Observation per hour at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$15.12
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.
$54.00
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.
$24.30 with EHN vs $5,133.00 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 |
|---|---|---|---|
| EHN | Network Lease | $24.30 | ↑ +61% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $32.40 | ↑ +114% |
| Community Services Network | NonProfit Public Benefit | $35.10 | ↑ +132% |
| USA Managed Care Organization | PPO | $37.80 | ↑ +150% |
| NovaNet | Network Lease | $40.50 | ↑ +168% |
| National Provider Network | PPO | $43.20 | ↑ +186% |
| MedSave USA | Commercial | $43.20 | ↑ +186% |
| Direct Care America | PPO | $43.20 | ↑ +186% |
| Beech Street | PPO | $45.90 | ↑ +204% |
| CCN Managed Care | PPO | $45.90 | ↑ +204% |
| Initial Group | PPO | $47.52 | ↑ +214% |
| Galaxy Health Network | PPO | $48.60 | ↑ +221% |
| Aetna | Commercial | $141.75 | ↑ +838% |
| BCBS TN | Blue Care | $2,100.00 | ↑ +13789% |
| Wellpoint | Medicaid Tenncare | $2,250.00 | ↑ +14781% |
| Cigna | IFP | $2,322.00 | ↑ +15257% |
| Ambetter | Exchange | $2,588.00 | ↑ +17016% |
| United Healthcare | Tenncare | $3,005.00 | ↑ +19774% |
| Cigna | Local Plus | $3,436.00 | ↑ +22625% |
| United Healthcare | All Other Plans | $3,576.00 | ↑ +23551% |
| Cigna | OAP | $4,042.00 | ↑ +26633% |
| Cigna | POS | $4,042.00 | ↑ +26633% |
| Cigna | HMO | $4,042.00 | ↑ +26633% |
| United Healthcare | Heritage Select | $4,205.00 | ↑ +27711% |
| BCBS TN | Commercial Network S | $4,269.00 | ↑ +28134% |
| BCBS TN | Commercial Network P | $4,269.00 | ↑ +28134% |
| United Healthcare | Options PPO | $5,133.00 | ↑ +33848% |
Visitor-reported prices
Comments
Observation per hour at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $365.67 | $114.00 – $114.00 |
| CHI Memorial Hospital Hixson | Hixson | $49.14 | $16.76 – $3,642.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $70.22 | $16.76 – $3,642.00 |
| Johnson City Medical Center | JOHNSON CITY | $11.10 | $12.00 – $12.00 |
| Ascension Saint Thomas Highlands | Sparta | $365.67 | $114.00 – $114.00 |
| Ascension Saint Thomas River Park | McMinnville | $365.67 | $114.00 – $114.00 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $365.67 | $114.00 – $114.00 |
| Hancock County Hospital | SNEEDVILLE | $10.81 | $12.00 – $12.00 |