Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$0.67
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.
$2.38
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.
$0.49 with BCBS TN vs $2.23 with United Healthcare — 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 |
|---|---|---|---|
| BCBS TN | Blue Care | $0.49 | ↓ -27% |
| United Healthcare | Tenncare | $0.60 | ↓ -10% |
| EHN | Network Lease | $1.07 | ↑ +60% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $1.42 | ↑ +112% |
| BCBS TN | Commercial Network S | $1.47 | ↑ +119% |
| BCBS TN | Commercial Network P | $1.47 | ↑ +119% |
| Community Services Network | NonProfit Public Benefit | $1.54 | ↑ +130% |
| USA Managed Care Organization | PPO | $1.66 | ↑ +148% |
| NovaNet | Network Lease | $1.78 | ↑ +166% |
| Cigna | HMO | $1.80 | ↑ +169% |
| Cigna | Local Plus | $1.80 | ↑ +169% |
| Cigna | OAP | $1.80 | ↑ +169% |
| Cigna | IFP | $1.80 | ↑ +169% |
| Cigna | POS | $1.80 | ↑ +169% |
| National Provider Network | PPO | $1.90 | ↑ +184% |
| MedSave USA | Commercial | $1.90 | ↑ +184% |
| Direct Care America | PPO | $1.90 | ↑ +184% |
| CCN Managed Care | PPO | $2.02 | ↑ +201% |
| Beech Street | PPO | $2.02 | ↑ +201% |
| Initial Group | PPO | $2.09 | ↑ +212% |
| Galaxy Health Network | PPO | $2.14 | ↑ +219% |
| United Healthcare | All Other Plans | $2.23 | ↑ +233% |
| United Healthcare | Options PPO | $2.23 | ↑ +233% |
| United Healthcare | Heritage Select | $2.23 | ↑ +233% |
| Aetna | Commercial | not published by hospital | — |
| Ambetter | Exchange | not published by hospital | — |
Visitor-reported prices
Comments
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $198.95 | $0.84 – $102.79 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $284.31 | $0.84 – $102.79 |
| Johnson City Medical Center | JOHNSON CITY | $139.55 | $0.34 – $2.55 |
| Hancock County Hospital | SNEEDVILLE | $122.40 | $0.19 – $2.55 |
| Greeneville Community Hospital | GREENEVILLE | $139.55 | $0.14 – $2.55 |
| Bristol Regional Medical Center | BRISTOL | $139.55 | $0.23 – $3.02 |
| Franklin Woods Community Hospital | JOHNSON CITY | $139.55 | $0.34 – $2.55 |
| Holston Valley Medical Center | KINGSPORT | $139.55 | $0.23 – $2.55 |