Ins lv lead exist pm/icd at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$4,642.32
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.
$16,008.00
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.
$1,890.00 with BCBS TN vs $19,113.00 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 | $1,890.00 | ↓ -59% |
| Ambetter | Exchange | $2,009.00 | ↓ -57% |
| Aetna | Commercial | $2,074.32 | ↓ -55% |
| Cigna | IFP | $2,372.00 | ↓ -49% |
| Cigna | Local Plus | $2,857.00 | ↓ -38% |
| Cigna | HMO | $3,419.00 | ↓ -26% |
| Cigna | POS | $3,419.00 | ↓ -26% |
| Cigna | OAP | $3,419.00 | ↓ -26% |
| EHN | Network Lease | $7,203.60 | ↑ +55% |
| United Healthcare | Tenncare | $7,707.00 | ↑ +66% |
| BCBS TN | Commercial Network P | $8,989.00 | ↑ +94% |
| BCBS TN | Commercial Network S | $8,989.00 | ↑ +94% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $9,604.80 | ↑ +107% |
| Tricare | Humana Military | $10,156.11 | ↑ +119% |
| Optum | VA CCN | $10,156.11 | ↑ +119% |
| Community Services Network | NonProfit Public Benefit | $10,405.20 | ↑ +124% |
| United Healthcare | Community Plan DSNP | $10,460.79 | ↑ +125% |
| Humana | Medicare Advantage PPO | $10,460.79 | ↑ +125% |
| Humana | Medicare Advantage HMO | $10,460.79 | ↑ +125% |
| Humana | DSNP | $10,460.79 | ↑ +125% |
| United Healthcare | Medicare Advantage | $10,460.79 | ↑ +125% |
| Farm Bureau | Medicare Advantage PPO | $10,562.35 | ↑ +128% |
| Farm Bureau | Medicare Advantage HMO | $10,562.35 | ↑ +128% |
| Cigna | Medicare HMO | $10,663.92 | ↑ +130% |
| HealthSpring | Medicare HMO POS | $10,663.92 | ↑ +130% |
| HealthSpring | Medicare PPO | $10,663.92 | ↑ +130% |
| Blue Cross of TN | Med Adv PPO | $10,663.92 | ↑ +130% |
| Cigna | Medicare HMO-POS | $10,663.92 | ↑ +130% |
| Wellpoint | DSNP | $10,663.92 | ↑ +130% |
| Wellpoint | Medicare Advantage | $10,663.92 | ↑ +130% |
| Devoted Health | PPO | $10,663.92 | ↑ +130% |
| Blue Cross of TN | Med Adv Sapphire | $10,663.92 | ↑ +130% |
| Blue Cross of TN | Med Adv Ruby | $10,663.92 | ↑ +130% |
| United Healthcare | DSNP | $10,663.92 | ↑ +130% |
| Wellcare | Medicare Advantage | $10,663.92 | ↑ +130% |
| Devoted Health | HMO | $10,663.92 | ↑ +130% |
| Blue Cross of TN | BlueEssential DSNP | $10,663.92 | ↑ +130% |
| Blue Cross of TN | BlueEssential HMO | $10,663.92 | ↑ +130% |
| Aetna | Medicare Advantage | $10,663.92 | ↑ +130% |
| Blue Cross of TN | Med Adv Diamond | $10,663.92 | ↑ +130% |
| Cigna | Medicare PPO | $10,663.92 | ↑ +130% |
| USA Managed Care Organization | PPO | $11,205.60 | ↑ +141% |
| Wellpoint | Medicaid Tenncare | $11,837.00 | ↑ +155% |
| NovaNet | Network Lease | $12,006.00 | ↑ +159% |
| National Provider Network | PPO | $12,806.40 | ↑ +176% |
| MedSave USA | Commercial | $12,806.40 | ↑ +176% |
| Direct Care America | PPO | $12,806.40 | ↑ +176% |
| United Healthcare | All Other Plans | $13,316.00 | ↑ +187% |
| Beech Street | PPO | $13,606.80 | ↑ +193% |
| CCN Managed Care | PPO | $13,606.80 | ↑ +193% |
| Initial Group | PPO | $14,087.04 | ↑ +203% |
| Galaxy Health Network | PPO | $14,407.20 | ↑ +210% |
| United Healthcare | Heritage Select | $15,660.00 | ↑ +237% |
| United Healthcare | Options PPO | $19,113.00 | ↑ +312% |
Visitor-reported prices
Comments
Ins lv lead exist pm/icd at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $7,557.30 | $1,752.88 – $14,894.00 |
| CHI Memorial Hospital Hixson | Hixson | $2,517.78 | $1,701.20 – $5,954.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $12,478.19 | $3,431.00 – $19,112.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,598.04 | $1,786.26 – $5,954.20 |
| Johnson City Medical Center | JOHNSON CITY | $2,714.40 | $502.02 – $21,261.99 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $7,557.30 | $1,869.19 – $6,935.50 |
| Greeneville Community Hospital | GREENEVILLE | $2,714.40 | $502.02 – $21,261.99 |
| Bristol Regional Medical Center | BRISTOL | $2,714.40 | $502.02 – $21,615.36 |