2d tte w or without fol w/con,co at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
not published by hospital
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.
not published by hospital
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.
$394.15 with United Healthcare vs $830.10 with BCBS TN — 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 | $394.15 | — |
| United Healthcare | All Other Plans | $449.00 | — |
| United Healthcare | Heritage Select | $528.00 | — |
| United Healthcare | Options PPO | $642.00 | — |
| Wellpoint | Medicaid Tenncare | $679.90 | — |
| Optum | VA CCN | $761.73 | — |
| Tricare | Humana Military | $761.73 | — |
| Humana | Medicare Advantage HMO | $784.58 | — |
| Humana | DSNP | $784.58 | — |
| United Healthcare | Medicare Advantage | $784.58 | — |
| United Healthcare | Community Plan DSNP | $784.58 | — |
| Humana | Medicare Advantage PPO | $784.58 | — |
| Farm Bureau | Medicare Advantage PPO | $792.20 | — |
| Farm Bureau | Medicare Advantage HMO | $792.20 | — |
| Devoted Health | HMO | $799.82 | — |
| Aetna | Medicare Advantage | $799.82 | — |
| Wellcare | Medicare Advantage | $799.82 | — |
| Cigna | Medicare PPO | $799.82 | — |
| Cigna | Medicare HMO | $799.82 | — |
| United Healthcare | DSNP | $799.82 | — |
| Cigna | Medicare HMO-POS | $799.82 | — |
| Wellpoint | DSNP | $799.82 | — |
| Wellpoint | Medicare Advantage | $799.82 | — |
| Blue Cross of TN | BlueEssential DSNP | $799.82 | — |
| Blue Cross of TN | BlueEssential HMO | $799.82 | — |
| Blue Cross of TN | Med Adv Diamond | $799.82 | — |
| Blue Cross of TN | Med Adv PPO | $799.82 | — |
| Blue Cross of TN | Med Adv Ruby | $799.82 | — |
| Blue Cross of TN | Med Adv Sapphire | $799.82 | — |
| Devoted Health | PPO | $799.82 | — |
| HealthSpring | Medicare PPO | $799.82 | — |
| HealthSpring | Medicare HMO POS | $799.82 | — |
| BCBS TN | Blue Care | $830.10 | — |
| USA Managed Care Organization | PPO | not published by hospital | — |
| National Provider Network | PPO | not published by hospital | — |
| Aetna | Commercial | not published by hospital | — |
| Ambetter | Exchange | not published by hospital | — |
| Cigna | HMO | not published by hospital | — |
| Cigna | OAP | not published by hospital | — |
| Cigna | POS | not published by hospital | — |
| Cigna | Local Plus | not published by hospital | — |
| Cigna | IFP | not published by hospital | — |
| NovaNet | Network Lease | not published by hospital | — |
| Galaxy Health Network | PPO | not published by hospital | — |
| BCBS TN | Commercial Network P | not published by hospital | — |
| BCBS TN | Commercial Network S | not published by hospital | — |
| CCN Managed Care | PPO | not published by hospital | — |
| Community Services Network | NonProfit Public Benefit | not published by hospital | — |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | not published by hospital | — |
| Direct Care America | PPO | not published by hospital | — |
| EHN | Network Lease | not published by hospital | — |
| Initial Group | PPO | not published by hospital | — |
| MedSave USA | Commercial | not published by hospital | — |
| Beech Street | PPO | not published by hospital | — |
Visitor-reported prices
Comments
2d tte w or without fol w/con,co at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,108.76 | $1,254.66 – $1,568.32 |
| CHI Memorial Hospital Hixson | Hixson | $805.42 | $343.34 – $2,311.57 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,150.99 | $343.34 – $2,311.57 |
| Johnson City Medical Center | JOHNSON CITY | $183.75 | $501.02 – $1,594.69 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,108.76 | $1,254.66 – $1,568.32 |
| Hancock County Hospital | SNEEDVILLE | $180.32 | $278.35 – $784.00 |
| Greeneville Community Hospital | GREENEVILLE | $183.75 | $200.41 – $1,594.69 |
| Bristol Regional Medical Center | BRISTOL | $183.75 | $334.01 – $1,621.20 |