Mopath procedure level 1 at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$136.01
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.
$469.00
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.
$28.78 with Wellpoint vs $422.10 with Galaxy Health Network — 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 | $28.78 | ↓ -79% |
| United Healthcare | Tenncare | $29.82 | ↓ -78% |
| United Healthcare | Heritage Select | $63.96 | ↓ -53% |
| United Healthcare | Options PPO | $63.96 | ↓ -53% |
| United Healthcare | All Other Plans | $63.96 | ↓ -53% |
| Optum | VA CCN | $68.50 | ↓ -50% |
| Tricare | Humana Military | $68.50 | ↓ -50% |
| Humana | DSNP | $70.56 | ↓ -48% |
| Humana | Medicare Advantage PPO | $70.56 | ↓ -48% |
| Humana | Medicare Advantage HMO | $70.56 | ↓ -48% |
| United Healthcare | Community Plan DSNP | $70.56 | ↓ -48% |
| United Healthcare | Medicare Advantage | $70.56 | ↓ -48% |
| Farm Bureau | Medicare Advantage PPO | $71.24 | ↓ -48% |
| Farm Bureau | Medicare Advantage HMO | $71.24 | ↓ -48% |
| Devoted Health | PPO | $71.93 | ↓ -47% |
| HealthSpring | Medicare PPO | $71.93 | ↓ -47% |
| HealthSpring | Medicare HMO POS | $71.93 | ↓ -47% |
| Blue Cross of TN | Med Adv Sapphire | $71.93 | ↓ -47% |
| Aetna | Medicare Advantage | $71.93 | ↓ -47% |
| Wellcare | Medicare Advantage | $71.93 | ↓ -47% |
| Blue Cross of TN | Med Adv Ruby | $71.93 | ↓ -47% |
| Devoted Health | HMO | $71.93 | ↓ -47% |
| Cigna | Medicare PPO | $71.93 | ↓ -47% |
| Cigna | Medicare HMO | $71.93 | ↓ -47% |
| Blue Cross of TN | Med Adv PPO | $71.93 | ↓ -47% |
| Blue Cross of TN | Med Adv Diamond | $71.93 | ↓ -47% |
| Blue Cross of TN | BlueEssential HMO | $71.93 | ↓ -47% |
| Blue Cross of TN | BlueEssential DSNP | $71.93 | ↓ -47% |
| United Healthcare | DSNP | $71.93 | ↓ -47% |
| Cigna | Medicare HMO-POS | $71.93 | ↓ -47% |
| Wellpoint | DSNP | $71.93 | ↓ -47% |
| Wellpoint | Medicare Advantage | $71.93 | ↓ -47% |
| BCBS TN | Blue Care | $79.95 | ↓ -41% |
| Aetna | Commercial | $96.91 | ↓ -29% |
| Ambetter | Exchange | $115.77 | ↓ -15% |
| BCBS TN | Commercial Network P | $121.52 | ↓ -11% |
| BCBS TN | Commercial Network S | $121.52 | ↓ -11% |
| Cigna | IFP | $131.13 | ↓ -4% |
| Cigna | Local Plus | $131.70 | ↓ -3% |
| Cigna | POS | $143.15 | ↑ +5% |
| Cigna | OAP | $143.15 | ↑ +5% |
| Cigna | HMO | $143.15 | ↑ +5% |
| EHN | Network Lease | $211.05 | ↑ +55% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $281.40 | ↑ +107% |
| Community Services Network | NonProfit Public Benefit | $304.85 | ↑ +124% |
| USA Managed Care Organization | PPO | $328.30 | ↑ +141% |
| NovaNet | Network Lease | $351.75 | ↑ +159% |
| Direct Care America | PPO | $375.20 | ↑ +176% |
| MedSave USA | Commercial | $375.20 | ↑ +176% |
| National Provider Network | PPO | $375.20 | ↑ +176% |
| Beech Street | PPO | $398.65 | ↑ +193% |
| CCN Managed Care | PPO | $398.65 | ↑ +193% |
| Initial Group | PPO | $412.72 | ↑ +203% |
| Galaxy Health Network | PPO | $422.10 | ↑ +210% |
Visitor-reported prices
Comments
Mopath procedure level 1 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $483.35 | $23.03 – $218.94 |
| Johnson City Medical Center | JOHNSON CITY | $157.80 | $31.98 – $139.43 |
| Ascension Saint Thomas DeKalb | Smithville | $483.35 | $57.56 – $261.99 |
| Ascension Saint Thomas Highlands | Sparta | $483.35 | $57.56 – $261.99 |
| Ascension Saint Thomas River Park | McMinnville | $483.35 | $57.56 – $261.99 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $483.35 | $57.56 – $261.99 |
| Greeneville Community Hospital | GREENEVILLE | $157.80 | $23.03 – $139.43 |
| Bristol Regional Medical Center | BRISTOL | $157.80 | $31.98 – $153.50 |