Change of ureter tube/stent at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$1,317.12
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.
?
What you pay up front if you don't use insurance.
$4,116.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$882.00 with United Healthcare vs $3,680.00 with BCBS TN — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $882.00 | ↓ -33% |
| EHN | Network Lease | $926.10 | ↓ -30% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $1,234.80 | ↓ -6% |
| Cigna | IFP | $1,250.00 | ↓ -5% |
| Ambetter | Exchange | $1,308.00 | ↓ -1% |
| Community Services Network | NonProfit Public Benefit | $1,337.70 | ↑ +2% |
| Aetna | Commercial | $1,349.71 | ↑ +2% |
| Wellpoint | Medicaid Tenncare | $1,391.00 | ↑ +6% |
| USA Managed Care Organization | PPO | $1,440.60 | ↑ +9% |
| Cigna | Local Plus | $1,532.00 | ↑ +16% |
| NovaNet | Network Lease | $1,543.50 | ↑ +17% |
| BCBS TN | Blue Care | $1,575.00 | ↑ +20% |
| Direct Care America | PPO | $1,646.40 | ↑ +25% |
| National Provider Network | PPO | $1,646.40 | ↑ +25% |
| MedSave USA | Commercial | $1,646.40 | ↑ +25% |
| CCN Managed Care | PPO | $1,749.30 | ↑ +33% |
| Beech Street | PPO | $1,749.30 | ↑ +33% |
| Cigna | OAP | $1,802.00 | ↑ +37% |
| Cigna | HMO | $1,802.00 | ↑ +37% |
| Cigna | POS | $1,802.00 | ↑ +37% |
| Initial Group | PPO | $1,811.04 | ↑ +38% |
| Galaxy Health Network | PPO | $1,852.20 | ↑ +41% |
| United Healthcare | All Other Plans | $1,888.00 | ↑ +43% |
| Optum | VA CCN | $2,031.21 | ↑ +54% |
| Tricare | Humana Military | $2,031.21 | ↑ +54% |
| Humana | DSNP | $2,092.15 | ↑ +59% |
| Humana | Medicare Advantage PPO | $2,092.15 | ↑ +59% |
| Humana | Medicare Advantage HMO | $2,092.15 | ↑ +59% |
| United Healthcare | Community Plan DSNP | $2,092.15 | ↑ +59% |
| United Healthcare | Medicare Advantage | $2,092.15 | ↑ +59% |
| Farm Bureau | Medicare Advantage HMO | $2,112.46 | ↑ +60% |
| Farm Bureau | Medicare Advantage PPO | $2,112.46 | ↑ +60% |
| Blue Cross of TN | BlueEssential DSNP | $2,132.77 | ↑ +62% |
| Blue Cross of TN | BlueEssential HMO | $2,132.77 | ↑ +62% |
| Blue Cross of TN | Med Adv Diamond | $2,132.77 | ↑ +62% |
| Blue Cross of TN | Med Adv PPO | $2,132.77 | ↑ +62% |
| Blue Cross of TN | Med Adv Ruby | $2,132.77 | ↑ +62% |
| Blue Cross of TN | Med Adv Sapphire | $2,132.77 | ↑ +62% |
| HealthSpring | Medicare PPO | $2,132.77 | ↑ +62% |
| Cigna | Medicare PPO | $2,132.77 | ↑ +62% |
| Cigna | Medicare HMO-POS | $2,132.77 | ↑ +62% |
| Wellpoint | DSNP | $2,132.77 | ↑ +62% |
| Wellpoint | Medicare Advantage | $2,132.77 | ↑ +62% |
| United Healthcare | DSNP | $2,132.77 | ↑ +62% |
| Aetna | Medicare Advantage | $2,132.77 | ↑ +62% |
| Wellcare | Medicare Advantage | $2,132.77 | ↑ +62% |
| HealthSpring | Medicare HMO POS | $2,132.77 | ↑ +62% |
| Devoted Health | HMO | $2,132.77 | ↑ +62% |
| Cigna | Medicare HMO | $2,132.77 | ↑ +62% |
| Devoted Health | PPO | $2,132.77 | ↑ +62% |
| United Healthcare | Heritage Select | $2,220.00 | ↑ +69% |
| United Healthcare | Options PPO | $2,711.00 | ↑ +106% |
| BCBS TN | Commercial Network S | $3,680.00 | ↑ +179% |
| BCBS TN | Commercial Network P | $3,680.00 | ↑ +179% |
Visitor-reported prices
Comments
Change of ureter tube/stent at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $3,312.99 | $733.50 – $1,141.72 |
| CHI Memorial Hospital Hixson | Hixson | $2,088.28 | $1,411.00 – $4,938.50 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,984.27 | $1,481.55 – $4,938.50 |
| Greeneville Community Hospital | GREENEVILLE | $629.85 | $1,440.35 – $4,252.37 |
| Bristol Regional Medical Center | BRISTOL | $629.85 | $1,921.69 – $4,323.04 |
| Holston Valley Medical Center | KINGSPORT | $629.85 | $1,865.72 – $4,323.04 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $629.85 | $1,896.55 – $4,134.48 |
| Parkwest Medical Center | Knoxville | $1,234.80 | $117.39 – $1,991.38 |