Prostate biopsy, any mthd at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$170.52
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.
?
What you pay up front if you don't use insurance.
$588.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$92.01 with United Healthcare vs $1,099.97 with Ambetter — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $92.01 | ↓ -46% |
| BCBS TN | Blue Care | $225.58 | ↑ +32% |
| EHN | Network Lease | $264.60 | ↑ +55% |
| Wellpoint | Medicaid Tenncare | $283.03 | ↑ +66% |
| United Healthcare | Options PPO | $283.41 | ↑ +66% |
| United Healthcare | Heritage Select | $283.41 | ↑ +66% |
| United Healthcare | All Other Plans | $283.41 | ↑ +66% |
| Aetna | Commercial | $336.36 | ↑ +97% |
| BCBS TN | Commercial Network P | $342.87 | ↑ +101% |
| BCBS TN | Commercial Network S | $342.87 | ↑ +101% |
| Tricare | Humana Military | $348.30 | ↑ +104% |
| Optum | VA CCN | $348.30 | ↑ +104% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $352.80 | ↑ +107% |
| Humana | Medicare Advantage PPO | $358.75 | ↑ +110% |
| United Healthcare | Community Plan DSNP | $358.75 | ↑ +110% |
| United Healthcare | Medicare Advantage | $358.75 | ↑ +110% |
| Humana | DSNP | $358.75 | ↑ +110% |
| Humana | Medicare Advantage HMO | $358.75 | ↑ +110% |
| Farm Bureau | Medicare Advantage HMO | $362.23 | ↑ +112% |
| Farm Bureau | Medicare Advantage PPO | $362.23 | ↑ +112% |
| Aetna | Medicare Advantage | $365.72 | ↑ +114% |
| Blue Cross of TN | Med Adv Diamond | $365.72 | ↑ +114% |
| Cigna | Medicare PPO | $365.72 | ↑ +114% |
| Cigna | Medicare HMO | $365.72 | ↑ +114% |
| HealthSpring | Medicare HMO POS | $365.72 | ↑ +114% |
| HealthSpring | Medicare PPO | $365.72 | ↑ +114% |
| Blue Cross of TN | BlueEssential DSNP | $365.72 | ↑ +114% |
| Blue Cross of TN | BlueEssential HMO | $365.72 | ↑ +114% |
| Blue Cross of TN | Med Adv PPO | $365.72 | ↑ +114% |
| Cigna | Medicare HMO-POS | $365.72 | ↑ +114% |
| Wellpoint | DSNP | $365.72 | ↑ +114% |
| Wellpoint | Medicare Advantage | $365.72 | ↑ +114% |
| Devoted Health | PPO | $365.72 | ↑ +114% |
| Blue Cross of TN | Med Adv Sapphire | $365.72 | ↑ +114% |
| Blue Cross of TN | Med Adv Ruby | $365.72 | ↑ +114% |
| United Healthcare | DSNP | $365.72 | ↑ +114% |
| Wellcare | Medicare Advantage | $365.72 | ↑ +114% |
| Devoted Health | HMO | $365.72 | ↑ +114% |
| Community Services Network | NonProfit Public Benefit | $382.20 | ↑ +124% |
| Cigna | IFP | $384.56 | ↑ +126% |
| Cigna | Local Plus | $386.24 | ↑ +127% |
| USA Managed Care Organization | PPO | $411.60 | ↑ +141% |
| Cigna | OAP | $419.83 | ↑ +146% |
| Cigna | HMO | $419.83 | ↑ +146% |
| Cigna | POS | $419.83 | ↑ +146% |
| NovaNet | Network Lease | $441.00 | ↑ +159% |
| National Provider Network | PPO | $470.40 | ↑ +176% |
| Direct Care America | PPO | $470.40 | ↑ +176% |
| MedSave USA | Commercial | $470.40 | ↑ +176% |
| Beech Street | PPO | $499.80 | ↑ +193% |
| CCN Managed Care | PPO | $499.80 | ↑ +193% |
| Initial Group | PPO | $517.44 | ↑ +203% |
| Galaxy Health Network | PPO | $529.20 | ↑ +210% |
| Ambetter | Exchange | $1,099.97 | ↑ +545% |
Visitor-reported prices
Comments
Prostate biopsy, any mthd at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $194.58 | $285.77 – $656.94 |
| Johnson City Medical Center | JOHNSON CITY | $326.70 | $98.38 – $729.17 |
| Hancock County Hospital | SNEEDVILLE | $320.39 | $82.18 – $674.76 |
| Greeneville Community Hospital | GREENEVILLE | $326.70 | $59.17 – $729.17 |
| Bristol Regional Medical Center | BRISTOL | $326.70 | $98.62 – $816.10 |
| Franklin Woods Community Hospital | JOHNSON CITY | $326.70 | $95.73 – $709.48 |
| Holston Valley Medical Center | KINGSPORT | $326.70 | $98.62 – $816.10 |
| 62-0123940 BMH Collierville | Collierville | $177.66 | $307.66 – $658.80 |