Ghs fish hybrid in situ 100-300 at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$51.91
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.
$179.00
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.
$23.04 with Wellpoint vs $114.38 with Cigna — 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 | $23.04 | ↓ -56% |
| United Healthcare | Tenncare | $25.69 | ↓ -51% |
| EHN | Network Lease | $49.50 | ↓ -5% |
| United Healthcare | Options PPO | $51.19 | ↓ -1% |
| United Healthcare | Heritage Select | $51.19 | ↓ -1% |
| United Healthcare | All Other Plans | $51.19 | ↓ -1% |
| Optum | VA CCN | $54.82 | ↑ +6% |
| Tricare | Humana Military | $54.82 | ↑ +6% |
| Humana | Medicare Advantage HMO | $56.46 | ↑ +9% |
| Humana | DSNP | $56.46 | ↑ +9% |
| United Healthcare | Community Plan DSNP | $56.46 | ↑ +9% |
| United Healthcare | Medicare Advantage | $56.46 | ↑ +9% |
| Humana | Medicare Advantage PPO | $56.46 | ↑ +9% |
| Farm Bureau | Medicare Advantage HMO | $57.01 | ↑ +10% |
| Farm Bureau | Medicare Advantage PPO | $57.01 | ↑ +10% |
| Blue Cross of TN | BlueEssential DSNP | $57.56 | ↑ +11% |
| Devoted Health | HMO | $57.56 | ↑ +11% |
| Wellcare | Medicare Advantage | $57.56 | ↑ +11% |
| United Healthcare | DSNP | $57.56 | ↑ +11% |
| Devoted Health | PPO | $57.56 | ↑ +11% |
| HealthSpring | Medicare PPO | $57.56 | ↑ +11% |
| HealthSpring | Medicare HMO POS | $57.56 | ↑ +11% |
| Aetna | Medicare Advantage | $57.56 | ↑ +11% |
| Cigna | Medicare PPO | $57.56 | ↑ +11% |
| Cigna | Medicare HMO | $57.56 | ↑ +11% |
| Wellpoint | Medicare Advantage | $57.56 | ↑ +11% |
| Blue Cross of TN | Med Adv Diamond | $57.56 | ↑ +11% |
| Blue Cross of TN | BlueEssential HMO | $57.56 | ↑ +11% |
| Blue Cross of TN | Med Adv Sapphire | $57.56 | ↑ +11% |
| Blue Cross of TN | Med Adv Ruby | $57.56 | ↑ +11% |
| Blue Cross of TN | Med Adv PPO | $57.56 | ↑ +11% |
| Cigna | Medicare HMO-POS | $57.56 | ↑ +11% |
| Wellpoint | DSNP | $57.56 | ↑ +11% |
| BCBS TN | Blue Care | $63.99 | ↑ +23% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $66.00 | ↑ +27% |
| Community Services Network | NonProfit Public Benefit | $71.50 | ↑ +38% |
| USA Managed Care Organization | PPO | $77.00 | ↑ +48% |
| Aetna | Commercial | $77.56 | ↑ +49% |
| NovaNet | Network Lease | $82.50 | ↑ +59% |
| Direct Care America | PPO | $88.00 | ↑ +70% |
| National Provider Network | PPO | $88.00 | ↑ +70% |
| MedSave USA | Commercial | $88.00 | ↑ +70% |
| Ambetter | Exchange | $92.65 | ↑ +78% |
| CCN Managed Care | PPO | $93.50 | ↑ +80% |
| Beech Street | PPO | $93.50 | ↑ +80% |
| Initial Group | PPO | $96.80 | ↑ +86% |
| BCBS TN | Commercial Network S | $97.26 | ↑ +87% |
| BCBS TN | Commercial Network P | $97.26 | ↑ +87% |
| Galaxy Health Network | PPO | $99.00 | ↑ +91% |
| Cigna | IFP | $104.77 | ↑ +102% |
| Cigna | Local Plus | $105.23 | ↑ +103% |
| Cigna | HMO | $114.38 | ↑ +120% |
| Cigna | OAP | $114.38 | ↑ +120% |
| Cigna | POS | $114.38 | ↑ +120% |
Visitor-reported prices
Comments
Ghs fish hybrid in situ 100-300 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $70.20 | $25.60 – $111.59 |
| Hancock County Hospital | SNEEDVILLE | $69.00 | $28.44 – $112.60 |
| Greeneville Community Hospital | GREENEVILLE | $70.20 | $20.48 – $111.59 |
| Bristol Regional Medical Center | BRISTOL | $70.20 | $25.60 – $122.86 |
| Franklin Woods Community Hospital | JOHNSON CITY | $70.20 | $25.60 – $111.59 |
| Holston Valley Medical Center | KINGSPORT | $70.20 | $25.60 – $122.86 |
| 62-0123940 BMH Collierville | Collierville | $158.97 | $44.76 – $102.38 |
| Indian Path Community Hospital | KINGSPORT | $70.20 | $25.60 – $122.86 |