Aqaprn-4 antb flo cytmtry ea at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$103.36
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.
$323.00
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.
$6.74 with United Healthcare vs $189.00 with Galaxy Health Network — 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 | $6.74 | ↓ -93% |
| United Healthcare | Heritage Select | $12.05 | ↓ -88% |
| United Healthcare | Options PPO | $12.05 | ↓ -88% |
| United Healthcare | All Other Plans | $12.05 | ↓ -88% |
| BCBS TN | Blue Care | $15.06 | ↓ -85% |
| Wellpoint | Medicaid Tenncare | $16.98 | ↓ -84% |
| Aetna | Commercial | $18.26 | ↓ -82% |
| Ambetter | Exchange | $21.81 | ↓ -79% |
| BCBS TN | Commercial Network P | $22.90 | ↓ -78% |
| BCBS TN | Commercial Network S | $22.90 | ↓ -78% |
| Tricare | Humana Military | $40.41 | ↓ -61% |
| Optum | VA CCN | $40.41 | ↓ -61% |
| Humana | DSNP | $41.62 | ↓ -60% |
| Humana | Medicare Advantage HMO | $41.62 | ↓ -60% |
| United Healthcare | Medicare Advantage | $41.62 | ↓ -60% |
| Humana | Medicare Advantage PPO | $41.62 | ↓ -60% |
| United Healthcare | Community Plan DSNP | $41.62 | ↓ -60% |
| Farm Bureau | Medicare Advantage PPO | $42.03 | ↓ -59% |
| Farm Bureau | Medicare Advantage HMO | $42.03 | ↓ -59% |
| Cigna | Medicare PPO | $42.43 | ↓ -59% |
| Devoted Health | HMO | $42.43 | ↓ -59% |
| Wellcare | Medicare Advantage | $42.43 | ↓ -59% |
| United Healthcare | DSNP | $42.43 | ↓ -59% |
| Devoted Health | PPO | $42.43 | ↓ -59% |
| HealthSpring | Medicare PPO | $42.43 | ↓ -59% |
| HealthSpring | Medicare HMO POS | $42.43 | ↓ -59% |
| Aetna | Medicare Advantage | $42.43 | ↓ -59% |
| Cigna | Medicare HMO | $42.43 | ↓ -59% |
| Wellpoint | DSNP | $42.43 | ↓ -59% |
| Wellpoint | Medicare Advantage | $42.43 | ↓ -59% |
| Blue Cross of TN | BlueEssential DSNP | $42.43 | ↓ -59% |
| Blue Cross of TN | BlueEssential HMO | $42.43 | ↓ -59% |
| Blue Cross of TN | Med Adv Diamond | $42.43 | ↓ -59% |
| Blue Cross of TN | Med Adv PPO | $42.43 | ↓ -59% |
| Blue Cross of TN | Med Adv Ruby | $42.43 | ↓ -59% |
| Blue Cross of TN | Med Adv Sapphire | $42.43 | ↓ -59% |
| Cigna | Medicare HMO-POS | $42.43 | ↓ -59% |
| Cigna | IFP | $77.01 | ↓ -25% |
| Cigna | Local Plus | $77.35 | ↓ -25% |
| Cigna | HMO | $84.08 | ↓ -19% |
| Cigna | POS | $84.08 | ↓ -19% |
| Cigna | OAP | $84.08 | ↓ -19% |
| EHN | Network Lease | $94.50 | ↓ -9% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $126.00 | ↑ +22% |
| Community Services Network | NonProfit Public Benefit | $136.50 | ↑ +32% |
| USA Managed Care Organization | PPO | $147.00 | ↑ +42% |
| NovaNet | Network Lease | $157.50 | ↑ +52% |
| Direct Care America | PPO | $168.00 | ↑ +63% |
| MedSave USA | Commercial | $168.00 | ↑ +63% |
| National Provider Network | PPO | $168.00 | ↑ +63% |
| Beech Street | PPO | $178.50 | ↑ +73% |
| CCN Managed Care | PPO | $178.50 | ↑ +73% |
| Initial Group | PPO | $184.80 | ↑ +79% |
| Galaxy Health Network | PPO | $189.00 | ↑ +83% |
Visitor-reported prices
Comments
Aqaprn-4 antb flo cytmtry ea at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $207.20 | $136.00 – $476.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $15.87 | $9.79 – $75.46 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $296.10 | $142.80 – $476.00 |
| Johnson City Medical Center | JOHNSON CITY | $28.20 | $10.85 – $82.25 |
| Hancock County Hospital | SNEEDVILLE | $27.60 | $6.03 – $83.00 |
| Greeneville Community Hospital | GREENEVILLE | $28.20 | $4.34 – $82.25 |
| Bristol Regional Medical Center | BRISTOL | $28.20 | $7.23 – $90.55 |
| Franklin Woods Community Hospital | JOHNSON CITY | $28.20 | $10.85 – $82.25 |