Dup scan/ue art/graft/bilat/comp 93930 at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$232.68
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.
$831.00
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.
$112.96 with United Healthcare vs $747.90 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $112.96 | ↓ -51% |
| BCBS TN | Blue Care | $182.42 | ↓ -22% |
| BCBS TN | Commercial Network S | $228.03 | ↓ -2% |
| BCBS TN | Commercial Network P | $228.03 | ↓ -2% |
| Optum | VA CCN | $231.85 | ↓ -0% |
| Tricare | Humana Military | $231.85 | ↓ -0% |
| Wellpoint | Medicaid Tenncare | $232.72 | ↑ +0% |
| Humana | Medicare Advantage HMO | $238.81 | ↑ +3% |
| Humana | DSNP | $238.81 | ↑ +3% |
| Humana | Medicare Advantage PPO | $238.81 | ↑ +3% |
| United Healthcare | Medicare Advantage | $238.81 | ↑ +3% |
| United Healthcare | Community Plan DSNP | $238.81 | ↑ +3% |
| Farm Bureau | Medicare Advantage PPO | $241.12 | ↑ +4% |
| Farm Bureau | Medicare Advantage HMO | $241.12 | ↑ +4% |
| Blue Cross of TN | Med Adv Sapphire | $243.44 | ↑ +5% |
| Devoted Health | HMO | $243.44 | ↑ +5% |
| Wellcare | Medicare Advantage | $243.44 | ↑ +5% |
| United Healthcare | DSNP | $243.44 | ↑ +5% |
| Devoted Health | PPO | $243.44 | ↑ +5% |
| HealthSpring | Medicare PPO | $243.44 | ↑ +5% |
| HealthSpring | Medicare HMO POS | $243.44 | ↑ +5% |
| Aetna | Medicare Advantage | $243.44 | ↑ +5% |
| Cigna | Medicare PPO | $243.44 | ↑ +5% |
| Cigna | Medicare HMO | $243.44 | ↑ +5% |
| Cigna | Medicare HMO-POS | $243.44 | ↑ +5% |
| Wellpoint | DSNP | $243.44 | ↑ +5% |
| Wellpoint | Medicare Advantage | $243.44 | ↑ +5% |
| Blue Cross of TN | BlueEssential DSNP | $243.44 | ↑ +5% |
| Blue Cross of TN | BlueEssential HMO | $243.44 | ↑ +5% |
| Blue Cross of TN | Med Adv Diamond | $243.44 | ↑ +5% |
| Blue Cross of TN | Med Adv PPO | $243.44 | ↑ +5% |
| Blue Cross of TN | Med Adv Ruby | $243.44 | ↑ +5% |
| Aetna | Commercial | $282.59 | ↑ +21% |
| Cigna | IFP | $328.36 | ↑ +41% |
| Cigna | Local Plus | $329.80 | ↑ +42% |
| United Healthcare | All Other Plans | $358.00 | ↑ +54% |
| Cigna | POS | $358.48 | ↑ +54% |
| Cigna | HMO | $358.48 | ↑ +54% |
| Cigna | OAP | $358.48 | ↑ +54% |
| EHN | Network Lease | $373.95 | ↑ +61% |
| United Healthcare | Heritage Select | $422.00 | ↑ +81% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $498.60 | ↑ +114% |
| United Healthcare | Options PPO | $515.00 | ↑ +121% |
| Community Services Network | NonProfit Public Benefit | $540.15 | ↑ +132% |
| USA Managed Care Organization | PPO | $581.70 | ↑ +150% |
| Ambetter | Exchange | $608.87 | ↑ +162% |
| NovaNet | Network Lease | $623.25 | ↑ +168% |
| MedSave USA | Commercial | $664.80 | ↑ +186% |
| Direct Care America | PPO | $664.80 | ↑ +186% |
| National Provider Network | PPO | $664.80 | ↑ +186% |
| Beech Street | PPO | $706.35 | ↑ +204% |
| CCN Managed Care | PPO | $706.35 | ↑ +204% |
| Initial Group | PPO | $731.28 | ↑ +214% |
| Galaxy Health Network | PPO | $747.90 | ↑ +221% |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $384.66 | $108.35 – $451.97 |
| CHI Memorial Hospital Hixson | Hixson | $417.96 | $132.73 – $988.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $458.16 | $108.35 – $441.44 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $597.28 | $132.73 – $988.40 |
| Johnson City Medical Center | JOHNSON CITY | $344.25 | $117.64 – $485.38 |
| Ascension Saint Thomas DeKalb | Smithville | $384.66 | $76.07 – $451.97 |
| Ascension Saint Thomas Highlands | Sparta | $384.66 | $76.07 – $451.97 |
| Ascension Saint Thomas River Park | McMinnville | $570.89 | $76.07 – $451.97 |