Mycophenolate mofetil 250 mg capsule at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$1.68
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.
?
What you pay up front if you don't use insurance.
$6.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.16 with Cigna vs $5.40 with Galaxy Health Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Cigna | POS | $0.16 | ↓ -90% |
| United Healthcare | All Other Plans | $0.16 | ↓ -90% |
| United Healthcare | Heritage Select | $0.16 | ↓ -90% |
| United Healthcare | Options PPO | $0.16 | ↓ -90% |
| Cigna | OAP | $0.16 | ↓ -90% |
| Cigna | Local Plus | $0.16 | ↓ -90% |
| Cigna | IFP | $0.16 | ↓ -90% |
| Cigna | HMO | $0.16 | ↓ -90% |
| BCBS TN | Blue Care | $1.26 | ↓ -25% |
| Aetna | Commercial | $2.32 | ↑ +38% |
| EHN | Network Lease | $2.70 | ↑ +61% |
| Ambetter | Exchange | $3.00 | ↑ +79% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $3.60 | ↑ +114% |
| BCBS TN | Commercial Network P | $3.72 | ↑ +121% |
| BCBS TN | Commercial Network S | $3.72 | ↑ +121% |
| Community Services Network | NonProfit Public Benefit | $3.90 | ↑ +132% |
| USA Managed Care Organization | PPO | $4.20 | ↑ +150% |
| NovaNet | Network Lease | $4.50 | ↑ +168% |
| National Provider Network | PPO | $4.80 | ↑ +186% |
| MedSave USA | Commercial | $4.80 | ↑ +186% |
| Direct Care America | PPO | $4.80 | ↑ +186% |
| Beech Street | PPO | $5.10 | ↑ +204% |
| CCN Managed Care | PPO | $5.10 | ↑ +204% |
| Initial Group | PPO | $5.28 | ↑ +214% |
| Galaxy Health Network | PPO | $5.40 | ↑ +221% |
Visitor-reported prices
Comments
Mycophenolate mofetil 250 mg capsule at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $7.11 | $0.20 – $0.90 |
| CHI Memorial Hospital Hixson | Hixson | $29.86 | $0.09 – $0.30 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $42.66 | $0.09 – $0.30 |
| Johnson City Medical Center | JOHNSON CITY | $1.52 | $0.28 – $1.30 |
| Ascension Saint Thomas DeKalb | Smithville | $7.11 | $0.20 – $0.34 |
| Ascension Saint Thomas Highlands | Sparta | $7.11 | $0.20 – $0.34 |
| Ascension Saint Thomas River Park | McMinnville | $7.11 | $0.20 – $0.34 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $7.11 | $0.20 – $0.35 |