Pretreat rbc w enzyme reference at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$43.50
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.
$150.00
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.
$27.60 with BCBS TN vs $283.41 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 | $27.60 | ↓ -37% |
| Aetna | Commercial | $32.54 | ↓ -25% |
| BCBS TN | Commercial Network P | $41.95 | ↓ -4% |
| BCBS TN | Commercial Network S | $41.95 | ↓ -4% |
| Cigna | IFP | $46.49 | ↑ +7% |
| Cigna | Local Plus | $46.69 | ↑ +7% |
| Cigna | OAP | $50.75 | ↑ +17% |
| Cigna | POS | $50.75 | ↑ +17% |
| Cigna | HMO | $50.75 | ↑ +17% |
| EHN | Network Lease | $67.50 | ↑ +55% |
| United Healthcare | Tenncare | $85.80 | ↑ +97% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $90.00 | ↑ +107% |
| Community Services Network | NonProfit Public Benefit | $97.50 | ↑ +124% |
| USA Managed Care Organization | PPO | $105.00 | ↑ +141% |
| NovaNet | Network Lease | $112.50 | ↑ +159% |
| Direct Care America | PPO | $120.00 | ↑ +176% |
| National Provider Network | PPO | $120.00 | ↑ +176% |
| MedSave USA | Commercial | $120.00 | ↑ +176% |
| CCN Managed Care | PPO | $127.50 | ↑ +193% |
| Beech Street | PPO | $127.50 | ↑ +193% |
| Initial Group | PPO | $132.00 | ↑ +203% |
| Galaxy Health Network | PPO | $135.00 | ↑ +210% |
| Tricare | Humana Military | $165.55 | ↑ +281% |
| Optum | VA CCN | $165.55 | ↑ +281% |
| Humana | Medicare Advantage PPO | $170.52 | ↑ +292% |
| United Healthcare | Medicare Advantage | $170.52 | ↑ +292% |
| Humana | DSNP | $170.52 | ↑ +292% |
| United Healthcare | Community Plan DSNP | $170.52 | ↑ +292% |
| Humana | Medicare Advantage HMO | $170.52 | ↑ +292% |
| Farm Bureau | Medicare Advantage HMO | $172.17 | ↑ +296% |
| Farm Bureau | Medicare Advantage PPO | $172.17 | ↑ +296% |
| Blue Cross of TN | Med Adv Sapphire | $173.83 | ↑ +300% |
| HealthSpring | Medicare HMO POS | $173.83 | ↑ +300% |
| Cigna | Medicare PPO | $173.83 | ↑ +300% |
| Cigna | Medicare HMO | $173.83 | ↑ +300% |
| HealthSpring | Medicare PPO | $173.83 | ↑ +300% |
| Cigna | Medicare HMO-POS | $173.83 | ↑ +300% |
| Wellpoint | DSNP | $173.83 | ↑ +300% |
| Wellpoint | Medicare Advantage | $173.83 | ↑ +300% |
| United Healthcare | DSNP | $173.83 | ↑ +300% |
| Blue Cross of TN | BlueEssential DSNP | $173.83 | ↑ +300% |
| Blue Cross of TN | BlueEssential HMO | $173.83 | ↑ +300% |
| Blue Cross of TN | Med Adv Diamond | $173.83 | ↑ +300% |
| Blue Cross of TN | Med Adv PPO | $173.83 | ↑ +300% |
| Blue Cross of TN | Med Adv Ruby | $173.83 | ↑ +300% |
| Devoted Health | PPO | $173.83 | ↑ +300% |
| Wellcare | Medicare Advantage | $173.83 | ↑ +300% |
| Devoted Health | HMO | $173.83 | ↑ +300% |
| Aetna | Medicare Advantage | $173.83 | ↑ +300% |
| Wellpoint | Medicaid Tenncare | $283.03 | ↑ +551% |
| United Healthcare | Options PPO | $283.41 | ↑ +552% |
| United Healthcare | All Other Plans | $283.41 | ↑ +552% |
| United Healthcare | Heritage Select | $283.41 | ↑ +552% |
Visitor-reported prices
Comments
Pretreat rbc w enzyme reference at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $170.31 | $22.20 – $255.07 |
| Ascension Saint Thomas DeKalb | Smithville | $170.31 | $7.40 – $255.07 |
| Ascension Saint Thomas Highlands | Sparta | $170.31 | $7.40 – $255.07 |
| Ascension Saint Thomas River Park | McMinnville | $168.21 | $7.40 – $255.07 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $170.31 | $22.20 – $255.07 |
| 62-0123940 BMH Collierville | Collierville | $62.16 | $23.24 – $313.82 |
| 62-1138045 BMH Union City | Union City | $56.60 | $23.24 – $312.94 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | $825.38 | $14.80 – $291.26 |