Warde lipoprotein-associated phospholipase a2 at Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
$40.04
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.
$143.00
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.
$20.84 with Wellpoint vs $128.70 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 |
|---|---|---|---|
| Wellpoint | Medicaid Tenncare | $20.84 | ↓ -48% |
| United Healthcare | Tenncare | $21.71 | ↓ -46% |
| United Healthcare | Options PPO | $46.31 | ↑ +16% |
| United Healthcare | All Other Plans | $46.31 | ↑ +16% |
| United Healthcare | Heritage Select | $46.31 | ↑ +16% |
| Tricare | Humana Military | $49.60 | ↑ +24% |
| Optum | VA CCN | $49.60 | ↑ +24% |
| Humana | Medicare Advantage HMO | $51.09 | ↑ +28% |
| Humana | DSNP | $51.09 | ↑ +28% |
| Humana | Medicare Advantage PPO | $51.09 | ↑ +28% |
| United Healthcare | Medicare Advantage | $51.09 | ↑ +28% |
| United Healthcare | Community Plan DSNP | $51.09 | ↑ +28% |
| Farm Bureau | Medicare Advantage HMO | $51.58 | ↑ +29% |
| Farm Bureau | Medicare Advantage PPO | $51.58 | ↑ +29% |
| Wellpoint | Medicare Advantage | $52.08 | ↑ +30% |
| Devoted Health | HMO | $52.08 | ↑ +30% |
| Wellcare | Medicare Advantage | $52.08 | ↑ +30% |
| United Healthcare | DSNP | $52.08 | ↑ +30% |
| Devoted Health | PPO | $52.08 | ↑ +30% |
| HealthSpring | Medicare PPO | $52.08 | ↑ +30% |
| HealthSpring | Medicare HMO POS | $52.08 | ↑ +30% |
| Aetna | Medicare Advantage | $52.08 | ↑ +30% |
| Cigna | Medicare PPO | $52.08 | ↑ +30% |
| Cigna | Medicare HMO | $52.08 | ↑ +30% |
| Cigna | Medicare HMO-POS | $52.08 | ↑ +30% |
| Wellpoint | DSNP | $52.08 | ↑ +30% |
| Blue Cross of TN | Med Adv Ruby | $52.08 | ↑ +30% |
| Blue Cross of TN | Med Adv Sapphire | $52.08 | ↑ +30% |
| Blue Cross of TN | BlueEssential DSNP | $52.08 | ↑ +30% |
| Blue Cross of TN | BlueEssential HMO | $52.08 | ↑ +30% |
| Blue Cross of TN | Med Adv Diamond | $52.08 | ↑ +30% |
| Blue Cross of TN | Med Adv PPO | $52.08 | ↑ +30% |
| BCBS TN | Blue Care | $57.89 | ↑ +45% |
| EHN | Network Lease | $64.35 | ↑ +61% |
| Aetna | Commercial | $70.16 | ↑ +75% |
| Ambetter | Exchange | $83.82 | ↑ +109% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $85.80 | ↑ +114% |
| BCBS TN | Commercial Network P | $87.99 | ↑ +120% |
| BCBS TN | Commercial Network S | $87.99 | ↑ +120% |
| Community Services Network | NonProfit Public Benefit | $92.95 | ↑ +132% |
| Cigna | IFP | $95.04 | ↑ +137% |
| Cigna | Local Plus | $95.45 | ↑ +138% |
| USA Managed Care Organization | PPO | $100.10 | ↑ +150% |
| Cigna | HMO | $103.75 | ↑ +159% |
| Cigna | OAP | $103.75 | ↑ +159% |
| Cigna | POS | $103.75 | ↑ +159% |
| NovaNet | Network Lease | $107.25 | ↑ +168% |
| National Provider Network | PPO | $114.40 | ↑ +186% |
| Direct Care America | PPO | $114.40 | ↑ +186% |
| MedSave USA | Commercial | $114.40 | ↑ +186% |
| Beech Street | PPO | $121.55 | ↑ +204% |
| CCN Managed Care | PPO | $121.55 | ↑ +204% |
| Initial Group | PPO | $125.84 | ↑ +214% |
| Galaxy Health Network | PPO | $128.70 | ↑ +221% |
Visitor-reported prices
Comments
Warde lipoprotein-associated phospholipase a2 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $110.12 | $30.15 – $260.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $25.99 | $38.53 – $92.62 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $157.36 | $30.15 – $260.40 |
| Johnson City Medical Center | JOHNSON CITY | $59.40 | $23.16 – $100.96 |
| Hancock County Hospital | SNEEDVILLE | $58.42 | $24.04 – $101.77 |
| Greeneville Community Hospital | GREENEVILLE | $59.40 | $17.31 – $100.96 |
| Bristol Regional Medical Center | BRISTOL | $59.40 | $23.16 – $111.14 |
| Franklin Woods Community Hospital | JOHNSON CITY | $59.40 | $23.16 – $100.96 |