Surgical pathology level 5 gross & microscopic examination at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$186.18
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.
$642.00
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.
$85.80 with United Healthcare vs $875.82 with Ambetter — 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 | $85.80 | ↓ -54% |
| BCBS TN | Blue Care | $209.91 | ↑ +13% |
| Aetna | Commercial | $278.81 | ↑ +50% |
| Wellpoint | Medicaid Tenncare | $283.03 | ↑ +52% |
| United Healthcare | Heritage Select | $283.41 | ↑ +52% |
| United Healthcare | Options PPO | $283.41 | ↑ +52% |
| United Healthcare | All Other Plans | $283.41 | ↑ +52% |
| EHN | Network Lease | $288.90 | ↑ +55% |
| BCBS TN | Commercial Network P | $319.07 | ↑ +71% |
| BCBS TN | Commercial Network S | $319.07 | ↑ +71% |
| Tricare | Humana Military | $348.30 | ↑ +87% |
| Optum | VA CCN | $348.30 | ↑ +87% |
| Humana | DSNP | $358.75 | ↑ +93% |
| Humana | Medicare Advantage HMO | $358.75 | ↑ +93% |
| United Healthcare | Medicare Advantage | $358.75 | ↑ +93% |
| Humana | Medicare Advantage PPO | $358.75 | ↑ +93% |
| United Healthcare | Community Plan DSNP | $358.75 | ↑ +93% |
| Farm Bureau | Medicare Advantage PPO | $362.23 | ↑ +95% |
| Farm Bureau | Medicare Advantage HMO | $362.23 | ↑ +95% |
| Blue Cross of TN | Med Adv Diamond | $365.72 | ↑ +96% |
| Devoted Health | HMO | $365.72 | ↑ +96% |
| Wellcare | Medicare Advantage | $365.72 | ↑ +96% |
| United Healthcare | DSNP | $365.72 | ↑ +96% |
| Devoted Health | PPO | $365.72 | ↑ +96% |
| HealthSpring | Medicare PPO | $365.72 | ↑ +96% |
| HealthSpring | Medicare HMO POS | $365.72 | ↑ +96% |
| Aetna | Medicare Advantage | $365.72 | ↑ +96% |
| Cigna | Medicare PPO | $365.72 | ↑ +96% |
| Cigna | Medicare HMO | $365.72 | ↑ +96% |
| Cigna | Medicare HMO-POS | $365.72 | ↑ +96% |
| Wellpoint | DSNP | $365.72 | ↑ +96% |
| Wellpoint | Medicare Advantage | $365.72 | ↑ +96% |
| Blue Cross of TN | Med Adv Ruby | $365.72 | ↑ +96% |
| Blue Cross of TN | BlueEssential DSNP | $365.72 | ↑ +96% |
| Blue Cross of TN | BlueEssential HMO | $365.72 | ↑ +96% |
| Blue Cross of TN | Med Adv PPO | $365.72 | ↑ +96% |
| Blue Cross of TN | Med Adv Sapphire | $365.72 | ↑ +96% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $385.20 | ↑ +107% |
| Community Services Network | NonProfit Public Benefit | $417.30 | ↑ +124% |
| Cigna | IFP | $432.44 | ↑ +132% |
| Cigna | Local Plus | $434.33 | ↑ +133% |
| USA Managed Care Organization | PPO | $449.40 | ↑ +141% |
| Cigna | OAP | $472.10 | ↑ +154% |
| Cigna | HMO | $472.10 | ↑ +154% |
| Cigna | POS | $472.10 | ↑ +154% |
| NovaNet | Network Lease | $481.50 | ↑ +159% |
| National Provider Network | PPO | $513.60 | ↑ +176% |
| Direct Care America | PPO | $513.60 | ↑ +176% |
| MedSave USA | Commercial | $513.60 | ↑ +176% |
| Beech Street | PPO | $545.70 | ↑ +193% |
| CCN Managed Care | PPO | $545.70 | ↑ +193% |
| Initial Group | PPO | $564.96 | ↑ +203% |
| Galaxy Health Network | PPO | $577.80 | ↑ +210% |
| Ambetter | Exchange | $875.82 | ↑ +370% |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $161.76 | $22.20 – $570.20 |
| CHI Memorial Hospital Hixson | Hixson | $294.82 | $33.04 – $697.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $115.23 | $22.20 – $656.94 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $421.31 | $33.04 – $697.20 |
| Johnson City Medical Center | JOHNSON CITY | $235.20 | $34.65 – $729.17 |
| Ascension Saint Thomas DeKalb | Smithville | $161.76 | $22.20 – $570.20 |
| Ascension Saint Thomas Highlands | Sparta | $161.76 | $22.20 – $570.20 |
| Ascension Saint Thomas River Park | McMinnville | $161.76 | $28.54 – $570.20 |