Warde copper at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$10.08
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.
$36.00
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.
$5.58 with Wellpoint vs $28.80 with Galaxy Health Network — 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 | $5.58 | ↓ -45% |
| United Healthcare | Tenncare | $7.94 | ↓ -21% |
| United Healthcare | Options PPO | $12.41 | ↑ +23% |
| United Healthcare | All Other Plans | $12.41 | ↑ +23% |
| United Healthcare | Heritage Select | $12.41 | ↑ +23% |
| Tricare | Humana Military | $13.29 | ↑ +32% |
| Optum | VA CCN | $13.29 | ↑ +32% |
| Humana | Medicare Advantage HMO | $13.69 | ↑ +36% |
| Humana | DSNP | $13.69 | ↑ +36% |
| Humana | Medicare Advantage PPO | $13.69 | ↑ +36% |
| United Healthcare | Medicare Advantage | $13.69 | ↑ +36% |
| United Healthcare | Community Plan DSNP | $13.69 | ↑ +36% |
| Farm Bureau | Medicare Advantage PPO | $13.82 | ↑ +37% |
| Farm Bureau | Medicare Advantage HMO | $13.82 | ↑ +37% |
| Blue Cross of TN | BlueEssential HMO | $13.95 | ↑ +38% |
| Devoted Health | HMO | $13.95 | ↑ +38% |
| Wellcare | Medicare Advantage | $13.95 | ↑ +38% |
| United Healthcare | DSNP | $13.95 | ↑ +38% |
| Devoted Health | PPO | $13.95 | ↑ +38% |
| HealthSpring | Medicare PPO | $13.95 | ↑ +38% |
| HealthSpring | Medicare HMO POS | $13.95 | ↑ +38% |
| Aetna | Medicare Advantage | $13.95 | ↑ +38% |
| Cigna | Medicare PPO | $13.95 | ↑ +38% |
| Cigna | Medicare HMO | $13.95 | ↑ +38% |
| Wellpoint | DSNP | $13.95 | ↑ +38% |
| Wellpoint | Medicare Advantage | $13.95 | ↑ +38% |
| Blue Cross of TN | Med Adv PPO | $13.95 | ↑ +38% |
| Blue Cross of TN | Med Adv Diamond | $13.95 | ↑ +38% |
| Blue Cross of TN | BlueEssential DSNP | $13.95 | ↑ +38% |
| Blue Cross of TN | Med Adv Sapphire | $13.95 | ↑ +38% |
| Blue Cross of TN | Med Adv Ruby | $13.95 | ↑ +38% |
| Cigna | Medicare HMO-POS | $13.95 | ↑ +38% |
| EHN | Network Lease | $14.40 | ↑ +43% |
| BCBS TN | Blue Care | $17.24 | ↑ +71% |
| Aetna | Commercial | $18.80 | ↑ +87% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $19.20 | ↑ +90% |
| Community Services Network | NonProfit Public Benefit | $20.80 | ↑ +106% |
| USA Managed Care Organization | PPO | $22.40 | ↑ +122% |
| Ambetter | Exchange | $22.46 | ↑ +123% |
| NovaNet | Network Lease | $24.00 | ↑ +138% |
| National Provider Network | PPO | $25.60 | ↑ +154% |
| Direct Care America | PPO | $25.60 | ↑ +154% |
| MedSave USA | Commercial | $25.60 | ↑ +154% |
| Cigna | IFP | $25.67 | ↑ +155% |
| Cigna | Local Plus | $25.78 | ↑ +156% |
| BCBS TN | Commercial Network S | $26.20 | ↑ +160% |
| BCBS TN | Commercial Network P | $26.20 | ↑ +160% |
| Beech Street | PPO | $27.20 | ↑ +170% |
| CCN Managed Care | PPO | $27.20 | ↑ +170% |
| Cigna | OAP | $28.03 | ↑ +178% |
| Cigna | POS | $28.03 | ↑ +178% |
| Cigna | HMO | $28.03 | ↑ +178% |
| Initial Group | PPO | $28.16 | ↑ +179% |
| Galaxy Health Network | PPO | $28.80 | ↑ +186% |
Visitor-reported prices
Comments
Warde copper at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $71.87 | $4.47 – $48.55 |
| CHI Memorial Hospital Hixson | Hixson | $29.31 | $11.03 – $69.30 |
| 62-1166050 BMH Carroll County | Huntingdon | $21.62 | $10.80 – $24.82 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $41.88 | $11.03 – $69.30 |
| Johnson City Medical Center | JOHNSON CITY | $21.75 | $6.21 – $27.05 |
| Ascension Saint Thomas DeKalb | Smithville | $71.87 | $8.70 – $48.55 |
| Ascension Saint Thomas Highlands | Sparta | $71.87 | $8.70 – $48.55 |
| Ascension Saint Thomas River Park | McMinnville | $71.87 | $8.70 – $48.55 |