Application multi layer compression below knee (both sides) at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$159.36
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.
$498.00
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.
$112.05 with EHN vs $2,811.90 with Aetna — 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 |
|---|---|---|---|
| EHN | Network Lease | $112.05 | ↓ -30% |
| Cigna | IFP | $144.00 | ↓ -10% |
| Cigna | Local Plus | $145.00 | ↓ -9% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $149.40 | ↓ -6% |
| Optum | VA CCN | $157.90 | ↓ -1% |
| Tricare | Humana Military | $157.90 | ↓ -1% |
| Community Services Network | NonProfit Public Benefit | $161.85 | ↑ +2% |
| United Healthcare | Community Plan DSNP | $162.64 | ↑ +2% |
| Humana | DSNP | $162.64 | ↑ +2% |
| Humana | Medicare Advantage PPO | $162.64 | ↑ +2% |
| Humana | Medicare Advantage HMO | $162.64 | ↑ +2% |
| United Healthcare | Medicare Advantage | $162.64 | ↑ +2% |
| Farm Bureau | Medicare Advantage PPO | $164.22 | ↑ +3% |
| Farm Bureau | Medicare Advantage HMO | $164.22 | ↑ +3% |
| Blue Cross of TN | BlueEssential HMO | $165.80 | ↑ +4% |
| Devoted Health | HMO | $165.80 | ↑ +4% |
| Wellcare | Medicare Advantage | $165.80 | ↑ +4% |
| United Healthcare | DSNP | $165.80 | ↑ +4% |
| Devoted Health | PPO | $165.80 | ↑ +4% |
| HealthSpring | Medicare PPO | $165.80 | ↑ +4% |
| HealthSpring | Medicare HMO POS | $165.80 | ↑ +4% |
| Aetna | Medicare Advantage | $165.80 | ↑ +4% |
| Blue Cross of TN | Med Adv Sapphire | $165.80 | ↑ +4% |
| Blue Cross of TN | Med Adv Ruby | $165.80 | ↑ +4% |
| Cigna | Medicare PPO | $165.80 | ↑ +4% |
| Cigna | Medicare HMO | $165.80 | ↑ +4% |
| Blue Cross of TN | Med Adv PPO | $165.80 | ↑ +4% |
| Blue Cross of TN | Med Adv Diamond | $165.80 | ↑ +4% |
| Blue Cross of TN | BlueEssential DSNP | $165.80 | ↑ +4% |
| Cigna | Medicare HMO-POS | $165.80 | ↑ +4% |
| Wellpoint | DSNP | $165.80 | ↑ +4% |
| Wellpoint | Medicare Advantage | $165.80 | ↑ +4% |
| Cigna | POS | $169.00 | ↑ +6% |
| Cigna | OAP | $169.00 | ↑ +6% |
| Cigna | HMO | $169.00 | ↑ +6% |
| USA Managed Care Organization | PPO | $174.30 | ↑ +9% |
| NovaNet | Network Lease | $186.75 | ↑ +17% |
| MedSave USA | Commercial | $199.20 | ↑ +25% |
| National Provider Network | PPO | $199.20 | ↑ +25% |
| Direct Care America | PPO | $199.20 | ↑ +25% |
| Beech Street | PPO | $211.65 | ↑ +33% |
| CCN Managed Care | PPO | $211.65 | ↑ +33% |
| Initial Group | PPO | $219.12 | ↑ +38% |
| Galaxy Health Network | PPO | $224.10 | ↑ +41% |
| United Healthcare | Tenncare | $303.00 | ↑ +90% |
| Wellpoint | Medicaid Tenncare | $307.90 | ↑ +93% |
| United Healthcare | All Other Plans | $433.00 | ↑ +172% |
| United Healthcare | Heritage Select | $509.00 | ↑ +219% |
| United Healthcare | Options PPO | $623.00 | ↑ +291% |
| BCBS TN | Blue Care | $1,575.00 | ↑ +888% |
| Ambetter | Exchange | $2,009.00 | ↑ +1161% |
| BCBS TN | Commercial Network P | $2,356.00 | ↑ +1378% |
| BCBS TN | Commercial Network S | $2,356.00 | ↑ +1378% |
| Aetna | Commercial | $2,811.90 | ↑ +1664% |
Visitor-reported prices
Comments
Application multi layer compression below knee (both sides) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $187.08 | $126.40 – $442.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $54.05 | $125.35 – $288.16 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $267.34 | $132.72 – $442.40 |
| Johnson City Medical Center | JOHNSON CITY | $110.40 | $82.07 – $330.57 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $342.57 | $45.00 – $2,225.50 |
| Hancock County Hospital | SNEEDVILLE | $108.10 | $63.94 – $285.93 |
| Greeneville Community Hospital | GREENEVILLE | $110.40 | $46.03 – $330.57 |
| Bristol Regional Medical Center | BRISTOL | $110.40 | $76.72 – $369.97 |