_afb org id by sequencing rflx ast-sendout at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$112.00
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.
$350.00
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.
$51.91 with Wellpoint vs $257.50 with Cigna — 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 |
|---|---|---|---|
| Wellpoint | Medicaid Tenncare | $51.91 | ↓ -54% |
| United Healthcare | Tenncare | $88.54 | ↓ -21% |
| EHN | Network Lease | $89.10 | ↓ -20% |
| United Healthcare | Heritage Select | $115.36 | ↑ +3% |
| United Healthcare | Options PPO | $115.36 | ↑ +3% |
| United Healthcare | All Other Plans | $115.36 | ↑ +3% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $118.80 | ↑ +6% |
| Optum | VA CCN | $123.55 | ↑ +10% |
| Tricare | Humana Military | $123.55 | ↑ +10% |
| United Healthcare | Medicare Advantage | $127.26 | ↑ +14% |
| United Healthcare | Community Plan DSNP | $127.26 | ↑ +14% |
| Humana | Medicare Advantage HMO | $127.26 | ↑ +14% |
| Humana | DSNP | $127.26 | ↑ +14% |
| Humana | Medicare Advantage PPO | $127.26 | ↑ +14% |
| Farm Bureau | Medicare Advantage PPO | $128.49 | ↑ +15% |
| Farm Bureau | Medicare Advantage HMO | $128.49 | ↑ +15% |
| Community Services Network | NonProfit Public Benefit | $128.70 | ↑ +15% |
| Blue Cross of TN | BlueEssential DSNP | $129.73 | ↑ +16% |
| Blue Cross of TN | BlueEssential HMO | $129.73 | ↑ +16% |
| Devoted Health | HMO | $129.73 | ↑ +16% |
| Wellcare | Medicare Advantage | $129.73 | ↑ +16% |
| United Healthcare | DSNP | $129.73 | ↑ +16% |
| Devoted Health | PPO | $129.73 | ↑ +16% |
| HealthSpring | Medicare PPO | $129.73 | ↑ +16% |
| HealthSpring | Medicare HMO POS | $129.73 | ↑ +16% |
| Aetna | Medicare Advantage | $129.73 | ↑ +16% |
| Cigna | Medicare PPO | $129.73 | ↑ +16% |
| Cigna | Medicare HMO | $129.73 | ↑ +16% |
| Blue Cross of TN | Med Adv Sapphire | $129.73 | ↑ +16% |
| Blue Cross of TN | Med Adv Ruby | $129.73 | ↑ +16% |
| Blue Cross of TN | Med Adv PPO | $129.73 | ↑ +16% |
| Cigna | Medicare HMO-POS | $129.73 | ↑ +16% |
| Wellpoint | DSNP | $129.73 | ↑ +16% |
| Wellpoint | Medicare Advantage | $129.73 | ↑ +16% |
| Blue Cross of TN | Med Adv Diamond | $129.73 | ↑ +16% |
| USA Managed Care Organization | PPO | $138.60 | ↑ +24% |
| NovaNet | Network Lease | $148.50 | ↑ +33% |
| Direct Care America | PPO | $158.40 | ↑ +41% |
| MedSave USA | Commercial | $158.40 | ↑ +41% |
| National Provider Network | PPO | $158.40 | ↑ +41% |
| BCBS TN | Blue Care | $160.21 | ↑ +43% |
| Beech Street | PPO | $168.30 | ↑ +50% |
| CCN Managed Care | PPO | $168.30 | ↑ +50% |
| Initial Group | PPO | $174.24 | ↑ +56% |
| Aetna | Commercial | $174.79 | ↑ +56% |
| Galaxy Health Network | PPO | $178.20 | ↑ +59% |
| Ambetter | Exchange | $208.80 | ↑ +86% |
| Cigna | IFP | $235.87 | ↑ +111% |
| Cigna | Local Plus | $236.90 | ↑ +112% |
| BCBS TN | Commercial Network P | $243.52 | ↑ +117% |
| BCBS TN | Commercial Network S | $243.52 | ↑ +117% |
| Cigna | HMO | $257.50 | ↑ +130% |
| Cigna | OAP | $257.50 | ↑ +130% |
| Cigna | POS | $257.50 | ↑ +130% |
Visitor-reported prices
Comments
_afb org id by sequencing rflx ast-sendout at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $164.88 | $94.80 – $331.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $235.62 | $99.54 – $331.80 |
| Johnson City Medical Center | JOHNSON CITY | $201.90 | $57.68 – $251.48 |
| Hancock County Hospital | SNEEDVILLE | $198.26 | $81.70 – $254.07 |
| Greeneville Community Hospital | GREENEVILLE | $201.90 | $51.91 – $251.48 |
| Bristol Regional Medical Center | BRISTOL | $201.90 | $57.68 – $276.86 |
| Franklin Woods Community Hospital | JOHNSON CITY | $201.90 | $57.68 – $251.48 |
| Holston Valley Medical Center | KINGSPORT | $201.90 | $57.68 – $276.86 |