Encephalitis, western equine igg/igm at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$12.88
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.
$46.00
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.
$5.94 with Wellpoint vs $32.40 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 | $5.94 | ↓ -54% |
| United Healthcare | Tenncare | $8.44 | ↓ -34% |
| United Healthcare | Options PPO | $13.19 | ↑ +2% |
| United Healthcare | All Other Plans | $13.19 | ↑ +2% |
| United Healthcare | Heritage Select | $13.19 | ↑ +2% |
| Tricare | Humana Military | $14.13 | ↑ +10% |
| Optum | VA CCN | $14.13 | ↑ +10% |
| Humana | Medicare Advantage HMO | $14.55 | ↑ +13% |
| Humana | DSNP | $14.55 | ↑ +13% |
| Humana | Medicare Advantage PPO | $14.55 | ↑ +13% |
| United Healthcare | Medicare Advantage | $14.55 | ↑ +13% |
| United Healthcare | Community Plan DSNP | $14.55 | ↑ +13% |
| Farm Bureau | Medicare Advantage HMO | $14.70 | ↑ +14% |
| Farm Bureau | Medicare Advantage PPO | $14.70 | ↑ +14% |
| Blue Cross of TN | BlueEssential HMO | $14.84 | ↑ +15% |
| Devoted Health | HMO | $14.84 | ↑ +15% |
| Wellcare | Medicare Advantage | $14.84 | ↑ +15% |
| United Healthcare | DSNP | $14.84 | ↑ +15% |
| Devoted Health | PPO | $14.84 | ↑ +15% |
| HealthSpring | Medicare PPO | $14.84 | ↑ +15% |
| HealthSpring | Medicare HMO POS | $14.84 | ↑ +15% |
| Aetna | Medicare Advantage | $14.84 | ↑ +15% |
| Cigna | Medicare PPO | $14.84 | ↑ +15% |
| Cigna | Medicare HMO | $14.84 | ↑ +15% |
| Wellpoint | DSNP | $14.84 | ↑ +15% |
| Wellpoint | Medicare Advantage | $14.84 | ↑ +15% |
| Blue Cross of TN | Med Adv Ruby | $14.84 | ↑ +15% |
| Blue Cross of TN | Med Adv PPO | $14.84 | ↑ +15% |
| Blue Cross of TN | Med Adv Diamond | $14.84 | ↑ +15% |
| Blue Cross of TN | BlueEssential DSNP | $14.84 | ↑ +15% |
| Blue Cross of TN | Med Adv Sapphire | $14.84 | ↑ +15% |
| Cigna | Medicare HMO-POS | $14.84 | ↑ +15% |
| EHN | Network Lease | $16.20 | ↑ +26% |
| BCBS TN | Blue Care | $18.31 | ↑ +42% |
| Aetna | Commercial | $19.99 | ↑ +55% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $21.60 | ↑ +68% |
| Community Services Network | NonProfit Public Benefit | $23.40 | ↑ +82% |
| Ambetter | Exchange | $23.87 | ↑ +85% |
| USA Managed Care Organization | PPO | $25.20 | ↑ +96% |
| NovaNet | Network Lease | $27.00 | ↑ +110% |
| Cigna | IFP | $27.07 | ↑ +110% |
| Cigna | Local Plus | $27.19 | ↑ +111% |
| BCBS TN | Commercial Network P | $27.84 | ↑ +116% |
| BCBS TN | Commercial Network S | $27.84 | ↑ +116% |
| National Provider Network | PPO | $28.80 | ↑ +124% |
| Direct Care America | PPO | $28.80 | ↑ +124% |
| MedSave USA | Commercial | $28.80 | ↑ +124% |
| Cigna | POS | $29.55 | ↑ +129% |
| Cigna | OAP | $29.55 | ↑ +129% |
| Cigna | HMO | $29.55 | ↑ +129% |
| Beech Street | PPO | $30.60 | ↑ +138% |
| CCN Managed Care | PPO | $30.60 | ↑ +138% |
| Initial Group | PPO | $31.68 | ↑ +146% |
| Galaxy Health Network | PPO | $32.40 | ↑ +152% |
Visitor-reported prices
Comments
Encephalitis, western equine igg/igm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $46.77 | $11.72 – $110.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $66.84 | $11.72 – $110.60 |
| Johnson City Medical Center | JOHNSON CITY | $23.10 | $6.60 – $28.75 |
| Hancock County Hospital | SNEEDVILLE | $23.00 | $9.34 – $28.87 |
| Greeneville Community Hospital | GREENEVILLE | $23.10 | $5.94 – $28.75 |
| Bristol Regional Medical Center | BRISTOL | $23.10 | $6.60 – $31.66 |
| Franklin Woods Community Hospital | JOHNSON CITY | $23.10 | $6.60 – $28.75 |
| Holston Valley Medical Center | KINGSPORT | $23.10 | $6.60 – $31.66 |