Chronic urticaria - sendout at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$66.92
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.
$239.00
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.
$5.61 with Wellpoint vs $69.30 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 | $5.61 | ↓ -92% |
| United Healthcare | Tenncare | $7.97 | ↓ -88% |
| United Healthcare | Heritage Select | $12.46 | ↓ -81% |
| United Healthcare | Options PPO | $12.46 | ↓ -81% |
| United Healthcare | All Other Plans | $12.46 | ↓ -81% |
| Optum | VA CCN | $13.34 | ↓ -80% |
| Tricare | Humana Military | $13.34 | ↓ -80% |
| Humana | DSNP | $13.74 | ↓ -79% |
| Humana | Medicare Advantage PPO | $13.74 | ↓ -79% |
| Humana | Medicare Advantage HMO | $13.74 | ↓ -79% |
| United Healthcare | Community Plan DSNP | $13.74 | ↓ -79% |
| United Healthcare | Medicare Advantage | $13.74 | ↓ -79% |
| Farm Bureau | Medicare Advantage PPO | $13.87 | ↓ -79% |
| Farm Bureau | Medicare Advantage HMO | $13.87 | ↓ -79% |
| Devoted Health | PPO | $14.01 | ↓ -79% |
| HealthSpring | Medicare PPO | $14.01 | ↓ -79% |
| HealthSpring | Medicare HMO POS | $14.01 | ↓ -79% |
| Blue Cross of TN | Med Adv Sapphire | $14.01 | ↓ -79% |
| Aetna | Medicare Advantage | $14.01 | ↓ -79% |
| Wellcare | Medicare Advantage | $14.01 | ↓ -79% |
| Blue Cross of TN | Med Adv Ruby | $14.01 | ↓ -79% |
| Devoted Health | HMO | $14.01 | ↓ -79% |
| Cigna | Medicare PPO | $14.01 | ↓ -79% |
| Cigna | Medicare HMO | $14.01 | ↓ -79% |
| Blue Cross of TN | Med Adv PPO | $14.01 | ↓ -79% |
| Blue Cross of TN | Med Adv Diamond | $14.01 | ↓ -79% |
| Blue Cross of TN | BlueEssential HMO | $14.01 | ↓ -79% |
| Blue Cross of TN | BlueEssential DSNP | $14.01 | ↓ -79% |
| United Healthcare | DSNP | $14.01 | ↓ -79% |
| Cigna | Medicare HMO-POS | $14.01 | ↓ -79% |
| Wellpoint | DSNP | $14.01 | ↓ -79% |
| Wellpoint | Medicare Advantage | $14.01 | ↓ -79% |
| BCBS TN | Blue Care | $17.30 | ↓ -74% |
| Aetna | Commercial | $18.88 | ↓ -72% |
| Ambetter | Exchange | $22.55 | ↓ -66% |
| Cigna | IFP | $25.67 | ↓ -62% |
| Cigna | Local Plus | $25.78 | ↓ -61% |
| BCBS TN | Commercial Network S | $26.30 | ↓ -61% |
| BCBS TN | Commercial Network P | $26.30 | ↓ -61% |
| Cigna | POS | $28.03 | ↓ -58% |
| Cigna | OAP | $28.03 | ↓ -58% |
| Cigna | HMO | $28.03 | ↓ -58% |
| EHN | Network Lease | $34.65 | ↓ -48% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $46.20 | ↓ -31% |
| Community Services Network | NonProfit Public Benefit | $50.05 | ↓ -25% |
| USA Managed Care Organization | PPO | $53.90 | ↓ -19% |
| NovaNet | Network Lease | $57.75 | ↓ -14% |
| Direct Care America | PPO | $61.60 | ↓ -8% |
| MedSave USA | Commercial | $61.60 | ↓ -8% |
| National Provider Network | PPO | $61.60 | ↓ -8% |
| Beech Street | PPO | $65.45 | ↓ -2% |
| CCN Managed Care | PPO | $65.45 | ↓ -2% |
| Initial Group | PPO | $67.76 | ↑ +1% |
| Galaxy Health Network | PPO | $69.30 | ↑ +4% |
Visitor-reported prices
Comments
Chronic urticaria - sendout at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HORIZON MEDICAL CENTER | DICKSON | $200.00 | $5.61 – $37.38 |
| Parkwest Medical Center | Knoxville | $201.60 | $5.61 – $288.00 |
| Roane County Medical Center | Harriman | $105.60 | $5.61 – $288.00 |
| LeConte Medical Center | Sevierville | $92.80 | $5.61 – $22.55 |
| Fort Loudoun Medical Center | Lenoir City | $8.25 | $5.61 – $22.55 |
| Fort Sanders Regional Medical Center | Knoxville | $105.60 | $5.61 – $288.00 |
| Cumberland Medical Center, Inc. | Crossville | $102.40 | $5.61 – $288.00 |
| Morristown-Hamblen Hospital Association | Morristown | $7.50 | $5.61 – $22.55 |