Bundled special stain group 2 at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$61.32
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.
$219.00
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.
$13.23 with United Healthcare vs $245.66 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 | $13.23 | ↓ -78% |
| EHN | Network Lease | $23.85 | ↓ -61% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $31.80 | ↓ -48% |
| Wellpoint | Medicaid Tenncare | $33.38 | ↓ -46% |
| United Healthcare | Heritage Select | $33.43 | ↓ -45% |
| United Healthcare | Options PPO | $33.43 | ↓ -45% |
| United Healthcare | All Other Plans | $33.43 | ↓ -45% |
| Community Services Network | NonProfit Public Benefit | $34.45 | ↓ -44% |
| USA Managed Care Organization | PPO | $37.10 | ↓ -39% |
| NovaNet | Network Lease | $39.75 | ↓ -35% |
| National Provider Network | PPO | $42.40 | ↓ -31% |
| Direct Care America | PPO | $42.40 | ↓ -31% |
| MedSave USA | Commercial | $42.40 | ↓ -31% |
| Beech Street | PPO | $45.05 | ↓ -27% |
| CCN Managed Care | PPO | $45.05 | ↓ -27% |
| Initial Group | PPO | $46.64 | ↓ -24% |
| Galaxy Health Network | PPO | $47.70 | ↓ -22% |
| BCBS TN | Blue Care | $68.84 | ↑ +12% |
| Aetna | Commercial | $93.63 | ↑ +53% |
| BCBS TN | Commercial Network S | $104.63 | ↑ +71% |
| BCBS TN | Commercial Network P | $104.63 | ↑ +71% |
| Optum | VA CCN | $129.28 | ↑ +111% |
| Tricare | Humana Military | $129.28 | ↑ +111% |
| United Healthcare | Medicare Advantage | $133.16 | ↑ +117% |
| Humana | Medicare Advantage PPO | $133.16 | ↑ +117% |
| United Healthcare | Community Plan DSNP | $133.16 | ↑ +117% |
| Humana | Medicare Advantage HMO | $133.16 | ↑ +117% |
| Humana | DSNP | $133.16 | ↑ +117% |
| Farm Bureau | Medicare Advantage PPO | $134.45 | ↑ +119% |
| Farm Bureau | Medicare Advantage HMO | $134.45 | ↑ +119% |
| HealthSpring | Medicare PPO | $135.74 | ↑ +121% |
| Cigna | Medicare HMO-POS | $135.74 | ↑ +121% |
| Wellpoint | DSNP | $135.74 | ↑ +121% |
| Wellpoint | Medicare Advantage | $135.74 | ↑ +121% |
| Cigna | Medicare PPO | $135.74 | ↑ +121% |
| Devoted Health | PPO | $135.74 | ↑ +121% |
| Blue Cross of TN | Med Adv Sapphire | $135.74 | ↑ +121% |
| Devoted Health | HMO | $135.74 | ↑ +121% |
| United Healthcare | DSNP | $135.74 | ↑ +121% |
| HealthSpring | Medicare HMO POS | $135.74 | ↑ +121% |
| Wellcare | Medicare Advantage | $135.74 | ↑ +121% |
| Cigna | Medicare HMO | $135.74 | ↑ +121% |
| Aetna | Medicare Advantage | $135.74 | ↑ +121% |
| Blue Cross of TN | BlueEssential DSNP | $135.74 | ↑ +121% |
| Blue Cross of TN | BlueEssential HMO | $135.74 | ↑ +121% |
| Blue Cross of TN | Med Adv Diamond | $135.74 | ↑ +121% |
| Blue Cross of TN | Med Adv PPO | $135.74 | ↑ +121% |
| Blue Cross of TN | Med Adv Ruby | $135.74 | ↑ +121% |
| Cigna | IFP | $144.71 | ↑ +136% |
| Cigna | Local Plus | $145.34 | ↑ +137% |
| Cigna | POS | $157.98 | ↑ +158% |
| Cigna | OAP | $157.98 | ↑ +158% |
| Cigna | HMO | $157.98 | ↑ +158% |
| Ambetter | Exchange | $245.66 | ↑ +301% |
Visitor-reported prices
Comments
Bundled special stain group 2 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $30.56 | $2.82 – $185.76 |
| CHI Memorial Hospital Hixson | Hixson | $92.65 | $4.20 – $219.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $103.96 | $2.82 – $235.40 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $132.40 | $4.20 – $219.10 |
| Johnson City Medical Center | JOHNSON CITY | $70.65 | $9.24 – $270.65 |
| Ascension Saint Thomas DeKalb | Smithville | $30.56 | $2.82 – $185.76 |
| Ascension Saint Thomas Highlands | Sparta | $30.56 | $2.82 – $185.76 |
| Ascension Saint Thomas River Park | McMinnville | $30.56 | $4.21 – $185.76 |