Brace back epic tslo 456 at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$1,067.22
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.
$3,335.06
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.
$352.91 with BCBS TN vs $1,512.47 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 |
|---|---|---|---|
| BCBS TN | Blue Care | $352.91 | ↓ -67% |
| Aetna | Commercial | $369.71 | ↓ -65% |
| United Healthcare | Heritage Select | $470.54 | ↓ -56% |
| United Healthcare | All Other Plans | $470.54 | ↓ -56% |
| United Healthcare | Options PPO | $504.15 | ↓ -53% |
| Cigna | IFP | $714.22 | ↓ -33% |
| EHN | Network Lease | $756.23 | ↓ -29% |
| Cigna | OAP | $840.26 | ↓ -21% |
| Cigna | HMO | $840.26 | ↓ -21% |
| Cigna | POS | $840.26 | ↓ -21% |
| Ambetter | Exchange | $840.26 | ↓ -21% |
| Cigna | Local Plus | $840.26 | ↓ -21% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $1,008.31 | ↓ -6% |
| BCBS TN | Commercial Network S | $1,041.92 | ↓ -2% |
| BCBS TN | Commercial Network P | $1,041.92 | ↓ -2% |
| Tricare | Humana Military | $1,071.74 | ↑ +0% |
| Optum | VA CCN | $1,071.74 | ↑ +0% |
| Community Services Network | NonProfit Public Benefit | $1,092.34 | ↑ +2% |
| Humana | DSNP | $1,103.89 | ↑ +3% |
| United Healthcare | Community Plan DSNP | $1,103.89 | ↑ +3% |
| Humana | Medicare Advantage HMO | $1,103.89 | ↑ +3% |
| Humana | Medicare Advantage PPO | $1,103.89 | ↑ +3% |
| United Healthcare | Medicare Advantage | $1,103.89 | ↑ +3% |
| Farm Bureau | Medicare Advantage PPO | $1,114.61 | ↑ +4% |
| Farm Bureau | Medicare Advantage HMO | $1,114.61 | ↑ +4% |
| Wellcare | Medicare Advantage | $1,125.33 | ↑ +5% |
| Devoted Health | HMO | $1,125.33 | ↑ +5% |
| Devoted Health | PPO | $1,125.33 | ↑ +5% |
| HealthSpring | Medicare HMO POS | $1,125.33 | ↑ +5% |
| Blue Cross of TN | BlueEssential DSNP | $1,125.33 | ↑ +5% |
| Blue Cross of TN | BlueEssential HMO | $1,125.33 | ↑ +5% |
| Blue Cross of TN | Med Adv Diamond | $1,125.33 | ↑ +5% |
| Blue Cross of TN | Med Adv PPO | $1,125.33 | ↑ +5% |
| Blue Cross of TN | Med Adv Ruby | $1,125.33 | ↑ +5% |
| Blue Cross of TN | Med Adv Sapphire | $1,125.33 | ↑ +5% |
| Aetna | Medicare Advantage | $1,125.33 | ↑ +5% |
| HealthSpring | Medicare PPO | $1,125.33 | ↑ +5% |
| Cigna | Medicare PPO | $1,125.33 | ↑ +5% |
| Cigna | Medicare HMO | $1,125.33 | ↑ +5% |
| United Healthcare | DSNP | $1,125.33 | ↑ +5% |
| Cigna | Medicare HMO-POS | $1,125.33 | ↑ +5% |
| Wellpoint | DSNP | $1,125.33 | ↑ +5% |
| Wellpoint | Medicare Advantage | $1,125.33 | ↑ +5% |
| USA Managed Care Organization | PPO | $1,176.37 | ↑ +10% |
| NovaNet | Network Lease | $1,260.39 | ↑ +18% |
| Direct Care America | PPO | $1,344.42 | ↑ +26% |
| MedSave USA | Commercial | $1,344.42 | ↑ +26% |
| National Provider Network | PPO | $1,344.42 | ↑ +26% |
| Beech Street | PPO | $1,428.45 | ↑ +34% |
| CCN Managed Care | PPO | $1,428.45 | ↑ +34% |
| Initial Group | PPO | $1,478.86 | ↑ +39% |
| Galaxy Health Network | PPO | $1,512.47 | ↑ +42% |
Visitor-reported prices
Comments
Brace back epic tslo 456 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fort Loudoun Medical Center | Lenoir City | $2,113.65 | $772.46 – $5,764.50 |
| Fort Sanders Regional Medical Center | Knoxville | $2,113.65 | $772.46 – $5,764.50 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $2,113.65 | $772.46 – $5,764.50 |
| Morristown-Hamblen Hospital Association | Morristown | $504.16 | $352.91 – $1,512.47 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $772.46 – $1,135.52 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $749.29 – $1,135.52 |
| HORIZON MEDICAL CENTER | DICKSON | not published | $695.21 – $1,135.52 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD | not published | $1,000.69 – $1,471.01 |