Drvvt confirm - quest at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$58.87
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.
$203.00
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.
$8.09 with Wellpoint vs $179.10 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 |
|---|---|---|---|
| Wellpoint | Medicaid Tenncare | $8.09 | ↓ -86% |
| United Healthcare | Tenncare | $11.50 | ↓ -80% |
| United Healthcare | Heritage Select | $17.98 | ↓ -69% |
| United Healthcare | Options PPO | $17.98 | ↓ -69% |
| United Healthcare | All Other Plans | $17.98 | ↓ -69% |
| Optum | VA CCN | $19.26 | ↓ -67% |
| Tricare | Humana Military | $19.26 | ↓ -67% |
| Humana | DSNP | $19.84 | ↓ -66% |
| Humana | Medicare Advantage PPO | $19.84 | ↓ -66% |
| Humana | Medicare Advantage HMO | $19.84 | ↓ -66% |
| United Healthcare | Community Plan DSNP | $19.84 | ↓ -66% |
| United Healthcare | Medicare Advantage | $19.84 | ↓ -66% |
| Farm Bureau | Medicare Advantage PPO | $20.03 | ↓ -66% |
| Farm Bureau | Medicare Advantage HMO | $20.03 | ↓ -66% |
| Devoted Health | PPO | $20.22 | ↓ -66% |
| HealthSpring | Medicare PPO | $20.22 | ↓ -66% |
| HealthSpring | Medicare HMO POS | $20.22 | ↓ -66% |
| Blue Cross of TN | Med Adv Sapphire | $20.22 | ↓ -66% |
| Aetna | Medicare Advantage | $20.22 | ↓ -66% |
| Wellcare | Medicare Advantage | $20.22 | ↓ -66% |
| Blue Cross of TN | Med Adv Ruby | $20.22 | ↓ -66% |
| Devoted Health | HMO | $20.22 | ↓ -66% |
| Cigna | Medicare PPO | $20.22 | ↓ -66% |
| Cigna | Medicare HMO | $20.22 | ↓ -66% |
| Blue Cross of TN | Med Adv PPO | $20.22 | ↓ -66% |
| Blue Cross of TN | Med Adv Diamond | $20.22 | ↓ -66% |
| Blue Cross of TN | BlueEssential HMO | $20.22 | ↓ -66% |
| Blue Cross of TN | BlueEssential DSNP | $20.22 | ↓ -66% |
| United Healthcare | DSNP | $20.22 | ↓ -66% |
| Cigna | Medicare HMO-POS | $20.22 | ↓ -66% |
| Wellpoint | DSNP | $20.22 | ↓ -66% |
| Wellpoint | Medicare Advantage | $20.22 | ↓ -66% |
| BCBS TN | Blue Care | $24.96 | ↓ -58% |
| Aetna | Commercial | $27.23 | ↓ -54% |
| Ambetter | Exchange | $32.54 | ↓ -45% |
| Cigna | IFP | $36.78 | ↓ -38% |
| Cigna | Local Plus | $36.94 | ↓ -37% |
| BCBS TN | Commercial Network S | $37.94 | ↓ -36% |
| BCBS TN | Commercial Network P | $37.94 | ↓ -36% |
| Cigna | POS | $40.15 | ↓ -32% |
| Cigna | OAP | $40.15 | ↓ -32% |
| Cigna | HMO | $40.15 | ↓ -32% |
| EHN | Network Lease | $89.55 | ↑ +52% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $119.40 | ↑ +103% |
| Community Services Network | NonProfit Public Benefit | $129.35 | ↑ +120% |
| USA Managed Care Organization | PPO | $139.30 | ↑ +137% |
| NovaNet | Network Lease | $149.25 | ↑ +154% |
| Direct Care America | PPO | $159.20 | ↑ +170% |
| MedSave USA | Commercial | $159.20 | ↑ +170% |
| National Provider Network | PPO | $159.20 | ↑ +170% |
| Beech Street | PPO | $169.15 | ↑ +187% |
| CCN Managed Care | PPO | $169.15 | ↑ +187% |
| Initial Group | PPO | $175.12 | ↑ +197% |
| Galaxy Health Network | PPO | $179.10 | ↑ +204% |
Visitor-reported prices
Comments
Drvvt confirm - quest at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $44.72 | $6.47 – $69.98 |
| Johnson City Medical Center | JOHNSON CITY | $15.75 | $4.63 – $39.20 |
| Ascension Saint Thomas DeKalb | Smithville | $101.66 | $12.60 – $69.98 |
| Ascension Saint Thomas Highlands | Sparta | $101.66 | $12.60 – $69.98 |
| Ascension Saint Thomas River Park | McMinnville | $101.66 | $12.60 – $69.98 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $101.66 | $16.18 – $69.98 |
| Hancock County Hospital | SNEEDVILLE | $15.41 | $5.17 – $39.70 |
| Greeneville Community Hospital | GREENEVILLE | $15.75 | $5.02 – $39.20 |