Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$40.64
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.
$127.00
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.
$26.67 with BCBS TN vs $746.00 with United Healthcare — 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 |
|---|---|---|---|
| BCBS TN | Blue Care | $26.67 | ↓ -34% |
| United Healthcare | Tenncare | $31.90 | ↓ -22% |
| EHN | Network Lease | $57.15 | ↑ +41% |
| Wellpoint | Medicaid Tenncare | $60.39 | ↑ +49% |
| Optum | VA CCN | $69.96 | ↑ +72% |
| Tricare | Humana Military | $69.96 | ↑ +72% |
| Humana | Medicare Advantage PPO | $72.06 | ↑ +77% |
| United Healthcare | Community Plan DSNP | $72.06 | ↑ +77% |
| Humana | DSNP | $72.06 | ↑ +77% |
| Humana | Medicare Advantage HMO | $72.06 | ↑ +77% |
| United Healthcare | Medicare Advantage | $72.06 | ↑ +77% |
| Farm Bureau | Medicare Advantage HMO | $72.76 | ↑ +79% |
| Farm Bureau | Medicare Advantage PPO | $72.76 | ↑ +79% |
| Cigna | Medicare PPO | $73.46 | ↑ +81% |
| Cigna | Medicare HMO | $73.46 | ↑ +81% |
| Blue Cross of TN | Med Adv Diamond | $73.46 | ↑ +81% |
| Cigna | Medicare HMO-POS | $73.46 | ↑ +81% |
| Wellpoint | DSNP | $73.46 | ↑ +81% |
| Wellpoint | Medicare Advantage | $73.46 | ↑ +81% |
| Blue Cross of TN | BlueEssential DSNP | $73.46 | ↑ +81% |
| Blue Cross of TN | BlueEssential HMO | $73.46 | ↑ +81% |
| Wellcare | Medicare Advantage | $73.46 | ↑ +81% |
| United Healthcare | DSNP | $73.46 | ↑ +81% |
| Devoted Health | PPO | $73.46 | ↑ +81% |
| Blue Cross of TN | Med Adv Sapphire | $73.46 | ↑ +81% |
| Devoted Health | HMO | $73.46 | ↑ +81% |
| HealthSpring | Medicare PPO | $73.46 | ↑ +81% |
| HealthSpring | Medicare HMO POS | $73.46 | ↑ +81% |
| Blue Cross of TN | Med Adv Ruby | $73.46 | ↑ +81% |
| Aetna | Medicare Advantage | $73.46 | ↑ +81% |
| Blue Cross of TN | Med Adv PPO | $73.46 | ↑ +81% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $76.20 | ↑ +88% |
| BCBS TN | Commercial Network P | $78.74 | ↑ +94% |
| BCBS TN | Commercial Network S | $78.74 | ↑ +94% |
| Community Services Network | NonProfit Public Benefit | $82.55 | ↑ +103% |
| USA Managed Care Organization | PPO | $88.90 | ↑ +119% |
| NovaNet | Network Lease | $95.25 | ↑ +134% |
| Direct Care America | PPO | $101.60 | ↑ +150% |
| MedSave USA | Commercial | $101.60 | ↑ +150% |
| National Provider Network | PPO | $101.60 | ↑ +150% |
| Beech Street | PPO | $107.95 | ↑ +166% |
| CCN Managed Care | PPO | $107.95 | ↑ +166% |
| Initial Group | PPO | $111.76 | ↑ +175% |
| Galaxy Health Network | PPO | $114.30 | ↑ +181% |
| Aetna | Commercial | $124.23 | ↑ +206% |
| Cigna | IFP | $144.00 | ↑ +254% |
| Ambetter | Exchange | $161.00 | ↑ +296% |
| Cigna | Local Plus | $170.00 | ↑ +318% |
| Cigna | OAP | $199.00 | ↑ +390% |
| Cigna | HMO | $199.00 | ↑ +390% |
| Cigna | POS | $199.00 | ↑ +390% |
| United Healthcare | All Other Plans | $519.00 | ↑ +1177% |
| United Healthcare | Heritage Select | $610.00 | ↑ +1401% |
| United Healthcare | Options PPO | $746.00 | ↑ +1736% |
Visitor-reported prices
Comments
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $149.19 | $37.48 – $336.70 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $213.20 | $37.48 – $336.70 |
| Johnson City Medical Center | JOHNSON CITY | $126.90 | $55.28 – $359.81 |
| Ascension Saint Thomas DeKalb | Smithville | $199.67 | $36.35 – $128.85 |
| Ascension Saint Thomas River Park | McMinnville | $190.16 | $36.35 – $128.85 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $286.37 | $61.34 – $134.44 |
| Greeneville Community Hospital | GREENEVILLE | $126.90 | $26.17 – $390.44 |
| Bristol Regional Medical Center | BRISTOL | $126.90 | $43.62 – $366.15 |