Dear Valued Customer:

More than ever before, consumers are expressing an interest in knowing their potential out-of-pocket expenses prior to receiving medical care.

The Knoxville Hospital & Clinics (KHC) is responding to this interest by offering a variety of resources to assist our valued patients in making decisions regarding their necessary medical care as follows.

  1. A complete price list of all medical services offered by KHC (click this link)
  2. A listing of the Centers for Medicare & Medicaid Services (CMS) 300 required “Shoppable Services”. A shoppable service is defined as a service that can be scheduled by a health care consumer in advance (click this link).
  3. Additionally, KHC can assist you in pricing the services you require, using a simple consumer friendly decision tree process (click this link).
  4. There is also an option to verify your insurance coverage eligibility to ensure that your health plan offers KHC as a participating provider in order to maximize your covered benefits while also minimizing your personal out-of-pocket costs. (click this link)
  5. To calculate the potential out-of-pocket costs for the services ordered by your health care provider (click this link).
  6. KHC’s Quality Scores are also available for viewing (click this link)

If you would like to schedule your treatment or if you have any general clinical questions, please contact KHC’s scheduling department at (641) 842-1443 or (click this link).

Important Reminder: At KHC, our clinical staff acts in your best interest by providing the level of service and care necessary to ensure the best possible clinical outcomes. And, we totally understand that medical care is an expensive and oftentimes unplanned expense that can cause financial hardship. Simply electing to forego receiving necessary medical care on the basis of cost alone can be a risky choice.

With this in mind, if at any time you feel you are unable to afford your medically necessary health care procedures, our Financial Counseling Staff is available at (641) 842-1423 or (click this link), to discus the various options available to assist you in receiving the care you need.

We appreciate your interest in our services and encourage you to partner with the Knoxville Hospital & Clinics, a health care provider who is committed to quality care and patient satisfaction.

Price Estimator

We can assist you in pricing services you require, with a simple decision tree process.

Calculate Your Out‑of‑Pocket Cost

The Knoxville Hospital & Clinics (KHC) out-of-pocket cost “estimate” does not always reflect the “exact” amount you will owe for the services you are scheduled to receive. The reason being, the actual expenses for identical procedures can and will vary from patient to patient because your provider’s treatment choices are based on your unique health care needs. Therefore, the amount shown is a close estimate of the minimum amount you would have to pay, not taking into account any extraordinary circumstances that could arise during your course of treatment.

Further, the estimated out-of-pocket patient cost is based solely on the information entered into the pricing tool. In addition, use of the tool itself to obtain an estimated cost is not a guarantee of insurance coverage. Thus, it is omportant to check with your insurance company if you need help understanding your benefits for the services in question.

Other considerations:

  1. For example, if you request an estimate for a surgical procedure, it will likely not include:

    • Pre-Procedure Office Visits
    • Post-Procedure Office Visits
    • Diagnostic Testing
    • Primary Care Physician Fees
    • Surgeon Fees
    • Anesthesiologist Fees
    • Pathologist Fees
    • Radiologist Fees
    • Cardiologist Fees
  2. Whether you have met all or part of your deductible and/or maximum out-of-pocket expenses prior to the services being rendered, may cause the actual amount you owe to be different from the estimate.

  3. Also, the estimation process becomes slightly more complicated when patients see other health care providers in addition to KHC prior to the visit date and claims with those providers are still in process with insurance at the time of the KHC visit.

In order to continue to the Out-Of-Pocket Cost Estimator, please check the following and "understand and agree" at the bottom of the page.

I HAVE READ AND UNDERSTAND THE ABOVE LIMITATIONS AND I FULLY UNDERSTAND.

THIS IS ONLY AN ESTIMATE. MY ACTUAL CHARGES MAY BE DIFFERENT (HIGHER OR LOWER) THAN THE ESTIMATE.

In compliance with the CMS Price Transparency rules taking effect on 01/01/2021 (CMS Price Transparency), please click the link(s) below to view a full list of Hospital charges:

Select Your Insurance
Enter Your Insurance Information – Medicare
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Check Your Eligibility
Check Your Eligibility – Result
Review Your Estimate
Insurance: 
Enter Your Insurance Information – Commercial Insurance (Excluding Medicare)
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Please click on one of the following Insurance Companies to identify the necessary fields to complete your Eligibility Check:
Aetna
Blue Shield / Blue Cross
Cigna
Humana
UnitedHealthcare
Placeholder page for Facility Scheduling Department.
Placeholder page for Facility Quality Scores.
Placeholder page for Facility Financial Assistance.
Placeholder page for Facility Questions.
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Placeholder page for Facility Assistance.
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