Ghs fish cytogen at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$26.32
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.
$94.00
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.
$9.64 with Wellpoint vs $47.73 with Cigna — 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 | $9.64 | ↓ -63% |
| United Healthcare | Tenncare | $13.70 | ↓ -48% |
| EHN | Network Lease | $18.90 | ↓ -28% |
| United Healthcare | Options PPO | $21.42 | ↓ -19% |
| United Healthcare | Heritage Select | $21.42 | ↓ -19% |
| United Healthcare | All Other Plans | $21.42 | ↓ -19% |
| Optum | VA CCN | $22.94 | ↓ -13% |
| Tricare | Humana Military | $22.94 | ↓ -13% |
| Humana | Medicare Advantage HMO | $23.63 | ↓ -10% |
| Humana | DSNP | $23.63 | ↓ -10% |
| United Healthcare | Community Plan DSNP | $23.63 | ↓ -10% |
| United Healthcare | Medicare Advantage | $23.63 | ↓ -10% |
| Humana | Medicare Advantage PPO | $23.63 | ↓ -10% |
| Farm Bureau | Medicare Advantage HMO | $23.86 | ↓ -9% |
| Farm Bureau | Medicare Advantage PPO | $23.86 | ↓ -9% |
| Blue Cross of TN | BlueEssential HMO | $24.09 | ↓ -8% |
| Devoted Health | HMO | $24.09 | ↓ -8% |
| Wellcare | Medicare Advantage | $24.09 | ↓ -8% |
| United Healthcare | DSNP | $24.09 | ↓ -8% |
| Devoted Health | PPO | $24.09 | ↓ -8% |
| HealthSpring | Medicare PPO | $24.09 | ↓ -8% |
| HealthSpring | Medicare HMO POS | $24.09 | ↓ -8% |
| Aetna | Medicare Advantage | $24.09 | ↓ -8% |
| Cigna | Medicare PPO | $24.09 | ↓ -8% |
| Cigna | Medicare HMO | $24.09 | ↓ -8% |
| Blue Cross of TN | Med Adv Diamond | $24.09 | ↓ -8% |
| Blue Cross of TN | BlueEssential DSNP | $24.09 | ↓ -8% |
| Blue Cross of TN | Med Adv Sapphire | $24.09 | ↓ -8% |
| Blue Cross of TN | Med Adv Ruby | $24.09 | ↓ -8% |
| Blue Cross of TN | Med Adv PPO | $24.09 | ↓ -8% |
| Cigna | Medicare HMO-POS | $24.09 | ↓ -8% |
| Wellpoint | DSNP | $24.09 | ↓ -8% |
| Wellpoint | Medicare Advantage | $24.09 | ↓ -8% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $25.20 | ↓ -4% |
| Community Services Network | NonProfit Public Benefit | $27.30 | ↑ +4% |
| USA Managed Care Organization | PPO | $29.40 | ↑ +12% |
| BCBS TN | Blue Care | $29.75 | ↑ +13% |
| NovaNet | Network Lease | $31.50 | ↑ +20% |
| Aetna | Commercial | $32.46 | ↑ +23% |
| Direct Care America | PPO | $33.60 | ↑ +28% |
| MedSave USA | Commercial | $33.60 | ↑ +28% |
| National Provider Network | PPO | $33.60 | ↑ +28% |
| Beech Street | PPO | $35.70 | ↑ +36% |
| CCN Managed Care | PPO | $35.70 | ↑ +36% |
| Initial Group | PPO | $36.96 | ↑ +40% |
| Galaxy Health Network | PPO | $37.80 | ↑ +44% |
| Ambetter | Exchange | $38.77 | ↑ +47% |
| Cigna | IFP | $43.72 | ↑ +66% |
| Cigna | Local Plus | $43.91 | ↑ +67% |
| BCBS TN | Commercial Network P | $45.22 | ↑ +72% |
| BCBS TN | Commercial Network S | $45.22 | ↑ +72% |
| Cigna | HMO | $47.73 | ↑ +81% |
| Cigna | OAP | $47.73 | ↑ +81% |
| Cigna | POS | $47.73 | ↑ +81% |
Visitor-reported prices
Comments
Ghs fish cytogen at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $36.00 | $10.71 – $46.70 |
| Hancock County Hospital | SNEEDVILLE | $35.42 | $15.17 – $51.91 |
| Greeneville Community Hospital | GREENEVILLE | $36.00 | $9.64 – $49.44 |
| Bristol Regional Medical Center | BRISTOL | $36.00 | $10.71 – $51.41 |
| Franklin Woods Community Hospital | JOHNSON CITY | $36.00 | $10.71 – $49.44 |
| Holston Valley Medical Center | KINGSPORT | $36.00 | $10.71 – $51.41 |
| 62-0123940 BMH Collierville | Collierville | $158.97 | $16.13 – $42.84 |
| Indian Path Community Hospital | KINGSPORT | $36.00 | $10.71 – $51.41 |