Leuprolide 30 mg (4 month) intramuscular syringe kit at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$481.04
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.
$1,718.00
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.
$110.49 with United Healthcare vs $1,350.00 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $110.49 | ↓ -77% |
| Optum | VA CCN | $167.82 | ↓ -65% |
| Tricare | Humana Military | $167.82 | ↓ -65% |
| Humana | Medicare Advantage HMO | $172.85 | ↓ -64% |
| United Healthcare | Medicare Advantage | $172.85 | ↓ -64% |
| Humana | DSNP | $172.85 | ↓ -64% |
| Humana | Medicare Advantage PPO | $172.85 | ↓ -64% |
| United Healthcare | Community Plan DSNP | $172.85 | ↓ -64% |
| Farm Bureau | Medicare Advantage HMO | $174.53 | ↓ -64% |
| Farm Bureau | Medicare Advantage PPO | $174.53 | ↓ -64% |
| Blue Cross of TN | Med Adv Sapphire | $176.21 | ↓ -63% |
| Blue Cross of TN | BlueEssential DSNP | $176.21 | ↓ -63% |
| United Healthcare | DSNP | $176.21 | ↓ -63% |
| Devoted Health | PPO | $176.21 | ↓ -63% |
| Wellcare | Medicare Advantage | $176.21 | ↓ -63% |
| Blue Cross of TN | Med Adv PPO | $176.21 | ↓ -63% |
| Cigna | Medicare HMO-POS | $176.21 | ↓ -63% |
| Wellpoint | DSNP | $176.21 | ↓ -63% |
| Wellpoint | Medicare Advantage | $176.21 | ↓ -63% |
| Blue Cross of TN | Med Adv Diamond | $176.21 | ↓ -63% |
| HealthSpring | Medicare PPO | $176.21 | ↓ -63% |
| HealthSpring | Medicare HMO POS | $176.21 | ↓ -63% |
| Blue Cross of TN | BlueEssential HMO | $176.21 | ↓ -63% |
| Aetna | Medicare Advantage | $176.21 | ↓ -63% |
| Blue Cross of TN | Med Adv Ruby | $176.21 | ↓ -63% |
| Cigna | Medicare PPO | $176.21 | ↓ -63% |
| Cigna | Medicare HMO | $176.21 | ↓ -63% |
| Devoted Health | HMO | $176.21 | ↓ -63% |
| United Healthcare | Heritage Select | $181.03 | ↓ -62% |
| United Healthcare | Options PPO | $181.03 | ↓ -62% |
| United Healthcare | All Other Plans | $181.03 | ↓ -62% |
| BCBS TN | Commercial Network P | $186.15 | ↓ -61% |
| BCBS TN | Commercial Network S | $186.15 | ↓ -61% |
| BCBS TN | Blue Care | $192.33 | ↓ -60% |
| Cigna | Local Plus | $199.11 | ↓ -59% |
| Cigna | HMO | $199.11 | ↓ -59% |
| Cigna | OAP | $199.11 | ↓ -59% |
| Cigna | POS | $199.11 | ↓ -59% |
| Cigna | IFP | $199.11 | ↓ -59% |
| Wellpoint | Medicaid Tenncare | $224.15 | ↓ -53% |
| Aetna | Commercial | $580.95 | ↑ +21% |
| EHN | Network Lease | $675.00 | ↑ +40% |
| Ambetter | Exchange | $750.00 | ↑ +56% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $900.00 | ↑ +87% |
| Community Services Network | NonProfit Public Benefit | $975.00 | ↑ +103% |
| USA Managed Care Organization | PPO | $1,050.00 | ↑ +118% |
| NovaNet | Network Lease | $1,125.00 | ↑ +134% |
| Direct Care America | PPO | $1,200.00 | ↑ +149% |
| MedSave USA | Commercial | $1,200.00 | ↑ +149% |
| National Provider Network | PPO | $1,200.00 | ↑ +149% |
| Beech Street | PPO | $1,275.00 | ↑ +165% |
| CCN Managed Care | PPO | $1,275.00 | ↑ +165% |
| Initial Group | PPO | $1,320.00 | ↑ +174% |
| Galaxy Health Network | PPO | $1,350.00 | ↑ +181% |
Visitor-reported prices
Comments
Leuprolide 30 mg (4 month) intramuscular syringe kit at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $4,393.19 | $179.84 – $728.64 |
| CHI Memorial Hospital Hixson | Hixson | $900.28 | $166.01 – $732.11 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,286.54 | $166.01 – $732.11 |
| Johnson City Medical Center | JOHNSON CITY | $8,215.88 | $170.78 – $436.06 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $970.77 | $165.86 – $728.64 |
| Indian Path Community Hospital | KINGSPORT | $3,005.54 | $170.78 – $416.38 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $6,163.15 | $105.49 – $487.85 |
| SUMMIT MEDICAL CENTER | MT JULIET | $3,169.09 | $210.65 – $452.57 |