Decalcification at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$8.12
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.
$28.00
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.
$4.35 with United Healthcare vs $64.49 with Ambetter — 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 | $4.35 | ↓ -46% |
| United Healthcare | All Other Plans | $9.02 | ↑ +11% |
| United Healthcare | Heritage Select | $9.02 | ↑ +11% |
| United Healthcare | Options PPO | $9.02 | ↑ +11% |
| BCBS TN | Blue Care | $9.98 | ↑ +23% |
| Aetna | Commercial | $11.58 | ↑ +43% |
| EHN | Network Lease | $12.60 | ↑ +55% |
| BCBS TN | Commercial Network P | $15.16 | ↑ +87% |
| BCBS TN | Commercial Network S | $15.16 | ↑ +87% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $16.80 | ↑ +107% |
| Cigna | IFP | $17.06 | ↑ +110% |
| Cigna | Local Plus | $17.14 | ↑ +111% |
| Community Services Network | NonProfit Public Benefit | $18.20 | ↑ +124% |
| Cigna | OAP | $18.63 | ↑ +129% |
| Cigna | POS | $18.63 | ↑ +129% |
| Cigna | HMO | $18.63 | ↑ +129% |
| USA Managed Care Organization | PPO | $19.60 | ↑ +141% |
| NovaNet | Network Lease | $21.00 | ↑ +159% |
| National Provider Network | PPO | $22.40 | ↑ +176% |
| Direct Care America | PPO | $22.40 | ↑ +176% |
| MedSave USA | Commercial | $22.40 | ↑ +176% |
| CCN Managed Care | PPO | $23.80 | ↑ +193% |
| Beech Street | PPO | $23.80 | ↑ +193% |
| Initial Group | PPO | $24.64 | ↑ +203% |
| Galaxy Health Network | PPO | $25.20 | ↑ +210% |
| Ambetter | Exchange | $64.49 | ↑ +694% |
Visitor-reported prices
Comments
Decalcification at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $51.62 | $2.82 – $28.88 |
| CHI Memorial Hospital Hixson | Hixson | $44.40 | $4.20 – $105.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $8.74 | $2.82 – $15.49 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $63.45 | $4.20 – $105.00 |
| Johnson City Medical Center | JOHNSON CITY | $9.00 | $8.87 – $42.98 |
| Ascension Saint Thomas DeKalb | Smithville | $51.62 | $2.82 – $28.88 |
| Ascension Saint Thomas Highlands | Sparta | $51.62 | $2.82 – $28.88 |
| Ascension Saint Thomas River Park | McMinnville | $51.62 | $4.21 – $28.88 |