Ground mileage at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$2.80
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.
$10.00
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.
$2.10 with BCBS TN vs $902.00 with United Healthcare — 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 |
|---|---|---|---|
| BCBS TN | Blue Care | $2.10 | ↓ -25% |
| Aetna | Commercial | $4.00 | ↑ +43% |
| EHN | Network Lease | $4.50 | ↑ +61% |
| Cigna | IFP | $5.08 | ↑ +81% |
| Cigna | Local Plus | $5.08 | ↑ +81% |
| Cigna | HMO | $5.98 | ↑ +114% |
| Cigna | OAP | $5.98 | ↑ +114% |
| Cigna | POS | $5.98 | ↑ +114% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $6.00 | ↑ +114% |
| Ambetter | Exchange | $6.00 | ↑ +114% |
| BCBS TN | Commercial Network S | $6.20 | ↑ +121% |
| BCBS TN | Commercial Network P | $6.20 | ↑ +121% |
| Community Services Network | NonProfit Public Benefit | $6.50 | ↑ +132% |
| USA Managed Care Organization | PPO | $7.00 | ↑ +150% |
| NovaNet | Network Lease | $7.50 | ↑ +168% |
| Direct Care America | PPO | $8.00 | ↑ +186% |
| MedSave USA | Commercial | $8.00 | ↑ +186% |
| National Provider Network | PPO | $8.00 | ↑ +186% |
| CCN Managed Care | PPO | $8.50 | ↑ +204% |
| Beech Street | PPO | $8.50 | ↑ +204% |
| Initial Group | PPO | $8.80 | ↑ +214% |
| Galaxy Health Network | PPO | $9.00 | ↑ +221% |
| United Healthcare | All Other Plans | $627.00 | ↑ +22293% |
| Wellpoint | Medicaid Tenncare | $704.03 | ↑ +25044% |
| United Healthcare | Heritage Select | $737.00 | ↑ +26221% |
| United Healthcare | Options PPO | $902.00 | ↑ +32114% |
Visitor-reported prices
Comments
Ground mileage at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $10.07 | $2.84 – $468.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $15.41 | $4.98 – $8.94 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $14.39 | $2.84 – $468.00 |
| 62-1138045 BMH Union City | Union City | $6.40 | $4.98 – $8.94 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $10.98 – $10.98 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $10.98 – $10.98 |
| HORIZON MEDICAL CENTER | DICKSON | not published | $10.98 – $10.98 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD | not published | $10.98 – $10.98 |