Bundled special stain group 1 microorganisms at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$75.04
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.
$268.00
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.
$18.51 with United Healthcare vs $344.57 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 | $18.51 | ↓ -75% |
| Wellpoint | Medicaid Tenncare | $49.40 | ↓ -34% |
| United Healthcare | Heritage Select | $49.47 | ↓ -34% |
| United Healthcare | All Other Plans | $49.47 | ↓ -34% |
| United Healthcare | Options PPO | $49.47 | ↓ -34% |
| Optum | VA CCN | $50.64 | ↓ -33% |
| Tricare | Humana Military | $50.64 | ↓ -33% |
| United Healthcare | Community Plan DSNP | $52.16 | ↓ -30% |
| United Healthcare | Medicare Advantage | $52.16 | ↓ -30% |
| Humana | DSNP | $52.16 | ↓ -30% |
| Humana | Medicare Advantage HMO | $52.16 | ↓ -30% |
| Humana | Medicare Advantage PPO | $52.16 | ↓ -30% |
| Farm Bureau | Medicare Advantage HMO | $52.67 | ↓ -30% |
| Farm Bureau | Medicare Advantage PPO | $52.67 | ↓ -30% |
| Blue Cross of TN | BlueEssential DSNP | $53.17 | ↓ -29% |
| Devoted Health | HMO | $53.17 | ↓ -29% |
| Wellcare | Medicare Advantage | $53.17 | ↓ -29% |
| United Healthcare | DSNP | $53.17 | ↓ -29% |
| Devoted Health | PPO | $53.17 | ↓ -29% |
| HealthSpring | Medicare PPO | $53.17 | ↓ -29% |
| HealthSpring | Medicare HMO POS | $53.17 | ↓ -29% |
| Aetna | Medicare Advantage | $53.17 | ↓ -29% |
| Cigna | Medicare PPO | $53.17 | ↓ -29% |
| Cigna | Medicare HMO | $53.17 | ↓ -29% |
| Wellpoint | DSNP | $53.17 | ↓ -29% |
| Wellpoint | Medicare Advantage | $53.17 | ↓ -29% |
| Blue Cross of TN | Med Adv Diamond | $53.17 | ↓ -29% |
| Blue Cross of TN | BlueEssential HMO | $53.17 | ↓ -29% |
| Blue Cross of TN | Med Adv Sapphire | $53.17 | ↓ -29% |
| Blue Cross of TN | Med Adv Ruby | $53.17 | ↓ -29% |
| Blue Cross of TN | Med Adv PPO | $53.17 | ↓ -29% |
| Cigna | Medicare HMO-POS | $53.17 | ↓ -29% |
| EHN | Network Lease | $54.45 | ↓ -27% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $72.60 | ↓ -3% |
| Community Services Network | NonProfit Public Benefit | $78.65 | ↑ +5% |
| BCBS TN | Blue Care | $83.45 | ↑ +11% |
| USA Managed Care Organization | PPO | $84.70 | ↑ +13% |
| NovaNet | Network Lease | $90.75 | ↑ +21% |
| National Provider Network | PPO | $96.80 | ↑ +29% |
| Direct Care America | PPO | $96.80 | ↑ +29% |
| MedSave USA | Commercial | $96.80 | ↑ +29% |
| Beech Street | PPO | $102.85 | ↑ +37% |
| CCN Managed Care | PPO | $102.85 | ↑ +37% |
| Initial Group | PPO | $106.48 | ↑ +42% |
| Galaxy Health Network | PPO | $108.90 | ↑ +45% |
| Aetna | Commercial | $116.28 | ↑ +55% |
| BCBS TN | Commercial Network S | $126.84 | ↑ +69% |
| BCBS TN | Commercial Network P | $126.84 | ↑ +69% |
| Cigna | IFP | $178.69 | ↑ +138% |
| Cigna | Local Plus | $179.47 | ↑ +139% |
| Cigna | HMO | $195.08 | ↑ +160% |
| Cigna | OAP | $195.08 | ↑ +160% |
| Cigna | POS | $195.08 | ↑ +160% |
| Ambetter | Exchange | $344.57 | ↑ +359% |
Visitor-reported prices
Comments
Bundled special stain group 1 microorganisms at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $48.47 | $3.38 – $223.03 |
| CHI Memorial Hospital Hixson | Hixson | $88.21 | $5.03 – $208.60 |
| 62-1166050 BMH Carroll County | Huntingdon | $14.49 | $3.38 – $97.58 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $126.06 | $5.03 – $208.60 |
| Johnson City Medical Center | JOHNSON CITY | $76.95 | $8.87 – $106.01 |
| Ascension Saint Thomas DeKalb | Smithville | $48.47 | $3.38 – $223.03 |
| Ascension Saint Thomas Highlands | Sparta | $48.47 | $3.38 – $223.03 |
| Ascension Saint Thomas River Park | McMinnville | $48.47 | $5.05 – $223.03 |