Electrophysiology evaluation at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$1,206.11
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.
$4,159.00
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.
$201.00 with United Healthcare vs $5,127.00 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $201.00 | ↓ -83% |
| Wellpoint | Medicaid Tenncare | $307.90 | ↓ -74% |
| EHN | Network Lease | $1,871.55 | ↑ +55% |
| Ambetter | Exchange | $2,009.00 | ↑ +67% |
| Cigna | Local Plus | $2,112.77 | ↑ +75% |
| Cigna | IFP | $2,112.77 | ↑ +75% |
| Cigna | POS | $2,487.08 | ↑ +106% |
| Cigna | HMO | $2,487.08 | ↑ +106% |
| Cigna | OAP | $2,487.08 | ↑ +106% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $2,495.40 | ↑ +107% |
| Community Services Network | NonProfit Public Benefit | $2,703.35 | ↑ +124% |
| USA Managed Care Organization | PPO | $2,911.30 | ↑ +141% |
| BCBS TN | Blue Care | $2,935.19 | ↑ +143% |
| NovaNet | Network Lease | $3,119.25 | ↑ +159% |
| National Provider Network | PPO | $3,327.20 | ↑ +176% |
| MedSave USA | Commercial | $3,327.20 | ↑ +176% |
| Direct Care America | PPO | $3,327.20 | ↑ +176% |
| Beech Street | PPO | $3,535.15 | ↑ +193% |
| CCN Managed Care | PPO | $3,535.15 | ↑ +193% |
| United Healthcare | All Other Plans | $3,572.00 | ↑ +196% |
| Initial Group | PPO | $3,659.92 | ↑ +203% |
| BCBS TN | Commercial Network S | $3,668.99 | ↑ +204% |
| BCBS TN | Commercial Network P | $3,668.99 | ↑ +204% |
| Galaxy Health Network | PPO | $3,743.10 | ↑ +210% |
| United Healthcare | Heritage Select | $4,201.00 | ↑ +248% |
| Aetna | Commercial | $4,558.52 | ↑ +278% |
| United Healthcare | Options PPO | $5,127.00 | ↑ +325% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $4,119.36 | $2,017.41 – $12,715.00 |
| CHI Memorial Hospital Hixson | Hixson | $2,890.74 | $1,953.20 – $6,836.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $4,131.02 | $2,050.86 – $6,836.20 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $4,119.36 | $2,017.41 – $12,715.00 |
| Greeneville Community Hospital | GREENEVILLE | $2,690.85 | $616.56 – $9,386.65 |
| Bristol Regional Medical Center | BRISTOL | $2,690.85 | $616.56 – $8,964.87 |
| Holston Valley Medical Center | KINGSPORT | $2,690.85 | $616.56 – $8,964.87 |
| 62-0123940 BMH Collierville | Collierville | $2,489.76 | $154.74 – $2,017.41 |