Chromosome analysis 15-20 cell count at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$146.72
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.
$524.00
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.
$56.47 with Wellpoint vs $315.00 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 |
|---|---|---|---|
| Wellpoint | Medicaid Tenncare | $56.47 | ↓ -62% |
| United Healthcare | Tenncare | $79.72 | ↓ -46% |
| United Healthcare | Options PPO | $125.49 | ↓ -14% |
| United Healthcare | All Other Plans | $125.49 | ↓ -14% |
| United Healthcare | Heritage Select | $125.49 | ↓ -14% |
| Tricare | Humana Military | $134.40 | ↓ -8% |
| Optum | VA CCN | $134.40 | ↓ -8% |
| Humana | Medicare Advantage HMO | $138.43 | ↓ -6% |
| Humana | DSNP | $138.43 | ↓ -6% |
| Humana | Medicare Advantage PPO | $138.43 | ↓ -6% |
| United Healthcare | Medicare Advantage | $138.43 | ↓ -6% |
| United Healthcare | Community Plan DSNP | $138.43 | ↓ -6% |
| Farm Bureau | Medicare Advantage HMO | $139.78 | ↓ -5% |
| Farm Bureau | Medicare Advantage PPO | $139.78 | ↓ -5% |
| Blue Cross of TN | BlueEssential HMO | $141.12 | ↓ -4% |
| Devoted Health | HMO | $141.12 | ↓ -4% |
| Wellcare | Medicare Advantage | $141.12 | ↓ -4% |
| United Healthcare | DSNP | $141.12 | ↓ -4% |
| Devoted Health | PPO | $141.12 | ↓ -4% |
| HealthSpring | Medicare PPO | $141.12 | ↓ -4% |
| HealthSpring | Medicare HMO POS | $141.12 | ↓ -4% |
| Aetna | Medicare Advantage | $141.12 | ↓ -4% |
| Cigna | Medicare PPO | $141.12 | ↓ -4% |
| Cigna | Medicare HMO | $141.12 | ↓ -4% |
| Wellpoint | DSNP | $141.12 | ↓ -4% |
| Wellpoint | Medicare Advantage | $141.12 | ↓ -4% |
| Blue Cross of TN | Med Adv Ruby | $141.12 | ↓ -4% |
| Blue Cross of TN | Med Adv PPO | $141.12 | ↓ -4% |
| Blue Cross of TN | Med Adv Diamond | $141.12 | ↓ -4% |
| Blue Cross of TN | BlueEssential DSNP | $141.12 | ↓ -4% |
| Blue Cross of TN | Med Adv Sapphire | $141.12 | ↓ -4% |
| Cigna | Medicare HMO-POS | $141.12 | ↓ -4% |
| EHN | Network Lease | $157.50 | ↑ +7% |
| BCBS TN | Blue Care | $173.11 | ↑ +18% |
| Aetna | Commercial | $190.13 | ↑ +30% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $210.00 | ↑ +43% |
| Ambetter | Exchange | $227.14 | ↑ +55% |
| Community Services Network | NonProfit Public Benefit | $227.50 | ↑ +55% |
| USA Managed Care Organization | PPO | $245.00 | ↑ +67% |
| Cigna | IFP | $256.69 | ↑ +75% |
| Cigna | Local Plus | $257.81 | ↑ +76% |
| NovaNet | Network Lease | $262.50 | ↑ +79% |
| BCBS TN | Commercial Network P | $263.13 | ↑ +79% |
| BCBS TN | Commercial Network S | $263.13 | ↑ +79% |
| National Provider Network | PPO | $280.00 | ↑ +91% |
| Direct Care America | PPO | $280.00 | ↑ +91% |
| MedSave USA | Commercial | $280.00 | ↑ +91% |
| Cigna | POS | $280.23 | ↑ +91% |
| Cigna | OAP | $280.23 | ↑ +91% |
| Cigna | HMO | $280.23 | ↑ +91% |
| Beech Street | PPO | $297.50 | ↑ +103% |
| CCN Managed Care | PPO | $297.50 | ↑ +103% |
| Initial Group | PPO | $308.00 | ↑ +110% |
| Galaxy Health Network | PPO | $315.00 | ↑ +115% |
Visitor-reported prices
Comments
Chromosome analysis 15-20 cell count at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $38.19 | $90.30 – $235.92 |
| 62-1166050 BMH Carroll County | Huntingdon | $105.80 | $109.18 – $250.98 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $54.57 | $27.09 – $235.92 |
| Johnson City Medical Center | JOHNSON CITY | $218.25 | $45.56 – $273.57 |
| Ascension Saint Thomas DeKalb | Smithville | $657.29 | $87.39 – $481.98 |
| Ascension Saint Thomas Highlands | Sparta | $657.29 | $87.39 – $481.98 |
| Ascension Saint Thomas River Park | McMinnville | $657.29 | $87.39 – $481.98 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $657.29 | $112.94 – $481.98 |