Brace knee playmaker ii x-rom hook and loop xl at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$201.83
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.
$630.72
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.
$132.45 with BCBS TN vs $836.56 with Blue Cross of TN — 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 | $132.45 | ↓ -34% |
| Aetna | Commercial | $138.75 | ↓ -31% |
| United Healthcare | All Other Plans | $176.60 | ↓ -13% |
| United Healthcare | Heritage Select | $176.60 | ↓ -13% |
| United Healthcare | Options PPO | $189.21 | ↓ -6% |
| Cigna | IFP | $268.05 | ↑ +33% |
| EHN | Network Lease | $283.82 | ↑ +41% |
| Cigna | HMO | $315.36 | ↑ +56% |
| Cigna | Local Plus | $315.36 | ↑ +56% |
| Cigna | POS | $315.36 | ↑ +56% |
| Ambetter | Exchange | $315.36 | ↑ +56% |
| Cigna | OAP | $315.36 | ↑ +56% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $378.43 | ↑ +87% |
| BCBS TN | Commercial Network S | $391.04 | ↑ +94% |
| BCBS TN | Commercial Network P | $391.04 | ↑ +94% |
| Community Services Network | NonProfit Public Benefit | $409.96 | ↑ +103% |
| USA Managed Care Organization | PPO | $441.50 | ↑ +119% |
| NovaNet | Network Lease | $473.04 | ↑ +134% |
| National Provider Network | PPO | $504.57 | ↑ +150% |
| MedSave USA | Commercial | $504.57 | ↑ +150% |
| Direct Care America | PPO | $504.57 | ↑ +150% |
| Beech Street | PPO | $536.11 | ↑ +166% |
| CCN Managed Care | PPO | $536.11 | ↑ +166% |
| Initial Group | PPO | $555.03 | ↑ +175% |
| Galaxy Health Network | PPO | $567.64 | ↑ +181% |
| Optum | VA CCN | $796.72 | ↑ +295% |
| Tricare | Humana Military | $796.72 | ↑ +295% |
| United Healthcare | Medicare Advantage | $820.62 | ↑ +307% |
| Humana | DSNP | $820.62 | ↑ +307% |
| Humana | Medicare Advantage HMO | $820.62 | ↑ +307% |
| Humana | Medicare Advantage PPO | $820.62 | ↑ +307% |
| United Healthcare | Community Plan DSNP | $820.62 | ↑ +307% |
| Farm Bureau | Medicare Advantage PPO | $828.59 | ↑ +311% |
| Farm Bureau | Medicare Advantage HMO | $828.59 | ↑ +311% |
| Blue Cross of TN | Med Adv PPO | $836.56 | ↑ +314% |
| Blue Cross of TN | Med Adv Ruby | $836.56 | ↑ +314% |
| Blue Cross of TN | Med Adv Sapphire | $836.56 | ↑ +314% |
| Devoted Health | HMO | $836.56 | ↑ +314% |
| United Healthcare | DSNP | $836.56 | ↑ +314% |
| Wellcare | Medicare Advantage | $836.56 | ↑ +314% |
| Cigna | Medicare PPO | $836.56 | ↑ +314% |
| Cigna | Medicare HMO | $836.56 | ↑ +314% |
| Devoted Health | PPO | $836.56 | ↑ +314% |
| Aetna | Medicare Advantage | $836.56 | ↑ +314% |
| HealthSpring | Medicare HMO POS | $836.56 | ↑ +314% |
| Cigna | Medicare HMO-POS | $836.56 | ↑ +314% |
| Wellpoint | DSNP | $836.56 | ↑ +314% |
| Wellpoint | Medicare Advantage | $836.56 | ↑ +314% |
| HealthSpring | Medicare PPO | $836.56 | ↑ +314% |
| Blue Cross of TN | BlueEssential DSNP | $836.56 | ↑ +314% |
| Blue Cross of TN | BlueEssential HMO | $836.56 | ↑ +314% |
| Blue Cross of TN | Med Adv Diamond | $836.56 | ↑ +314% |
Visitor-reported prices
Comments
Brace knee playmaker ii x-rom hook and loop xl at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-0123940 BMH Collierville | Collierville | $272.79 | $321.55 – $321.55 |
| Parkwest Medical Center | Knoxville | $189.22 | $132.45 – $584.13 |
| LeConte Medical Center | Sevierville | $1,387.65 | $796.72 – $4,306.50 |
| Fort Sanders Regional Medical Center | Knoxville | $210.42 | $132.45 – $584.13 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $304.45 | $132.45 – $584.13 |
| Morristown-Hamblen Hospital Association | Morristown | $189.22 | $132.45 – $584.13 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $556.31 – $817.78 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $539.62 – $817.78 |