Diffusing capacity at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$74.53
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.
$257.00
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.
$50.50 with BCBS TN vs $385.00 with United Healthcare — 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 | $50.50 | ↓ -32% |
| BCBS TN | Commercial Network P | $63.12 | ↓ -15% |
| BCBS TN | Commercial Network S | $63.12 | ↓ -15% |
| Aetna | Commercial | $102.80 | ↑ +38% |
| EHN | Network Lease | $115.65 | ↑ +55% |
| Cigna | Local Plus | $130.55 | ↑ +75% |
| Cigna | IFP | $130.55 | ↑ +75% |
| Cigna | OAP | $153.68 | ↑ +106% |
| Cigna | HMO | $153.68 | ↑ +106% |
| Cigna | POS | $153.68 | ↑ +106% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $154.20 | ↑ +107% |
| Ambetter | Exchange | $154.20 | ↑ +107% |
| Community Services Network | NonProfit Public Benefit | $167.05 | ↑ +124% |
| USA Managed Care Organization | PPO | $179.90 | ↑ +141% |
| NovaNet | Network Lease | $192.75 | ↑ +159% |
| MedSave USA | Commercial | $205.60 | ↑ +176% |
| National Provider Network | PPO | $205.60 | ↑ +176% |
| Direct Care America | PPO | $205.60 | ↑ +176% |
| CCN Managed Care | PPO | $218.45 | ↑ +193% |
| Beech Street | PPO | $218.45 | ↑ +193% |
| Initial Group | PPO | $226.16 | ↑ +203% |
| Galaxy Health Network | PPO | $231.30 | ↑ +210% |
| United Healthcare | All Other Plans | $268.00 | ↑ +260% |
| United Healthcare | Heritage Select | $314.00 | ↑ +321% |
| United Healthcare | Options PPO | $385.00 | ↑ +417% |
Visitor-reported prices
Comments
Diffusing capacity at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $250.89 | $35.30 – $92.92 |
| CHI Memorial Hospital Hixson | Hixson | $208.68 | $52.54 – $493.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $69.46 | $35.30 – $91.11 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $298.22 | $52.54 – $493.50 |
| Johnson City Medical Center | JOHNSON CITY | $100.35 | $40.95 – $125.63 |
| Ascension Saint Thomas DeKalb | Smithville | $263.46 | $31.15 – $92.92 |
| Ascension Saint Thomas Highlands | Sparta | $263.46 | $31.15 – $92.92 |
| Ascension Saint Thomas River Park | McMinnville | $263.46 | $31.15 – $92.92 |