ER Visit (level 4) at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$290.00
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.
$1,000.00
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.
$405.45 with Optum vs $3,012.00 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 |
|---|---|---|---|
| Optum | VA CCN | $405.45 | ↑ +40% |
| Tricare | Humana Military | $405.45 | ↑ +40% |
| BCBS TN | Blue Care | $408.00 | ↑ +41% |
| United Healthcare | Community Plan DSNP | $417.61 | ↑ +44% |
| United Healthcare | Medicare Advantage | $417.61 | ↑ +44% |
| Humana | Medicare Advantage HMO | $417.61 | ↑ +44% |
| Humana | DSNP | $417.61 | ↑ +44% |
| Humana | Medicare Advantage PPO | $417.61 | ↑ +44% |
| Farm Bureau | Medicare Advantage PPO | $421.67 | ↑ +45% |
| Farm Bureau | Medicare Advantage HMO | $421.67 | ↑ +45% |
| HealthSpring | Medicare HMO POS | $425.72 | ↑ +47% |
| Devoted Health | HMO | $425.72 | ↑ +47% |
| Wellcare | Medicare Advantage | $425.72 | ↑ +47% |
| United Healthcare | DSNP | $425.72 | ↑ +47% |
| Devoted Health | PPO | $425.72 | ↑ +47% |
| HealthSpring | Medicare PPO | $425.72 | ↑ +47% |
| Blue Cross of TN | BlueEssential HMO | $425.72 | ↑ +47% |
| Blue Cross of TN | BlueEssential DSNP | $425.72 | ↑ +47% |
| Cigna | Medicare HMO-POS | $425.72 | ↑ +47% |
| Wellpoint | DSNP | $425.72 | ↑ +47% |
| Wellpoint | Medicare Advantage | $425.72 | ↑ +47% |
| Aetna | Medicare Advantage | $425.72 | ↑ +47% |
| Blue Cross of TN | Med Adv Sapphire | $425.72 | ↑ +47% |
| Cigna | Medicare PPO | $425.72 | ↑ +47% |
| Cigna | Medicare HMO | $425.72 | ↑ +47% |
| Blue Cross of TN | Med Adv Ruby | $425.72 | ↑ +47% |
| Blue Cross of TN | Med Adv PPO | $425.72 | ↑ +47% |
| Blue Cross of TN | Med Adv Diamond | $425.72 | ↑ +47% |
| EHN | Network Lease | $450.00 | ↑ +55% |
| Wellpoint | Medicaid Tenncare | $577.50 | ↑ +99% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $600.00 | ↑ +107% |
| Community Services Network | NonProfit Public Benefit | $650.00 | ↑ +124% |
| United Healthcare | Tenncare | $684.00 | ↑ +136% |
| USA Managed Care Organization | PPO | $700.00 | ↑ +141% |
| NovaNet | Network Lease | $750.00 | ↑ +159% |
| Cigna | IFP | $795.00 | ↑ +174% |
| National Provider Network | PPO | $800.00 | ↑ +176% |
| MedSave USA | Commercial | $800.00 | ↑ +176% |
| Direct Care America | PPO | $800.00 | ↑ +176% |
| CCN Managed Care | PPO | $850.00 | ↑ +193% |
| Beech Street | PPO | $850.00 | ↑ +193% |
| Initial Group | PPO | $880.00 | ↑ +203% |
| Galaxy Health Network | PPO | $900.00 | ↑ +210% |
| BCBS TN | Commercial Network S | $938.00 | ↑ +223% |
| BCBS TN | Commercial Network P | $938.00 | ↑ +223% |
| Ambetter | Exchange | $1,035.00 | ↑ +257% |
| Cigna | Local Plus | $1,072.00 | ↑ +270% |
| Cigna | HMO | $1,261.00 | ↑ +335% |
| Cigna | OAP | $1,261.00 | ↑ +335% |
| Cigna | POS | $1,261.00 | ↑ +335% |
| Aetna | Commercial | $2,047.50 | ↑ +606% |
| United Healthcare | All Other Plans | $2,101.00 | ↑ +624% |
| United Healthcare | Heritage Select | $2,471.00 | ↑ +752% |
| United Healthcare | Options PPO | $3,012.00 | ↑ +939% |
Visitor-reported prices
Comments
ER Visit (level 4) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $945.00 | $107.34 – $3,788.00 |
| CHI Memorial Hospital Hixson | Hixson | $529.25 | $171.17 – $1,222.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $691.15 | $93.67 – $777.64 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $756.33 | $171.17 – $1,222.00 |
| Johnson City Medical Center | JOHNSON CITY | $300.30 | $389.37 – $848.82 |
| Ascension Saint Thomas DeKalb | Smithville | $945.00 | $107.34 – $3,788.00 |
| Ascension Saint Thomas Highlands | Sparta | $945.00 | $107.34 – $3,788.00 |
| Ascension Saint Thomas River Park | McMinnville | $945.00 | $107.34 – $3,788.00 |