Prq card revasc mi 1 vsl drug-eluting at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$5,363.84
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.
$18,496.00
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.
$1,034.00 with United Healthcare vs $11,489.00 with Cigna — 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 | $1,034.00 | ↓ -81% |
| United Healthcare | All Other Plans | $2,242.00 | ↓ -58% |
| United Healthcare | Heritage Select | $2,637.00 | ↓ -51% |
| Aetna | Commercial | $2,811.90 | ↓ -48% |
| United Healthcare | Options PPO | $3,222.00 | ↓ -40% |
| BCBS TN | Blue Care | $7,043.00 | ↑ +31% |
| Wellpoint | Medicaid Tenncare | $8,144.70 | ↑ +52% |
| Cigna | IFP | $8,709.00 | ↑ +62% |
| Cigna | Local Plus | $9,766.00 | ↑ +82% |
| Ambetter | Exchange | $9,965.00 | ↑ +86% |
| BCBS TN | Commercial Network S | $11,343.00 | ↑ +111% |
| BCBS TN | Commercial Network P | $11,343.00 | ↑ +111% |
| Cigna | POS | $11,489.00 | ↑ +114% |
| Cigna | HMO | $11,489.00 | ↑ +114% |
| Cigna | OAP | $11,489.00 | ↑ +114% |
| EHN | Network Lease | not published by hospital | — |
| Initial Group | PPO | not published by hospital | — |
| MedSave USA | Commercial | not published by hospital | — |
| Beech Street | PPO | not published by hospital | — |
| USA Managed Care Organization | PPO | not published by hospital | — |
| NovaNet | Network Lease | not published by hospital | — |
| Galaxy Health Network | PPO | not published by hospital | — |
| National Provider Network | PPO | not published by hospital | — |
| CCN Managed Care | PPO | not published by hospital | — |
| Community Services Network | NonProfit Public Benefit | not published by hospital | — |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | not published by hospital | — |
| Direct Care America | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Prq card revasc mi 1 vsl drug-eluting at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $11,026.89 | $1,493.51 – $26,077.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $15,758.02 | $1,493.51 – $26,077.10 |
| Johnson City Medical Center | JOHNSON CITY | $4,926.60 | $1,164.06 – $11,274.80 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $20,854.53 | $1,003.50 – $18,143.44 |
| Greeneville Community Hospital | GREENEVILLE | $4,926.60 | $1,164.06 – $11,764.02 |
| Bristol Regional Medical Center | BRISTOL | $4,926.60 | $1,164.06 – $11,235.41 |
| Franklin Woods Community Hospital | JOHNSON CITY | $4,926.60 | $1,414.94 – $12,234.58 |
| Holston Valley Medical Center | KINGSPORT | $4,926.60 | $1,164.06 – $11,235.41 |