MultiPlan/PHCS MRI Rates in Knoxville
Published MultiPlan/PHCS negotiated rates for MRI at 9 hospitals in Knoxville, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$1,329
Fort Sanders Regional Medical Center
all plan types
Highest Rate
$36,200.34
LaFollette Medical Center
all plan types
Rate Spread
27x
across all plan types
Hospitals
9
with MultiPlan/PHCS data
MRI rates under MultiPlan/PHCS in Knoxville range 27x, from $1,329 at Fort Sanders Regional Medical Center (PPO) to $36,200.34 at LaFollette Medical Center. The median across nine hospitals is $3,194.71. Lowest listed rates can reflect Medicaid or Medicare plan types rather than commercial coverage.
MultiPlan/PHCS MRI Rates by Hospital
| Hospital | Lowest MultiPlan/PHCS Rate |
|---|---|
| Fort Sanders Regional Medical Center | $1,329 |
| Parkwest Medical Center | $1,329 |
| Fort Loudoun Medical Center | $1,506.20 |
| Methodist Medical Center of Oak Ridge | $1,506.20 |
| Roane Medical Center | $1,506.20 |
| The University of Tennessee Medical Center | $1,762.80 |
| Tennova North Knoxville Medical Center | $3,194.71 |
| Tennova Turkey Creek Medical Center | $3,194.71 |
| LaFollette Medical Center | $4,496.26 |
Median of all 84 published MultiPlan/PHCS rates for MRI at these hospitals: $3,194.71
Rates shown are MultiPlan/PHCS's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all MultiPlan/PHCS plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.
Reading MultiPlan/PHCS MRI Rates in Knoxville
Where Knoxville MRI rates begin and top out for MultiPlan/PHCS. Among the 9 hospitals with MultiPlan/PHCS rates, Fort Sanders Regional Medical Center and Parkwest Medical Center both show a lowest rate of $1,329, and Fort Loudoun Medical Center shows $1,506.20. At the other end, LaFollette Medical Center shows a highest rate of $36,200.34.
How far the Knoxville MRI spread stretches. The page shows a 27x spread across the published rates, with a median of $3,194.71 across all 84 rates. The plan types beside the lowest rates are labeled PPO, Commercial, Multiplan Primary and Multiplan Complementary, not Medicaid, CHIP or Medicare Advantage, but the plan behind any given rate is not always stated, so a listed rate may not match your own plan.
What to ask MultiPlan/PHCS and a Knoxville hospital about an MRI. These are facility rates, and professional fees are billed separately. Some questions members can bring:
- Ask MultiPlan/PHCS for your own plan's negotiated rate and estimated cost share at a named hospital, such as Parkwest Medical Center.
- Ask whether that hospital is in network for your plan.
- Ask the hospital for an estimate for your MRI.
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding MultiPlan/PHCS Negotiated Rates
A negotiated rate is the price MultiPlan/PHCS has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.
The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all MultiPlan/PHCS plan types at each facility.
Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.
Compare Other Insurers for MRI in Knoxville
Frequently Asked Questions
Where is the lowest-cost MultiPlan/PHCS MRI in Knoxville?
The lowest MultiPlan/PHCS negotiated rate for MRI in Knoxville is $1,329 at Fort Sanders Regional Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $36,200.34 at LaFollette Medical Center, a 27x difference. Commercial plan rates typically fall between these extremes.
Is the MultiPlan/PHCS negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what MultiPlan/PHCS has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact MultiPlan/PHCS for a pre-service cost estimate specific to your plan.
How many Knoxville hospitals have published MultiPlan/PHCS rates?
9 hospitals in the Knoxville area have published MultiPlan/PHCS negotiated rates for MRI in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with MultiPlan/PHCS directly.
Do I need a referral for an MRI with MultiPlan/PHCS?
Most MultiPlan/PHCS plans require a referral or prior authorization for an MRI. Without it, the hospital may bill you at a higher rate or your claim could be denied. Contact MultiPlan/PHCS before scheduling to confirm your plan's requirements.
We are not affiliated with MultiPlan/PHCS or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact MultiPlan/PHCS or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.
Visit the official MultiPlan/PHCS website: www.multiplan.com