Screening Mammogram at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$65.52
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.
$234.00
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.
$46.86 with United Healthcare vs $399.14 with Ambetter — 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $46.86 | ↓ -28% |
| BCBS TN | Blue Care | $91.70 | ↑ +40% |
| EHN | Network Lease | $105.30 | ↑ +61% |
| Aetna | Commercial | $135.71 | ↑ +107% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $140.40 | ↑ +114% |
| Community Services Network | NonProfit Public Benefit | $152.10 | ↑ +132% |
| Cigna | IFP | $163.00 | ↑ +149% |
| Cigna | Local Plus | $163.00 | ↑ +149% |
| USA Managed Care Organization | PPO | $163.80 | ↑ +150% |
| NovaNet | Network Lease | $175.50 | ↑ +168% |
| National Provider Network | PPO | $187.20 | ↑ +186% |
| MedSave USA | Commercial | $187.20 | ↑ +186% |
| Direct Care America | PPO | $187.20 | ↑ +186% |
| Cigna | POS | $191.00 | ↑ +192% |
| Cigna | HMO | $191.00 | ↑ +192% |
| Cigna | OAP | $191.00 | ↑ +192% |
| CCN Managed Care | PPO | $198.90 | ↑ +204% |
| Beech Street | PPO | $198.90 | ↑ +204% |
| United Healthcare | All Other Plans | $204.94 | ↑ +213% |
| United Healthcare | Heritage Select | $204.94 | ↑ +213% |
| United Healthcare | Options PPO | $204.94 | ↑ +213% |
| Initial Group | PPO | $205.92 | ↑ +214% |
| Galaxy Health Network | PPO | $210.60 | ↑ +221% |
| BCBS TN | Commercial Network S | $275.00 | ↑ +320% |
| BCBS TN | Commercial Network P | $275.00 | ↑ +320% |
| Ambetter | Exchange | $399.14 | ↑ +509% |
Visitor-reported prices
Comments
Screening Mammogram at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $189.54 | $72.15 – $263.95 |
| CHI Memorial Hospital Hixson | Hixson | $98.28 | $66.27 – $232.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $109.25 | $73.36 – $106.14 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $140.44 | $66.27 – $232.40 |
| Johnson City Medical Center | JOHNSON CITY | $74.10 | $29.72 – $180.42 |
| Ascension Saint Thomas DeKalb | Smithville | $189.54 | $72.15 – $263.95 |
| Ascension Saint Thomas Highlands | Sparta | $189.54 | $72.15 – $263.95 |
| Ascension Saint Thomas River Park | McMinnville | $189.54 | $72.15 – $263.95 |