Phlebotomy therapeutic at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$67.57
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.
$233.00
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.
$27.28 with United Healthcare vs $2,811.90 with Aetna — 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $27.28 | ↓ -60% |
| EHN | Network Lease | $90.00 | ↑ +33% |
| United Healthcare | All Other Plans | $100.00 | ↑ +48% |
| United Healthcare | Heritage Select | $100.00 | ↑ +48% |
| United Healthcare | Options PPO | $100.00 | ↑ +48% |
| Cigna | Local Plus | $101.60 | ↑ +50% |
| Cigna | IFP | $101.60 | ↑ +50% |
| Wellpoint | Medicaid Tenncare | $108.88 | ↑ +61% |
| BCBS TN | Blue Care | $110.47 | ↑ +63% |
| Cigna | HMO | $119.60 | ↑ +77% |
| Cigna | OAP | $119.60 | ↑ +77% |
| Cigna | POS | $119.60 | ↑ +77% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $120.00 | ↑ +78% |
| Ambetter | Exchange | $120.00 | ↑ +78% |
| Tricare | Humana Military | $129.28 | ↑ +91% |
| Optum | VA CCN | $129.28 | ↑ +91% |
| Community Services Network | NonProfit Public Benefit | $130.00 | ↑ +92% |
| Humana | DSNP | $133.16 | ↑ +97% |
| United Healthcare | Community Plan DSNP | $133.16 | ↑ +97% |
| Humana | Medicare Advantage PPO | $133.16 | ↑ +97% |
| United Healthcare | Medicare Advantage | $133.16 | ↑ +97% |
| Humana | Medicare Advantage HMO | $133.16 | ↑ +97% |
| Farm Bureau | Medicare Advantage HMO | $134.45 | ↑ +99% |
| Farm Bureau | Medicare Advantage PPO | $134.45 | ↑ +99% |
| Blue Cross of TN | Med Adv Sapphire | $135.74 | ↑ +101% |
| Cigna | Medicare PPO | $135.74 | ↑ +101% |
| Aetna | Medicare Advantage | $135.74 | ↑ +101% |
| HealthSpring | Medicare HMO POS | $135.74 | ↑ +101% |
| HealthSpring | Medicare PPO | $135.74 | ↑ +101% |
| Cigna | Medicare HMO-POS | $135.74 | ↑ +101% |
| Wellpoint | DSNP | $135.74 | ↑ +101% |
| Wellpoint | Medicare Advantage | $135.74 | ↑ +101% |
| Devoted Health | PPO | $135.74 | ↑ +101% |
| United Healthcare | DSNP | $135.74 | ↑ +101% |
| Wellcare | Medicare Advantage | $135.74 | ↑ +101% |
| Devoted Health | HMO | $135.74 | ↑ +101% |
| Blue Cross of TN | Med Adv Ruby | $135.74 | ↑ +101% |
| Cigna | Medicare HMO | $135.74 | ↑ +101% |
| Blue Cross of TN | BlueEssential DSNP | $135.74 | ↑ +101% |
| Blue Cross of TN | BlueEssential HMO | $135.74 | ↑ +101% |
| Blue Cross of TN | Med Adv Diamond | $135.74 | ↑ +101% |
| Blue Cross of TN | Med Adv PPO | $135.74 | ↑ +101% |
| BCBS TN | Commercial Network P | $138.09 | ↑ +104% |
| BCBS TN | Commercial Network S | $138.09 | ↑ +104% |
| USA Managed Care Organization | PPO | $140.00 | ↑ +107% |
| NovaNet | Network Lease | $150.00 | ↑ +122% |
| National Provider Network | PPO | $160.00 | ↑ +137% |
| MedSave USA | Commercial | $160.00 | ↑ +137% |
| Direct Care America | PPO | $160.00 | ↑ +137% |
| Beech Street | PPO | $170.00 | ↑ +152% |
| CCN Managed Care | PPO | $170.00 | ↑ +152% |
| Initial Group | PPO | $176.00 | ↑ +160% |
| Galaxy Health Network | PPO | $180.00 | ↑ +166% |
| Aetna | Commercial | $2,811.90 | ↑ +4061% |
Visitor-reported prices
Comments
Phlebotomy therapeutic at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $126.38 | $13.42 – $202.68 |
| CHI Memorial Hospital Hixson | Hixson | $51.21 | $19.97 – $121.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $27.14 | $13.42 – $235.40 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $73.18 | $19.97 – $121.10 |
| Johnson City Medical Center | JOHNSON CITY | $65.10 | $15.57 – $270.65 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $151.64 | $13.42 – $202.68 |
| Hancock County Hospital | SNEEDVILLE | $63.94 | $15.57 – $147.76 |
| Greeneville Community Hospital | GREENEVILLE | $65.10 | $15.36 – $270.65 |