Mayo alpha 1 antitrypsin at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$25.76
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.
$92.00
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.
$6.05 with Wellpoint vs $30.30 with Cigna — 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 | $6.05 | ↓ -77% |
| United Healthcare | Tenncare | $8.60 | ↓ -67% |
| United Healthcare | All Other Plans | $13.44 | ↓ -48% |
| United Healthcare | Options PPO | $13.44 | ↓ -48% |
| United Healthcare | Heritage Select | $13.44 | ↓ -48% |
| Optum | VA CCN | $14.39 | ↓ -44% |
| Tricare | Humana Military | $14.39 | ↓ -44% |
| EHN | Network Lease | $14.40 | ↓ -44% |
| Humana | DSNP | $14.82 | ↓ -42% |
| Humana | Medicare Advantage PPO | $14.82 | ↓ -42% |
| Humana | Medicare Advantage HMO | $14.82 | ↓ -42% |
| United Healthcare | Community Plan DSNP | $14.82 | ↓ -42% |
| United Healthcare | Medicare Advantage | $14.82 | ↓ -42% |
| Farm Bureau | Medicare Advantage HMO | $14.97 | ↓ -42% |
| Farm Bureau | Medicare Advantage PPO | $14.97 | ↓ -42% |
| Blue Cross of TN | BlueEssential HMO | $15.11 | ↓ -41% |
| Devoted Health | HMO | $15.11 | ↓ -41% |
| Wellcare | Medicare Advantage | $15.11 | ↓ -41% |
| United Healthcare | DSNP | $15.11 | ↓ -41% |
| Devoted Health | PPO | $15.11 | ↓ -41% |
| HealthSpring | Medicare PPO | $15.11 | ↓ -41% |
| HealthSpring | Medicare HMO POS | $15.11 | ↓ -41% |
| Aetna | Medicare Advantage | $15.11 | ↓ -41% |
| Cigna | Medicare PPO | $15.11 | ↓ -41% |
| Cigna | Medicare HMO | $15.11 | ↓ -41% |
| Wellpoint | Medicare Advantage | $15.11 | ↓ -41% |
| Blue Cross of TN | Med Adv PPO | $15.11 | ↓ -41% |
| Blue Cross of TN | Med Adv Diamond | $15.11 | ↓ -41% |
| Blue Cross of TN | BlueEssential DSNP | $15.11 | ↓ -41% |
| Blue Cross of TN | Med Adv Sapphire | $15.11 | ↓ -41% |
| Blue Cross of TN | Med Adv Ruby | $15.11 | ↓ -41% |
| Cigna | Medicare HMO-POS | $15.11 | ↓ -41% |
| Wellpoint | DSNP | $15.11 | ↓ -41% |
| BCBS TN | Blue Care | $18.66 | ↓ -28% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $19.20 | ↓ -25% |
| Aetna | Commercial | $20.36 | ↓ -21% |
| Community Services Network | NonProfit Public Benefit | $20.80 | ↓ -19% |
| USA Managed Care Organization | PPO | $22.40 | ↓ -13% |
| NovaNet | Network Lease | $24.00 | ↓ -7% |
| Ambetter | Exchange | $24.33 | ↓ -6% |
| Direct Care America | PPO | $25.60 | ↓ -1% |
| National Provider Network | PPO | $25.60 | ↓ -1% |
| MedSave USA | Commercial | $25.60 | ↓ -1% |
| CCN Managed Care | PPO | $27.20 | ↑ +6% |
| Beech Street | PPO | $27.20 | ↑ +6% |
| Cigna | IFP | $27.75 | ↑ +8% |
| Cigna | Local Plus | $27.88 | ↑ +8% |
| Initial Group | PPO | $28.16 | ↑ +9% |
| BCBS TN | Commercial Network S | $28.37 | ↑ +10% |
| BCBS TN | Commercial Network P | $28.37 | ↑ +10% |
| Galaxy Health Network | PPO | $28.80 | ↑ +12% |
| Cigna | HMO | $30.30 | ↑ +18% |
| Cigna | OAP | $30.30 | ↑ +18% |
| Cigna | POS | $30.30 | ↑ +18% |
Visitor-reported prices
Comments
Mayo alpha 1 antitrypsin at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $75.14 | $4.84 – $51.92 |
| CHI Memorial Hospital Hixson | Hixson | $68.97 | $11.94 – $163.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $182.16 | $11.69 – $26.88 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $98.56 | $11.94 – $163.10 |
| Johnson City Medical Center | JOHNSON CITY | $23.40 | $6.72 – $29.30 |
| Ascension Saint Thomas DeKalb | Smithville | $75.17 | $9.42 – $51.92 |
| Ascension Saint Thomas Highlands | Sparta | $75.17 | $9.42 – $51.92 |
| Ascension Saint Thomas River Park | McMinnville | $75.17 | $9.42 – $51.92 |