Insert cath pleura with image at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$826.56
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.
$2,952.00
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.
$656.00 with United Healthcare vs $2,945.00 with BCBS TN — 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $656.00 | ↓ -21% |
| EHN | Network Lease | $664.20 | ↓ -20% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $885.60 | ↑ +7% |
| Community Services Network | NonProfit Public Benefit | $959.40 | ↑ +16% |
| USA Managed Care Organization | PPO | $1,033.20 | ↑ +25% |
| United Healthcare | All Other Plans | $1,060.00 | ↑ +28% |
| NovaNet | Network Lease | $1,107.00 | ↑ +34% |
| National Provider Network | PPO | $1,180.80 | ↑ +43% |
| MedSave USA | Commercial | $1,180.80 | ↑ +43% |
| Direct Care America | PPO | $1,180.80 | ↑ +43% |
| United Healthcare | Heritage Select | $1,246.00 | ↑ +51% |
| Cigna | IFP | $1,250.00 | ↑ +51% |
| Beech Street | PPO | $1,254.60 | ↑ +52% |
| CCN Managed Care | PPO | $1,254.60 | ↑ +52% |
| Wellpoint | Medicaid Tenncare | $1,259.81 | ↑ +52% |
| Initial Group | PPO | $1,298.88 | ↑ +57% |
| Ambetter | Exchange | $1,308.00 | ↑ +58% |
| Galaxy Health Network | PPO | $1,328.40 | ↑ +61% |
| United Healthcare | Options PPO | $1,523.00 | ↑ +84% |
| Optum | VA CCN | $1,529.59 | ↑ +85% |
| Tricare | Humana Military | $1,529.59 | ↑ +85% |
| Cigna | Local Plus | $1,532.00 | ↑ +85% |
| BCBS TN | Blue Care | $1,575.00 | ↑ +91% |
| Humana | Medicare Advantage HMO | $1,575.48 | ↑ +91% |
| United Healthcare | Community Plan DSNP | $1,575.48 | ↑ +91% |
| Humana | DSNP | $1,575.48 | ↑ +91% |
| Humana | Medicare Advantage PPO | $1,575.48 | ↑ +91% |
| United Healthcare | Medicare Advantage | $1,575.48 | ↑ +91% |
| Farm Bureau | Medicare Advantage PPO | $1,590.77 | ↑ +92% |
| Farm Bureau | Medicare Advantage HMO | $1,590.77 | ↑ +92% |
| Blue Cross of TN | BlueEssential HMO | $1,606.07 | ↑ +94% |
| Blue Cross of TN | Med Adv Diamond | $1,606.07 | ↑ +94% |
| Blue Cross of TN | Med Adv PPO | $1,606.07 | ↑ +94% |
| Blue Cross of TN | Med Adv Ruby | $1,606.07 | ↑ +94% |
| Blue Cross of TN | Med Adv Sapphire | $1,606.07 | ↑ +94% |
| Devoted Health | HMO | $1,606.07 | ↑ +94% |
| United Healthcare | DSNP | $1,606.07 | ↑ +94% |
| Devoted Health | PPO | $1,606.07 | ↑ +94% |
| Cigna | Medicare PPO | $1,606.07 | ↑ +94% |
| Cigna | Medicare HMO | $1,606.07 | ↑ +94% |
| Aetna | Medicare Advantage | $1,606.07 | ↑ +94% |
| Cigna | Medicare HMO-POS | $1,606.07 | ↑ +94% |
| Wellpoint | DSNP | $1,606.07 | ↑ +94% |
| Wellpoint | Medicare Advantage | $1,606.07 | ↑ +94% |
| HealthSpring | Medicare HMO POS | $1,606.07 | ↑ +94% |
| Blue Cross of TN | BlueEssential DSNP | $1,606.07 | ↑ +94% |
| HealthSpring | Medicare PPO | $1,606.07 | ↑ +94% |
| Wellcare | Medicare Advantage | $1,606.07 | ↑ +94% |
| Cigna | POS | $1,802.00 | ↑ +118% |
| Cigna | OAP | $1,802.00 | ↑ +118% |
| Cigna | HMO | $1,802.00 | ↑ +118% |
| Aetna | Commercial | $1,808.27 | ↑ +119% |
| BCBS TN | Commercial Network S | $2,945.00 | ↑ +256% |
| BCBS TN | Commercial Network P | $2,945.00 | ↑ +256% |
Visitor-reported prices
Comments
Insert cath pleura with image at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,808.93 | $733.50 – $1,534.53 |
| CHI Memorial Hospital Hixson | Hixson | $1,384.99 | $935.80 – $3,275.30 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,979.22 | $982.59 – $3,275.30 |
| Johnson City Medical Center | JOHNSON CITY | $517.35 | $933.72 – $3,202.23 |
| Ascension Saint Thomas River Park | McMinnville | $1,808.99 | $244.68 – $1,004.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,808.99 | $954.50 – $1,636.56 |
| Hancock County Hospital | SNEEDVILLE | $507.84 | $1,382.71 – $1,460.21 |
| Greeneville Community Hospital | GREENEVILLE | $517.35 | $834.96 – $3,202.23 |