Infectious agent nucleic acid quantification hiv-1 at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$64.68
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.
$231.00
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.
$38.30 with Wellpoint vs $207.90 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 |
|---|---|---|---|
| Wellpoint | Medicaid Tenncare | $38.30 | ↓ -41% |
| United Healthcare | Tenncare | $54.43 | ↓ -16% |
| United Healthcare | Options PPO | $85.10 | ↑ +32% |
| United Healthcare | All Other Plans | $85.10 | ↑ +32% |
| United Healthcare | Heritage Select | $85.10 | ↑ +32% |
| Tricare | Humana Military | $91.14 | ↑ +41% |
| Optum | VA CCN | $91.14 | ↑ +41% |
| Humana | Medicare Advantage HMO | $93.87 | ↑ +45% |
| Humana | DSNP | $93.87 | ↑ +45% |
| Humana | Medicare Advantage PPO | $93.87 | ↑ +45% |
| United Healthcare | Medicare Advantage | $93.87 | ↑ +45% |
| United Healthcare | Community Plan DSNP | $93.87 | ↑ +45% |
| Farm Bureau | Medicare Advantage HMO | $94.79 | ↑ +47% |
| Farm Bureau | Medicare Advantage PPO | $94.79 | ↑ +47% |
| Blue Cross of TN | BlueEssential HMO | $95.70 | ↑ +48% |
| Devoted Health | HMO | $95.70 | ↑ +48% |
| Wellcare | Medicare Advantage | $95.70 | ↑ +48% |
| United Healthcare | DSNP | $95.70 | ↑ +48% |
| Devoted Health | PPO | $95.70 | ↑ +48% |
| HealthSpring | Medicare PPO | $95.70 | ↑ +48% |
| HealthSpring | Medicare HMO POS | $95.70 | ↑ +48% |
| Aetna | Medicare Advantage | $95.70 | ↑ +48% |
| Cigna | Medicare PPO | $95.70 | ↑ +48% |
| Cigna | Medicare HMO | $95.70 | ↑ +48% |
| Wellpoint | DSNP | $95.70 | ↑ +48% |
| Wellpoint | Medicare Advantage | $95.70 | ↑ +48% |
| Blue Cross of TN | Med Adv Ruby | $95.70 | ↑ +48% |
| Blue Cross of TN | Med Adv PPO | $95.70 | ↑ +48% |
| Blue Cross of TN | Med Adv Diamond | $95.70 | ↑ +48% |
| Blue Cross of TN | BlueEssential DSNP | $95.70 | ↑ +48% |
| Blue Cross of TN | Med Adv Sapphire | $95.70 | ↑ +48% |
| Cigna | Medicare HMO-POS | $95.70 | ↑ +48% |
| EHN | Network Lease | $103.95 | ↑ +61% |
| BCBS TN | Blue Care | $118.19 | ↑ +83% |
| Aetna | Commercial | $128.94 | ↑ +99% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $138.60 | ↑ +114% |
| Community Services Network | NonProfit Public Benefit | $150.15 | ↑ +132% |
| Ambetter | Exchange | $154.03 | ↑ +138% |
| USA Managed Care Organization | PPO | $161.70 | ↑ +150% |
| NovaNet | Network Lease | $173.25 | ↑ +168% |
| Cigna | IFP | $174.13 | ↑ +169% |
| Cigna | Local Plus | $174.89 | ↑ +170% |
| BCBS TN | Commercial Network P | $179.65 | ↑ +178% |
| BCBS TN | Commercial Network S | $179.65 | ↑ +178% |
| National Provider Network | PPO | $184.80 | ↑ +186% |
| Direct Care America | PPO | $184.80 | ↑ +186% |
| MedSave USA | Commercial | $184.80 | ↑ +186% |
| Cigna | POS | $190.10 | ↑ +194% |
| Cigna | OAP | $190.10 | ↑ +194% |
| Cigna | HMO | $190.10 | ↑ +194% |
| Beech Street | PPO | $196.35 | ↑ +204% |
| CCN Managed Care | PPO | $196.35 | ↑ +204% |
| Initial Group | PPO | $203.28 | ↑ +214% |
| Galaxy Health Network | PPO | $207.90 | ↑ +221% |
Visitor-reported prices
Comments
Infectious agent nucleic acid quantification hiv-1 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $295.05 | $30.64 – $329.59 |
| CHI Memorial Hospital Hixson | Hixson | $143.86 | $56.50 – $340.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $204.24 | $74.04 – $170.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $205.58 | $56.50 – $340.20 |
| Johnson City Medical Center | JOHNSON CITY | $148.95 | $42.55 – $185.52 |
| Ascension Saint Thomas DeKalb | Smithville | $295.05 | $59.66 – $329.59 |
| Ascension Saint Thomas Highlands | Sparta | $295.05 | $59.66 – $329.59 |
| Ascension Saint Thomas River Park | McMinnville | $295.05 | $59.66 – $329.59 |