Biospy of bladder at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$130.56
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.
$408.00
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.
$183.60 with EHN 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 |
|---|---|---|---|
| EHN | Network Lease | $183.60 | ↑ +41% |
| Tricare | Humana Military | $242.78 | ↑ +86% |
| Optum | VA CCN | $242.78 | ↑ +86% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $244.80 | ↑ +88% |
| Humana | Medicare Advantage HMO | $250.06 | ↑ +92% |
| United Healthcare | Community Plan DSNP | $250.06 | ↑ +92% |
| Humana | DSNP | $250.06 | ↑ +92% |
| Humana | Medicare Advantage PPO | $250.06 | ↑ +92% |
| United Healthcare | Medicare Advantage | $250.06 | ↑ +92% |
| Farm Bureau | Medicare Advantage HMO | $252.49 | ↑ +93% |
| Farm Bureau | Medicare Advantage PPO | $252.49 | ↑ +93% |
| Cigna | Medicare HMO-POS | $254.92 | ↑ +95% |
| Devoted Health | HMO | $254.92 | ↑ +95% |
| Wellcare | Medicare Advantage | $254.92 | ↑ +95% |
| United Healthcare | DSNP | $254.92 | ↑ +95% |
| Devoted Health | PPO | $254.92 | ↑ +95% |
| HealthSpring | Medicare PPO | $254.92 | ↑ +95% |
| HealthSpring | Medicare HMO POS | $254.92 | ↑ +95% |
| Aetna | Medicare Advantage | $254.92 | ↑ +95% |
| Wellpoint | DSNP | $254.92 | ↑ +95% |
| Blue Cross of TN | Med Adv Sapphire | $254.92 | ↑ +95% |
| Blue Cross of TN | Med Adv Ruby | $254.92 | ↑ +95% |
| Cigna | Medicare PPO | $254.92 | ↑ +95% |
| Cigna | Medicare HMO | $254.92 | ↑ +95% |
| Blue Cross of TN | Med Adv PPO | $254.92 | ↑ +95% |
| Blue Cross of TN | Med Adv Diamond | $254.92 | ↑ +95% |
| Blue Cross of TN | BlueEssential HMO | $254.92 | ↑ +95% |
| Blue Cross of TN | BlueEssential DSNP | $254.92 | ↑ +95% |
| Wellpoint | Medicare Advantage | $254.92 | ↑ +95% |
| Community Services Network | NonProfit Public Benefit | $265.20 | ↑ +103% |
| USA Managed Care Organization | PPO | $285.60 | ↑ +119% |
| United Healthcare | Tenncare | $303.00 | ↑ +132% |
| NovaNet | Network Lease | $306.00 | ↑ +134% |
| Wellpoint | Medicaid Tenncare | $307.90 | ↑ +136% |
| National Provider Network | PPO | $326.40 | ↑ +150% |
| MedSave USA | Commercial | $326.40 | ↑ +150% |
| Direct Care America | PPO | $326.40 | ↑ +150% |
| CCN Managed Care | PPO | $346.80 | ↑ +166% |
| Beech Street | PPO | $346.80 | ↑ +166% |
| Initial Group | PPO | $359.04 | ↑ +175% |
| Galaxy Health Network | PPO | $367.20 | ↑ +181% |
| United Healthcare | All Other Plans | $433.00 | ↑ +232% |
| United Healthcare | Heritage Select | $509.00 | ↑ +290% |
| United Healthcare | Options PPO | $623.00 | ↑ +377% |
| Aetna | Commercial | $1,349.71 | ↑ +934% |
| BCBS TN | Blue Care | $1,575.00 | ↑ +1106% |
| Ambetter | Exchange | $2,009.00 | ↑ +1439% |
| BCBS TN | Commercial Network S | $2,356.00 | ↑ +1705% |
| BCBS TN | Commercial Network P | $2,356.00 | ↑ +1705% |
| Cigna | IFP | $2,372.00 | ↑ +1717% |
| Cigna | Local Plus | $2,857.00 | ↑ +2088% |
| Cigna | POS | $3,419.00 | ↑ +2519% |
| Cigna | OAP | $3,419.00 | ↑ +2519% |
| Cigna | HMO | $3,419.00 | ↑ +2519% |
Visitor-reported prices
Comments
Biospy of bladder at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-0123940 BMH Collierville | Collierville | $78.75 | $211.57 – $445.42 |
| Parkwest Medical Center | Knoxville | $244.50 | $183.60 – $367.20 |
| Roane County Medical Center | Harriman | $134.64 | $183.60 – $367.20 |
| Fort Sanders Regional Medical Center | Knoxville | $134.64 | $183.60 – $367.20 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $134.64 | $183.60 – $367.20 |
| Morristown-Hamblen Hospital Association | Morristown | $122.40 | $183.60 – $367.20 |
| Ascension Saint Thomas Midtown | Nashville | not published | $209.63 – $2,225.50 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $56.62 – $2,225.50 |