Npm1 gene at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$162.40
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.
$580.00
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.
$110.93 with Wellpoint vs $550.63 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 | $110.93 | ↓ -32% |
| United Healthcare | Tenncare | $115.87 | ↓ -29% |
| United Healthcare | All Other Plans | $246.52 | ↑ +52% |
| United Healthcare | Options PPO | $246.52 | ↑ +52% |
| United Healthcare | Heritage Select | $246.52 | ↑ +52% |
| EHN | Network Lease | $261.00 | ↑ +61% |
| Optum | VA CCN | $264.02 | ↑ +63% |
| Tricare | Humana Military | $264.02 | ↑ +63% |
| United Healthcare | Medicare Advantage | $271.94 | ↑ +67% |
| Humana | Medicare Advantage HMO | $271.94 | ↑ +67% |
| Humana | DSNP | $271.94 | ↑ +67% |
| United Healthcare | Community Plan DSNP | $271.94 | ↑ +67% |
| Humana | Medicare Advantage PPO | $271.94 | ↑ +67% |
| Farm Bureau | Medicare Advantage HMO | $274.58 | ↑ +69% |
| Farm Bureau | Medicare Advantage PPO | $274.58 | ↑ +69% |
| Blue Cross of TN | BlueEssential HMO | $277.22 | ↑ +71% |
| Devoted Health | HMO | $277.22 | ↑ +71% |
| Wellcare | Medicare Advantage | $277.22 | ↑ +71% |
| United Healthcare | DSNP | $277.22 | ↑ +71% |
| Devoted Health | PPO | $277.22 | ↑ +71% |
| HealthSpring | Medicare PPO | $277.22 | ↑ +71% |
| HealthSpring | Medicare HMO POS | $277.22 | ↑ +71% |
| Aetna | Medicare Advantage | $277.22 | ↑ +71% |
| Cigna | Medicare PPO | $277.22 | ↑ +71% |
| Cigna | Medicare HMO | $277.22 | ↑ +71% |
| Wellpoint | Medicare Advantage | $277.22 | ↑ +71% |
| Blue Cross of TN | Med Adv PPO | $277.22 | ↑ +71% |
| Blue Cross of TN | Med Adv Diamond | $277.22 | ↑ +71% |
| Blue Cross of TN | BlueEssential DSNP | $277.22 | ↑ +71% |
| Blue Cross of TN | Med Adv Sapphire | $277.22 | ↑ +71% |
| Blue Cross of TN | Med Adv Ruby | $277.22 | ↑ +71% |
| Cigna | Medicare HMO-POS | $277.22 | ↑ +71% |
| Wellpoint | DSNP | $277.22 | ↑ +71% |
| BCBS TN | Blue Care | $308.15 | ↑ +90% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $348.00 | ↑ +114% |
| Aetna | Commercial | $373.52 | ↑ +130% |
| Community Services Network | NonProfit Public Benefit | $377.00 | ↑ +132% |
| USA Managed Care Organization | PPO | $406.00 | ↑ +150% |
| NovaNet | Network Lease | $435.00 | ↑ +168% |
| Ambetter | Exchange | $446.20 | ↑ +175% |
| Direct Care America | PPO | $464.00 | ↑ +186% |
| National Provider Network | PPO | $464.00 | ↑ +186% |
| MedSave USA | Commercial | $464.00 | ↑ +186% |
| BCBS TN | Commercial Network S | $468.39 | ↑ +188% |
| BCBS TN | Commercial Network P | $468.39 | ↑ +188% |
| CCN Managed Care | PPO | $493.00 | ↑ +204% |
| Beech Street | PPO | $493.00 | ↑ +204% |
| Cigna | IFP | $504.37 | ↑ +211% |
| Cigna | Local Plus | $506.58 | ↑ +212% |
| Initial Group | PPO | $510.40 | ↑ +214% |
| Galaxy Health Network | PPO | $522.00 | ↑ +221% |
| Cigna | HMO | $550.63 | ↑ +239% |
| Cigna | OAP | $550.63 | ↑ +239% |
| Cigna | POS | $550.63 | ↑ +239% |
Visitor-reported prices
Comments
Npm1 gene at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $317.25 | $47.12 – $537.41 |
| Hancock County Hospital | SNEEDVILLE | $311.19 | $47.12 – $543.50 |
| Greeneville Community Hospital | GREENEVILLE | $317.25 | $47.12 – $537.41 |
| Bristol Regional Medical Center | BRISTOL | $317.25 | $47.12 – $591.65 |
| Franklin Woods Community Hospital | JOHNSON CITY | $317.25 | $57.27 – $537.41 |
| Holston Valley Medical Center | KINGSPORT | $317.25 | $47.12 – $591.65 |
| 62-0123940 BMH Collierville | Collierville | $278.46 | $40.62 – $493.04 |
| Indian Path Community Hospital | KINGSPORT | $317.25 | $47.12 – $591.65 |