Mayo factor xi at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$23.80
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.
$85.00
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.
$8.06 with Wellpoint vs $76.50 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 | $8.06 | ↓ -66% |
| United Healthcare | Tenncare | $11.45 | ↓ -52% |
| United Healthcare | Heritage Select | $17.90 | ↓ -25% |
| United Healthcare | Options PPO | $17.90 | ↓ -25% |
| United Healthcare | All Other Plans | $17.90 | ↓ -25% |
| Optum | VA CCN | $19.17 | ↓ -19% |
| Tricare | Humana Military | $19.17 | ↓ -19% |
| Humana | DSNP | $19.75 | ↓ -17% |
| Humana | Medicare Advantage PPO | $19.75 | ↓ -17% |
| Humana | Medicare Advantage HMO | $19.75 | ↓ -17% |
| United Healthcare | Community Plan DSNP | $19.75 | ↓ -17% |
| United Healthcare | Medicare Advantage | $19.75 | ↓ -17% |
| Farm Bureau | Medicare Advantage PPO | $19.94 | ↓ -16% |
| Farm Bureau | Medicare Advantage HMO | $19.94 | ↓ -16% |
| Devoted Health | PPO | $20.13 | ↓ -15% |
| HealthSpring | Medicare PPO | $20.13 | ↓ -15% |
| HealthSpring | Medicare HMO POS | $20.13 | ↓ -15% |
| Blue Cross of TN | Med Adv Sapphire | $20.13 | ↓ -15% |
| Aetna | Medicare Advantage | $20.13 | ↓ -15% |
| Wellcare | Medicare Advantage | $20.13 | ↓ -15% |
| Blue Cross of TN | Med Adv Ruby | $20.13 | ↓ -15% |
| Devoted Health | HMO | $20.13 | ↓ -15% |
| Cigna | Medicare PPO | $20.13 | ↓ -15% |
| Cigna | Medicare HMO | $20.13 | ↓ -15% |
| Blue Cross of TN | Med Adv PPO | $20.13 | ↓ -15% |
| Blue Cross of TN | Med Adv Diamond | $20.13 | ↓ -15% |
| Blue Cross of TN | BlueEssential HMO | $20.13 | ↓ -15% |
| Blue Cross of TN | BlueEssential DSNP | $20.13 | ↓ -15% |
| United Healthcare | DSNP | $20.13 | ↓ -15% |
| Cigna | Medicare HMO-POS | $20.13 | ↓ -15% |
| Wellpoint | DSNP | $20.13 | ↓ -15% |
| Wellpoint | Medicare Advantage | $20.13 | ↓ -15% |
| BCBS TN | Blue Care | $24.86 | ↑ +4% |
| Aetna | Commercial | $27.12 | ↑ +14% |
| Ambetter | Exchange | $32.40 | ↑ +36% |
| Cigna | IFP | $36.78 | ↑ +55% |
| Cigna | Local Plus | $36.94 | ↑ +55% |
| BCBS TN | Commercial Network P | $37.79 | ↑ +59% |
| BCBS TN | Commercial Network S | $37.79 | ↑ +59% |
| EHN | Network Lease | $38.25 | ↑ +61% |
| Cigna | POS | $40.15 | ↑ +69% |
| Cigna | OAP | $40.15 | ↑ +69% |
| Cigna | HMO | $40.15 | ↑ +69% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $51.00 | ↑ +114% |
| Community Services Network | NonProfit Public Benefit | $55.25 | ↑ +132% |
| USA Managed Care Organization | PPO | $59.50 | ↑ +150% |
| NovaNet | Network Lease | $63.75 | ↑ +168% |
| Direct Care America | PPO | $68.00 | ↑ +186% |
| MedSave USA | Commercial | $68.00 | ↑ +186% |
| National Provider Network | PPO | $68.00 | ↑ +186% |
| Beech Street | PPO | $72.25 | ↑ +204% |
| CCN Managed Care | PPO | $72.25 | ↑ +204% |
| Initial Group | PPO | $74.80 | ↑ +214% |
| Galaxy Health Network | PPO | $76.50 | ↑ +221% |
Visitor-reported prices
Comments
Mayo factor xi at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $165.96 | $6.44 – $68.87 |
| CHI Memorial Hospital Hixson | Hixson | $160.14 | $15.91 – $378.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $15.87 | $15.57 – $35.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $228.85 | $15.91 – $378.70 |
| Johnson City Medical Center | JOHNSON CITY | $31.50 | $4.63 – $39.02 |
| Ascension Saint Thomas DeKalb | Smithville | $165.96 | $12.55 – $68.87 |
| Ascension Saint Thomas Highlands | Sparta | $165.96 | $12.55 – $68.87 |
| Ascension Saint Thomas River Park | McMinnville | $165.96 | $12.55 – $68.87 |