Unlisted px med radj physics at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$249.98
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.
$862.00
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.
$54.83 with United Healthcare vs $904.00 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $54.83 | ↓ -78% |
| Wellpoint | Medicaid Tenncare | $126.42 | ↓ -49% |
| Tricare | Humana Military | $130.60 | ↓ -48% |
| Optum | VA CCN | $130.60 | ↓ -48% |
| Humana | Medicare Advantage HMO | $134.52 | ↓ -46% |
| United Healthcare | Community Plan DSNP | $134.52 | ↓ -46% |
| Humana | DSNP | $134.52 | ↓ -46% |
| Humana | Medicare Advantage PPO | $134.52 | ↓ -46% |
| United Healthcare | Medicare Advantage | $134.52 | ↓ -46% |
| Farm Bureau | Medicare Advantage HMO | $135.82 | ↓ -46% |
| Farm Bureau | Medicare Advantage PPO | $135.82 | ↓ -46% |
| Blue Cross of TN | Med Adv Ruby | $137.13 | ↓ -45% |
| Devoted Health | HMO | $137.13 | ↓ -45% |
| Wellcare | Medicare Advantage | $137.13 | ↓ -45% |
| United Healthcare | DSNP | $137.13 | ↓ -45% |
| Devoted Health | PPO | $137.13 | ↓ -45% |
| HealthSpring | Medicare PPO | $137.13 | ↓ -45% |
| HealthSpring | Medicare HMO POS | $137.13 | ↓ -45% |
| Aetna | Medicare Advantage | $137.13 | ↓ -45% |
| Cigna | Medicare PPO | $137.13 | ↓ -45% |
| Cigna | Medicare HMO | $137.13 | ↓ -45% |
| Cigna | Medicare HMO-POS | $137.13 | ↓ -45% |
| Wellpoint | DSNP | $137.13 | ↓ -45% |
| Wellpoint | Medicare Advantage | $137.13 | ↓ -45% |
| Blue Cross of TN | Med Adv Sapphire | $137.13 | ↓ -45% |
| Blue Cross of TN | BlueEssential DSNP | $137.13 | ↓ -45% |
| Blue Cross of TN | BlueEssential HMO | $137.13 | ↓ -45% |
| Blue Cross of TN | Med Adv Diamond | $137.13 | ↓ -45% |
| Blue Cross of TN | Med Adv PPO | $137.13 | ↓ -45% |
| BCBS TN | Commercial Network P | $216.00 | ↓ -14% |
| BCBS TN | Commercial Network S | $216.00 | ↓ -14% |
| Aetna | Commercial | $344.80 | ↑ +38% |
| EHN | Network Lease | $387.90 | ↑ +55% |
| Cigna | IFP | $437.89 | ↑ +75% |
| Cigna | Local Plus | $437.89 | ↑ +75% |
| Cigna | HMO | $515.47 | ↑ +106% |
| Cigna | OAP | $515.47 | ↑ +106% |
| Cigna | POS | $515.47 | ↑ +106% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $517.20 | ↑ +107% |
| Community Services Network | NonProfit Public Benefit | $560.30 | ↑ +124% |
| USA Managed Care Organization | PPO | $603.40 | ↑ +141% |
| United Healthcare | All Other Plans | $628.00 | ↑ +151% |
| NovaNet | Network Lease | $646.50 | ↑ +159% |
| MedSave USA | Commercial | $689.60 | ↑ +176% |
| Direct Care America | PPO | $689.60 | ↑ +176% |
| National Provider Network | PPO | $689.60 | ↑ +176% |
| Beech Street | PPO | $732.70 | ↑ +193% |
| CCN Managed Care | PPO | $732.70 | ↑ +193% |
| United Healthcare | Heritage Select | $738.00 | ↑ +195% |
| Initial Group | PPO | $758.56 | ↑ +203% |
| Galaxy Health Network | PPO | $775.80 | ↑ +210% |
| United Healthcare | Options PPO | $904.00 | ↑ +262% |
Visitor-reported prices
Comments
Unlisted px med radj physics at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-0123940 BMH Collierville | Collierville | $121.59 | $115.50 – $243.16 |
| 62-1138045 BMH Union City | Union City | $111.40 | $105.47 – $242.46 |
| Parkwest Medical Center | Knoxville | $258.60 | $54.83 – $181.00 |
| Fort Sanders Regional Medical Center | Knoxville | $284.46 | $54.83 – $775.80 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $284.46 | $54.83 – $200.00 |
| Cumberland Medical Center, Inc. | Crossville | $275.84 | $65.79 – $775.80 |
| Morristown-Hamblen Hospital Association | Morristown | $258.60 | $54.83 – $775.80 |
| Ascension Saint Thomas Midtown | Nashville | not published | $114.44 – $336.54 |