Physical Therapy Re-Evaluation at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$22.62
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.
$78.00
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.
$66.24 with BCBS TN vs $268.00 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 | $66.24 | ↑ +193% |
| Wellpoint | Medicaid Tenncare | $76.00 | ↑ +236% |
| United Healthcare | Tenncare | $81.00 | ↑ +258% |
| BCBS TN | Commercial Network P | $82.80 | ↑ +266% |
| BCBS TN | Commercial Network S | $82.80 | ↑ +266% |
| Cigna | IFP | $144.00 | ↑ +537% |
| Aetna | Commercial | $158.00 | ↑ +598% |
| Ambetter | Exchange | $161.00 | ↑ +612% |
| Cigna | Local Plus | $162.00 | ↑ +616% |
| Cigna | POS | $190.00 | ↑ +740% |
| Cigna | HMO | $190.00 | ↑ +740% |
| Cigna | OAP | $190.00 | ↑ +740% |
| United Healthcare | All Other Plans | $190.00 | ↑ +740% |
| United Healthcare | Heritage Select | $223.00 | ↑ +886% |
| United Healthcare | Options PPO | $268.00 | ↑ +1085% |
| EHN | Network Lease | not published by hospital | — |
| Galaxy Health Network | PPO | not published by hospital | — |
| Initial Group | PPO | not published by hospital | — |
| MedSave USA | Commercial | not published by hospital | — |
| National Provider Network | PPO | not published by hospital | — |
| NovaNet | Network Lease | not published by hospital | — |
| CCN Managed Care | PPO | not published by hospital | — |
| Beech Street | PPO | not published by hospital | — |
| USA Managed Care Organization | PPO | not published by hospital | — |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | not published by hospital | — |
| Community Services Network | NonProfit Public Benefit | not published by hospital | — |
| Direct Care America | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Physical Therapy Re-Evaluation at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $46.65 | $45.14 – $119.16 |
| CHI Memorial Hospital Hixson | Hixson | $46.48 | $31.40 – $189.52 |
| 62-1166050 BMH Carroll County | Huntingdon | $103.96 | $43.76 – $45.14 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $66.42 | $32.97 – $189.52 |
| Johnson City Medical Center | JOHNSON CITY | $48.60 | $44.00 – $295.67 |
| Ascension Saint Thomas DeKalb | Smithville | $48.26 | $45.14 – $119.16 |
| Ascension Saint Thomas Highlands | Sparta | $48.26 | $45.14 – $119.16 |
| Ascension Saint Thomas River Park | McMinnville | $45.95 | $57.22 – $119.16 |