Caspofungin acetate at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$382.66
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.
$1,195.81
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.
$4.03 with Cigna vs $360.67 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 |
|---|---|---|---|
| Cigna | Local Plus | $4.03 | ↓ -99% |
| Cigna | IFP | $4.03 | ↓ -99% |
| Cigna | HMO | $4.03 | ↓ -99% |
| Cigna | OAP | $4.03 | ↓ -99% |
| Cigna | POS | $4.03 | ↓ -99% |
| United Healthcare | All Other Plans | $4.05 | ↓ -99% |
| United Healthcare | Heritage Select | $4.05 | ↓ -99% |
| United Healthcare | Options PPO | $4.05 | ↓ -99% |
| United Healthcare | Tenncare | $6.99 | ↓ -98% |
| BCBS TN | Blue Care | $84.15 | ↓ -78% |
| Aetna | Commercial | $155.21 | ↓ -59% |
| EHN | Network Lease | $180.33 | ↓ -53% |
| Ambetter | Exchange | $200.37 | ↓ -48% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $240.45 | ↓ -37% |
| BCBS TN | Commercial Network P | $248.46 | ↓ -35% |
| BCBS TN | Commercial Network S | $248.46 | ↓ -35% |
| Community Services Network | NonProfit Public Benefit | $260.48 | ↓ -32% |
| USA Managed Care Organization | PPO | $280.52 | ↓ -27% |
| NovaNet | Network Lease | $300.56 | ↓ -21% |
| National Provider Network | PPO | $320.60 | ↓ -16% |
| MedSave USA | Commercial | $320.60 | ↓ -16% |
| Direct Care America | PPO | $320.60 | ↓ -16% |
| Beech Street | PPO | $340.63 | ↓ -11% |
| CCN Managed Care | PPO | $340.63 | ↓ -11% |
| Initial Group | PPO | $352.66 | ↓ -8% |
| Galaxy Health Network | PPO | $360.67 | ↓ -6% |
Visitor-reported prices
Comments
Caspofungin acetate at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $392.39 | $4.22 – $12.04 |
| 62-0123940 BMH Collierville | Collierville | $358.27 | $4.22 – $12.04 |
| 62-1138045 BMH Union City | Union City | $341.20 | $4.22 – $6.57 |
| Parkwest Medical Center | Knoxville | $358.74 | $4.03 – $360.67 |
| Roane County Medical Center | Harriman | $394.62 | $4.03 – $360.67 |
| LeConte Medical Center | Sevierville | $346.78 | $4.03 – $360.67 |
| Fort Loudoun Medical Center | Lenoir City | $394.62 | $4.03 – $360.67 |
| Fort Sanders Regional Medical Center | Knoxville | $394.62 | $4.03 – $360.67 |