Unlisted neurological dx px at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$253.75
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.
$875.00
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.
$63.55 with United Healthcare vs $787.50 with Galaxy Health Network — 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 | $63.55 | ↓ -75% |
| Optum | VA CCN | $125.03 | ↓ -51% |
| Tricare | Humana Military | $125.03 | ↓ -51% |
| Humana | Medicare Advantage PPO | $128.78 | ↓ -49% |
| United Healthcare | Medicare Advantage | $128.78 | ↓ -49% |
| United Healthcare | Community Plan DSNP | $128.78 | ↓ -49% |
| Humana | Medicare Advantage HMO | $128.78 | ↓ -49% |
| Humana | DSNP | $128.78 | ↓ -49% |
| Farm Bureau | Medicare Advantage HMO | $130.03 | ↓ -49% |
| Farm Bureau | Medicare Advantage PPO | $130.03 | ↓ -49% |
| United Healthcare | DSNP | $131.28 | ↓ -48% |
| Devoted Health | HMO | $131.28 | ↓ -48% |
| Wellcare | Medicare Advantage | $131.28 | ↓ -48% |
| Devoted Health | PPO | $131.28 | ↓ -48% |
| HealthSpring | Medicare PPO | $131.28 | ↓ -48% |
| HealthSpring | Medicare HMO POS | $131.28 | ↓ -48% |
| Aetna | Medicare Advantage | $131.28 | ↓ -48% |
| Cigna | Medicare PPO | $131.28 | ↓ -48% |
| Cigna | Medicare HMO | $131.28 | ↓ -48% |
| Cigna | Medicare HMO-POS | $131.28 | ↓ -48% |
| Wellpoint | DSNP | $131.28 | ↓ -48% |
| Wellpoint | Medicare Advantage | $131.28 | ↓ -48% |
| Blue Cross of TN | BlueEssential DSNP | $131.28 | ↓ -48% |
| Blue Cross of TN | BlueEssential HMO | $131.28 | ↓ -48% |
| Blue Cross of TN | Med Adv Diamond | $131.28 | ↓ -48% |
| Blue Cross of TN | Med Adv PPO | $131.28 | ↓ -48% |
| Blue Cross of TN | Med Adv Ruby | $131.28 | ↓ -48% |
| Blue Cross of TN | Med Adv Sapphire | $131.28 | ↓ -48% |
| Wellpoint | Medicaid Tenncare | $138.16 | ↓ -46% |
| Aetna | Commercial | $350.00 | ↑ +38% |
| EHN | Network Lease | $393.75 | ↑ +55% |
| United Healthcare | Heritage Select | $437.50 | ↑ +72% |
| United Healthcare | Options PPO | $437.50 | ↑ +72% |
| United Healthcare | All Other Plans | $437.50 | ↑ +72% |
| Cigna | IFP | $444.50 | ↑ +75% |
| Cigna | Local Plus | $444.50 | ↑ +75% |
| Cigna | HMO | $523.25 | ↑ +106% |
| Cigna | POS | $523.25 | ↑ +106% |
| Cigna | OAP | $523.25 | ↑ +106% |
| Ambetter | Exchange | $525.00 | ↑ +107% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $525.00 | ↑ +107% |
| Community Services Network | NonProfit Public Benefit | $568.75 | ↑ +124% |
| USA Managed Care Organization | PPO | $612.50 | ↑ +141% |
| NovaNet | Network Lease | $656.25 | ↑ +159% |
| National Provider Network | PPO | $700.00 | ↑ +176% |
| MedSave USA | Commercial | $700.00 | ↑ +176% |
| Direct Care America | PPO | $700.00 | ↑ +176% |
| CCN Managed Care | PPO | $743.75 | ↑ +193% |
| Beech Street | PPO | $743.75 | ↑ +193% |
| Initial Group | PPO | $770.00 | ↑ +203% |
| Galaxy Health Network | PPO | $787.50 | ↑ +210% |
Visitor-reported prices
Comments
Unlisted neurological dx px at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $71.55 | $15.90 – $261.75 |
| Bristol Regional Medical Center | BRISTOL | $71.55 | $26.50 – $292.96 |
| Holston Valley Medical Center | KINGSPORT | $71.55 | $26.50 – $292.96 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $71.55 | $22.09 – $254.50 |
| Roane County Medical Center | Harriman | $288.75 | $63.55 – $787.50 |
| Fort Loudoun Medical Center | Lenoir City | $288.75 | $63.55 – $787.50 |
| Fort Sanders Regional Medical Center | Knoxville | $288.75 | $63.55 – $787.50 |
| Ascension Saint Thomas Midtown | Nashville | not published | $134.86 – $209.78 |