X-ray exam of middle ear at LeConte Medical Center
742 Middle Creek Rd, Sevierville, TN · Fsregional · · NPI 1528052578
$242.73
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.
$837.00
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.
$26.18 with BCBS TN vs $987.24 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 |
|---|---|---|---|
| BCBS TN | Blue Care | $26.18 | ↓ -89% |
| Aetna | Commercial | $60.62 | ↓ -75% |
| Cigna | IFP | $92.68 | ↓ -62% |
| Cigna | Local Plus | $93.08 | ↓ -62% |
| Cigna | OAP | $101.18 | ↓ -58% |
| Cigna | HMO | $101.18 | ↓ -58% |
| Cigna | POS | $101.18 | ↓ -58% |
| United Healthcare | Tenncare | $105.33 | ↓ -57% |
| BCBS TN | Commercial Network S | $141.00 | ↓ -42% |
| BCBS TN | Commercial Network P | $141.00 | ↓ -42% |
| Ambetter | Exchange | $191.63 | ↓ -21% |
| EHN | Network Lease | $376.65 | ↑ +55% |
| Wellpoint | Medicaid Tenncare | $480.93 | ↑ +98% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $502.20 | ↑ +107% |
| Optum | VA CCN | $530.95 | ↑ +119% |
| Tricare | Humana Military | $530.95 | ↑ +119% |
| Community Services Network | NonProfit Public Benefit | $544.05 | ↑ +124% |
| United Healthcare | Community Plan DSNP | $546.88 | ↑ +125% |
| Humana | Medicare Advantage PPO | $546.88 | ↑ +125% |
| Humana | Medicare Advantage HMO | $546.88 | ↑ +125% |
| Humana | DSNP | $546.88 | ↑ +125% |
| United Healthcare | Medicare Advantage | $546.88 | ↑ +125% |
| Farm Bureau | Medicare Advantage HMO | $552.19 | ↑ +127% |
| Farm Bureau | Medicare Advantage PPO | $552.19 | ↑ +127% |
| Aetna | Medicare Advantage | $557.50 | ↑ +130% |
| HealthSpring | Medicare HMO POS | $557.50 | ↑ +130% |
| HealthSpring | Medicare PPO | $557.50 | ↑ +130% |
| Blue Cross of TN | Med Adv Ruby | $557.50 | ↑ +130% |
| Cigna | Medicare HMO-POS | $557.50 | ↑ +130% |
| Wellpoint | DSNP | $557.50 | ↑ +130% |
| Wellpoint | Medicare Advantage | $557.50 | ↑ +130% |
| Devoted Health | PPO | $557.50 | ↑ +130% |
| Blue Cross of TN | Med Adv Sapphire | $557.50 | ↑ +130% |
| United Healthcare | DSNP | $557.50 | ↑ +130% |
| Wellcare | Medicare Advantage | $557.50 | ↑ +130% |
| Devoted Health | HMO | $557.50 | ↑ +130% |
| Blue Cross of TN | BlueEssential DSNP | $557.50 | ↑ +130% |
| Blue Cross of TN | BlueEssential HMO | $557.50 | ↑ +130% |
| Blue Cross of TN | Med Adv Diamond | $557.50 | ↑ +130% |
| Cigna | Medicare PPO | $557.50 | ↑ +130% |
| Blue Cross of TN | Med Adv PPO | $557.50 | ↑ +130% |
| Cigna | Medicare HMO | $557.50 | ↑ +130% |
| USA Managed Care Organization | PPO | $585.90 | ↑ +141% |
| NovaNet | Network Lease | $627.75 | ↑ +159% |
| Direct Care America | PPO | $669.60 | ↑ +176% |
| National Provider Network | PPO | $669.60 | ↑ +176% |
| MedSave USA | Commercial | $669.60 | ↑ +176% |
| Beech Street | PPO | $711.45 | ↑ +193% |
| CCN Managed Care | PPO | $711.45 | ↑ +193% |
| Initial Group | PPO | $736.56 | ↑ +203% |
| Galaxy Health Network | PPO | $753.30 | ↑ +210% |
| United Healthcare | All Other Plans | $987.24 | ↑ +307% |
| United Healthcare | Heritage Select | $987.24 | ↑ +307% |
| United Healthcare | Options PPO | $987.24 | ↑ +307% |
Visitor-reported prices
Comments
X-ray exam of middle ear at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $70.15 | $24.29 – $305.00 |
| Greeneville Community Hospital | GREENEVILLE | $71.40 | $24.29 – $1,111.55 |
| Bristol Regional Medical Center | BRISTOL | $71.40 | $24.29 – $1,130.02 |
| Holston Valley Medical Center | KINGSPORT | $71.40 | $24.29 – $1,130.02 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $71.40 | $24.29 – $1,080.73 |
| Parkwest Medical Center | Knoxville | $251.10 | $26.18 – $753.30 |
| Roane County Medical Center | Harriman | $276.21 | $26.18 – $753.30 |
| Fort Loudoun Medical Center | Lenoir City | $276.21 | $26.18 – $753.30 |