ER Visit (level 3) at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$217.50
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.
$750.00
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.
$227.00 with BCBS TN vs $2,130.00 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 | $227.00 | ↑ +4% |
| Optum | VA CCN | $265.25 | ↑ +22% |
| Tricare | Humana Military | $265.25 | ↑ +22% |
| United Healthcare | Community Plan DSNP | $273.21 | ↑ +26% |
| United Healthcare | Medicare Advantage | $273.21 | ↑ +26% |
| Humana | Medicare Advantage HMO | $273.21 | ↑ +26% |
| Humana | DSNP | $273.21 | ↑ +26% |
| Humana | Medicare Advantage PPO | $273.21 | ↑ +26% |
| Farm Bureau | Medicare Advantage PPO | $275.86 | ↑ +27% |
| Farm Bureau | Medicare Advantage HMO | $275.86 | ↑ +27% |
| HealthSpring | Medicare HMO POS | $278.51 | ↑ +28% |
| Devoted Health | HMO | $278.51 | ↑ +28% |
| Wellcare | Medicare Advantage | $278.51 | ↑ +28% |
| United Healthcare | DSNP | $278.51 | ↑ +28% |
| Devoted Health | PPO | $278.51 | ↑ +28% |
| HealthSpring | Medicare PPO | $278.51 | ↑ +28% |
| Blue Cross of TN | BlueEssential HMO | $278.51 | ↑ +28% |
| Blue Cross of TN | BlueEssential DSNP | $278.51 | ↑ +28% |
| Cigna | Medicare HMO-POS | $278.51 | ↑ +28% |
| Wellpoint | DSNP | $278.51 | ↑ +28% |
| Wellpoint | Medicare Advantage | $278.51 | ↑ +28% |
| Aetna | Medicare Advantage | $278.51 | ↑ +28% |
| Blue Cross of TN | Med Adv Sapphire | $278.51 | ↑ +28% |
| Cigna | Medicare PPO | $278.51 | ↑ +28% |
| Cigna | Medicare HMO | $278.51 | ↑ +28% |
| Blue Cross of TN | Med Adv Ruby | $278.51 | ↑ +28% |
| Blue Cross of TN | Med Adv PPO | $278.51 | ↑ +28% |
| Blue Cross of TN | Med Adv Diamond | $278.51 | ↑ +28% |
| EHN | Network Lease | $337.50 | ↑ +55% |
| Wellpoint | Medicaid Tenncare | $357.00 | ↑ +64% |
| United Healthcare | Tenncare | $416.00 | ↑ +91% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $450.00 | ↑ +107% |
| Community Services Network | NonProfit Public Benefit | $487.50 | ↑ +124% |
| USA Managed Care Organization | PPO | $525.00 | ↑ +141% |
| NovaNet | Network Lease | $562.50 | ↑ +159% |
| MedSave USA | Commercial | $600.00 | ↑ +176% |
| National Provider Network | PPO | $600.00 | ↑ +176% |
| Direct Care America | PPO | $600.00 | ↑ +176% |
| CCN Managed Care | PPO | $637.50 | ↑ +193% |
| Beech Street | PPO | $637.50 | ↑ +193% |
| Initial Group | PPO | $660.00 | ↑ +203% |
| Galaxy Health Network | PPO | $675.00 | ↑ +210% |
| BCBS TN | Commercial Network S | $739.00 | ↑ +240% |
| BCBS TN | Commercial Network P | $739.00 | ↑ +240% |
| Cigna | IFP | $761.00 | ↑ +250% |
| Cigna | Local Plus | $871.00 | ↑ +300% |
| Ambetter | Exchange | $983.00 | ↑ +352% |
| Cigna | HMO | $1,024.00 | ↑ +371% |
| Cigna | OAP | $1,024.00 | ↑ +371% |
| Cigna | POS | $1,024.00 | ↑ +371% |
| Aetna | Commercial | $1,312.50 | ↑ +503% |
| United Healthcare | All Other Plans | $1,486.00 | ↑ +583% |
| United Healthcare | Heritage Select | $1,747.00 | ↑ +703% |
| United Healthcare | Options PPO | $2,130.00 | ↑ +879% |
Visitor-reported prices
Comments
ER Visit (level 3) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $735.00 | $56.40 – $2,166.00 |
| CHI Memorial Hospital Hixson | Hixson | $450.22 | $110.76 – $1,222.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $247.48 | $49.38 – $505.66 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $643.39 | $110.76 – $1,222.00 |
| Johnson City Medical Center | JOHNSON CITY | $204.75 | $254.73 – $555.30 |
| Ascension Saint Thomas DeKalb | Smithville | $735.00 | $56.40 – $2,166.00 |
| Ascension Saint Thomas Highlands | Sparta | $735.00 | $56.40 – $2,166.00 |
| Ascension Saint Thomas River Park | McMinnville | $735.00 | $56.40 – $2,166.00 |