App high cost ss t/a/l <100sq cm addl <25sq cm at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$449.60
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.
$1,405.00
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.
$154.00 with BCBS TN vs $3,419.00 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 |
|---|---|---|---|
| BCBS TN | Commercial Network S | $154.00 | ↓ -66% |
| BCBS TN | Commercial Network P | $154.00 | ↓ -66% |
| United Healthcare | Tenncare | $303.00 | ↓ -33% |
| Wellpoint | Medicaid Tenncare | $307.90 | ↓ -32% |
| United Healthcare | All Other Plans | $433.00 | ↓ -4% |
| United Healthcare | Heritage Select | $509.00 | ↑ +13% |
| United Healthcare | Options PPO | $623.00 | ↑ +39% |
| EHN | Network Lease | $632.25 | ↑ +41% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $843.00 | ↑ +88% |
| Community Services Network | NonProfit Public Benefit | $913.25 | ↑ +103% |
| USA Managed Care Organization | PPO | $983.50 | ↑ +119% |
| NovaNet | Network Lease | $1,053.75 | ↑ +134% |
| National Provider Network | PPO | $1,124.00 | ↑ +150% |
| MedSave USA | Commercial | $1,124.00 | ↑ +150% |
| Direct Care America | PPO | $1,124.00 | ↑ +150% |
| BCBS TN | Blue Care | $1,155.00 | ↑ +157% |
| Beech Street | PPO | $1,194.25 | ↑ +166% |
| CCN Managed Care | PPO | $1,194.25 | ↑ +166% |
| Initial Group | PPO | $1,236.40 | ↑ +175% |
| Galaxy Health Network | PPO | $1,264.50 | ↑ +181% |
| Aetna | Commercial | $1,349.71 | ↑ +200% |
| Ambetter | Exchange | $2,009.00 | ↑ +347% |
| Cigna | IFP | $2,372.00 | ↑ +428% |
| Cigna | Local Plus | $2,857.00 | ↑ +535% |
| Cigna | POS | $3,419.00 | ↑ +660% |
| Cigna | OAP | $3,419.00 | ↑ +660% |
| Cigna | HMO | $3,419.00 | ↑ +660% |
Visitor-reported prices
Comments
App high cost ss t/a/l <100sq cm addl <25sq cm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $1,011.14 | $683.20 – $2,391.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $76.13 | $13.85 – $98.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,444.97 | $717.36 – $2,391.20 |
| Johnson City Medical Center | JOHNSON CITY | $26.25 | $68.43 – $2,556.41 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $519.86 | $45.63 – $2,225.50 |
| Greeneville Community Hospital | GREENEVILLE | $26.25 | $53.73 – $2,667.33 |
| Bristol Regional Medical Center | BRISTOL | $26.25 | $53.73 – $2,547.48 |
| Franklin Woods Community Hospital | JOHNSON CITY | $26.25 | $65.10 – $2,774.03 |