Insitu hybridization (fish) at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$182.84
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.
$653.00
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.
$85.80 with United Healthcare vs $870.25 with Ambetter — 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 | $85.80 | ↓ -53% |
| Tricare | Humana Military | $165.55 | ↓ -9% |
| Optum | VA CCN | $165.55 | ↓ -9% |
| Humana | Medicare Advantage PPO | $170.52 | ↓ -7% |
| United Healthcare | Medicare Advantage | $170.52 | ↓ -7% |
| United Healthcare | Community Plan DSNP | $170.52 | ↓ -7% |
| Humana | Medicare Advantage HMO | $170.52 | ↓ -7% |
| Humana | DSNP | $170.52 | ↓ -7% |
| Farm Bureau | Medicare Advantage PPO | $172.17 | ↓ -6% |
| Farm Bureau | Medicare Advantage HMO | $172.17 | ↓ -6% |
| Wellpoint | DSNP | $173.83 | ↓ -5% |
| Devoted Health | HMO | $173.83 | ↓ -5% |
| Wellcare | Medicare Advantage | $173.83 | ↓ -5% |
| United Healthcare | DSNP | $173.83 | ↓ -5% |
| Devoted Health | PPO | $173.83 | ↓ -5% |
| HealthSpring | Medicare PPO | $173.83 | ↓ -5% |
| HealthSpring | Medicare HMO POS | $173.83 | ↓ -5% |
| Aetna | Medicare Advantage | $173.83 | ↓ -5% |
| Cigna | Medicare PPO | $173.83 | ↓ -5% |
| Cigna | Medicare HMO | $173.83 | ↓ -5% |
| Cigna | Medicare HMO-POS | $173.83 | ↓ -5% |
| Blue Cross of TN | Med Adv PPO | $173.83 | ↓ -5% |
| Wellpoint | Medicare Advantage | $173.83 | ↓ -5% |
| Blue Cross of TN | Med Adv Sapphire | $173.83 | ↓ -5% |
| Blue Cross of TN | Med Adv Ruby | $173.83 | ↓ -5% |
| Blue Cross of TN | BlueEssential DSNP | $173.83 | ↓ -5% |
| Blue Cross of TN | BlueEssential HMO | $173.83 | ↓ -5% |
| Blue Cross of TN | Med Adv Diamond | $173.83 | ↓ -5% |
| BCBS TN | Blue Care | $228.75 | ↑ +25% |
| Wellpoint | Medicaid Tenncare | $283.03 | ↑ +55% |
| United Healthcare | Heritage Select | $283.41 | ↑ +55% |
| United Healthcare | All Other Plans | $283.41 | ↑ +55% |
| United Healthcare | Options PPO | $283.41 | ↑ +55% |
| EHN | Network Lease | $293.85 | ↑ +61% |
| Aetna | Commercial | $311.77 | ↑ +71% |
| BCBS TN | Commercial Network P | $347.70 | ↑ +90% |
| BCBS TN | Commercial Network S | $347.70 | ↑ +90% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $391.80 | ↑ +114% |
| Community Services Network | NonProfit Public Benefit | $424.45 | ↑ +132% |
| Cigna | IFP | $451.06 | ↑ +147% |
| Cigna | Local Plus | $453.03 | ↑ +148% |
| USA Managed Care Organization | PPO | $457.10 | ↑ +150% |
| NovaNet | Network Lease | $489.75 | ↑ +168% |
| Cigna | OAP | $492.43 | ↑ +169% |
| Cigna | HMO | $492.43 | ↑ +169% |
| Cigna | POS | $492.43 | ↑ +169% |
| National Provider Network | PPO | $522.40 | ↑ +186% |
| Direct Care America | PPO | $522.40 | ↑ +186% |
| MedSave USA | Commercial | $522.40 | ↑ +186% |
| Beech Street | PPO | $555.05 | ↑ +204% |
| CCN Managed Care | PPO | $555.05 | ↑ +204% |
| Initial Group | PPO | $574.64 | ↑ +214% |
| Galaxy Health Network | PPO | $587.70 | ↑ +221% |
| Ambetter | Exchange | $870.25 | ↑ +376% |
Visitor-reported prices
Comments
Insitu hybridization (fish) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $112.47 | $43.14 – $459.21 |
| Greeneville Community Hospital | GREENEVILLE | $114.75 | $31.06 – $346.58 |
| Bristol Regional Medical Center | BRISTOL | $114.75 | $51.77 – $387.89 |
| Holston Valley Medical Center | KINGSPORT | $114.75 | $51.77 – $387.89 |
| 62-0123940 BMH Collierville | Collierville | $133.56 | $63.02 – $313.82 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $114.75 | $43.14 – $336.97 |
| Parkwest Medical Center | Knoxville | $411.39 | $85.80 – $870.25 |
| Roane County Medical Center | Harriman | $215.49 | $85.80 – $870.25 |