Fondaparinux sodium at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$5.18
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.
$18.50
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.
$0.90 with Cigna vs $13.95 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 |
|---|---|---|---|
| Cigna | POS | $0.90 | ↓ -83% |
| Cigna | IFP | $0.90 | ↓ -83% |
| Cigna | HMO | $0.90 | ↓ -83% |
| Cigna | OAP | $0.90 | ↓ -83% |
| Cigna | Local Plus | $0.90 | ↓ -83% |
| United Healthcare | All Other Plans | $0.93 | ↓ -82% |
| United Healthcare | Heritage Select | $0.93 | ↓ -82% |
| United Healthcare | Options PPO | $0.93 | ↓ -82% |
| BCBS TN | Blue Care | $3.25 | ↓ -37% |
| Aetna | Commercial | $6.00 | ↑ +16% |
| EHN | Network Lease | $6.97 | ↑ +35% |
| Ambetter | Exchange | $7.75 | ↑ +50% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $9.30 | ↑ +80% |
| BCBS TN | Commercial Network P | $9.61 | ↑ +86% |
| BCBS TN | Commercial Network S | $9.61 | ↑ +86% |
| Community Services Network | NonProfit Public Benefit | $10.07 | ↑ +94% |
| USA Managed Care Organization | PPO | $10.85 | ↑ +109% |
| NovaNet | Network Lease | $11.62 | ↑ +124% |
| National Provider Network | PPO | $12.40 | ↑ +139% |
| MedSave USA | Commercial | $12.40 | ↑ +139% |
| Direct Care America | PPO | $12.40 | ↑ +139% |
| Beech Street | PPO | $13.17 | ↑ +154% |
| CCN Managed Care | PPO | $13.17 | ↑ +154% |
| Initial Group | PPO | $13.64 | ↑ +163% |
| Galaxy Health Network | PPO | $13.95 | ↑ +169% |
Visitor-reported prices
Comments
Fondaparinux sodium at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $23.03 | $1.03 – $2.45 |
| CHI Memorial Hospital Hixson | Hixson | $56.70 | $1.38 – $52.27 |
| 62-1166050 BMH Carroll County | Huntingdon | $88.25 | $0.92 – $1.32 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $81.03 | $1.38 – $52.27 |
| Johnson City Medical Center | JOHNSON CITY | $103.15 | $1.27 – $9.11 |
| Ascension Saint Thomas River Park | McMinnville | $19.58 | $1.03 – $2.29 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $23.03 | $1.03 – $2.45 |
| Greeneville Community Hospital | GREENEVILLE | $98.18 | $1.27 – $9.11 |