMO | $2.33 | ↓ -53% |
| Cigna | OAP | $2.33 | ↓ -53% |
| Aetna | Commercial | $3.47 | ↓ -30% |
| EHN | Network Lease | $4.04 | ↓ -19% |
| Ambetter | Exchange | $4.49 | ↓ -10% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $5.38 | ↑ +8% |
| BCBS TN | Commercial Network P | $5.56 | ↑ +12% |
| BCBS TN | Commercial Network S | $5.56 | ↑ +12% |
| Community Services Network | NonProfit Public Benefit | $5.83 | ↑ +17% |
| USA Managed Care Organization | PPO | $6.28 | ↑ +26% |
| NovaNet | Network Lease | $6.73 | ↑ +35% |
| National Provider Network | PPO | $7.18 | ↑ +44% |
| MedSave USA | Commercial | $7.18 | ↑ +44% |
| Direct Care America | PPO | $7.18 | ↑ +44% |
| Beech Street | PPO | $7.63 | ↑ +53% |
| CCN Managed Care | PPO | $7.63 | ↑ +53% |
| Initial Group | PPO | $7.90 | ↑ +59% |
| Galaxy Health Network | PPO | $8.08 | ↑ +62% |
Visitor-reported prices
Comments
Cyclophosphamide 25 mg capsule at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $2.67 | $0.95 – $5.49 |
| 62-1166050 BMH Carroll County | Huntingdon | $3.66 | $0.75 – $0.88 |
| Johnson City Medical Center | JOHNSON CITY | $2.32 | $1.32 – $7.37 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $2.67 | $0.95 – $5.49 |
| Bristol Regional Medical Center | BRISTOL | $1.26 | $0.58 – $4.14 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1.26 | $0.71 – $4.14 |
| Holston Valley Medical Center | KINGSPORT | $2.32 | $0.58 – $4.14 |
| 62-0123940 BMH Collierville | Collierville | $3.34 | $0.88 – $0.88 |