#creutz-prot.,western blot at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$134.40
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.
$420.00
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.
$13.14 with Wellpoint vs $65.13 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 |
|---|---|---|---|
| Wellpoint | Medicaid Tenncare | $13.14 | ↓ -90% |
| United Healthcare | Tenncare | $13.81 | ↓ -90% |
| EHN | Network Lease | $26.10 | ↓ -81% |
| United Healthcare | Options PPO | $29.21 | ↓ -78% |
| United Healthcare | Heritage Select | $29.21 | ↓ -78% |
| United Healthcare | All Other Plans | $29.21 | ↓ -78% |
| Optum | VA CCN | $31.28 | ↓ -77% |
| Tricare | Humana Military | $31.28 | ↓ -77% |
| Humana | Medicare Advantage HMO | $32.22 | ↓ -76% |
| Humana | DSNP | $32.22 | ↓ -76% |
| United Healthcare | Community Plan DSNP | $32.22 | ↓ -76% |
| United Healthcare | Medicare Advantage | $32.22 | ↓ -76% |
| Humana | Medicare Advantage PPO | $32.22 | ↓ -76% |
| Farm Bureau | Medicare Advantage HMO | $32.53 | ↓ -76% |
| Farm Bureau | Medicare Advantage PPO | $32.53 | ↓ -76% |
| Blue Cross of TN | BlueEssential DSNP | $32.84 | ↓ -76% |
| Devoted Health | HMO | $32.84 | ↓ -76% |
| Wellcare | Medicare Advantage | $32.84 | ↓ -76% |
| United Healthcare | DSNP | $32.84 | ↓ -76% |
| Devoted Health | PPO | $32.84 | ↓ -76% |
| HealthSpring | Medicare PPO | $32.84 | ↓ -76% |
| HealthSpring | Medicare HMO POS | $32.84 | ↓ -76% |
| Aetna | Medicare Advantage | $32.84 | ↓ -76% |
| Cigna | Medicare PPO | $32.84 | ↓ -76% |
| Cigna | Medicare HMO | $32.84 | ↓ -76% |
| Wellpoint | Medicare Advantage | $32.84 | ↓ -76% |
| Blue Cross of TN | Med Adv Diamond | $32.84 | ↓ -76% |
| Blue Cross of TN | BlueEssential HMO | $32.84 | ↓ -76% |
| Blue Cross of TN | Med Adv Sapphire | $32.84 | ↓ -76% |
| Blue Cross of TN | Med Adv Ruby | $32.84 | ↓ -76% |
| Blue Cross of TN | Med Adv PPO | $32.84 | ↓ -76% |
| Cigna | Medicare HMO-POS | $32.84 | ↓ -76% |
| Wellpoint | DSNP | $32.84 | ↓ -76% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $34.80 | ↓ -74% |
| BCBS TN | Blue Care | $36.51 | ↓ -73% |
| Community Services Network | NonProfit Public Benefit | $37.70 | ↓ -72% |
| USA Managed Care Organization | PPO | $40.60 | ↓ -70% |
| NovaNet | Network Lease | $43.50 | ↓ -68% |
| Aetna | Commercial | $44.25 | ↓ -67% |
| Direct Care America | PPO | $46.40 | ↓ -65% |
| National Provider Network | PPO | $46.40 | ↓ -65% |
| MedSave USA | Commercial | $46.40 | ↓ -65% |
| CCN Managed Care | PPO | $49.30 | ↓ -63% |
| Beech Street | PPO | $49.30 | ↓ -63% |
| Initial Group | PPO | $51.04 | ↓ -62% |
| Galaxy Health Network | PPO | $52.20 | ↓ -61% |
| Ambetter | Exchange | $52.87 | ↓ -61% |
| BCBS TN | Commercial Network S | $55.50 | ↓ -59% |
| BCBS TN | Commercial Network P | $55.50 | ↓ -59% |
| Cigna | IFP | $59.65 | ↓ -56% |
| Cigna | Local Plus | $59.92 | ↓ -55% |
| Cigna | HMO | $65.13 | ↓ -52% |
| Cigna | OAP | $65.13 | ↓ -52% |
| Cigna | POS | $65.13 | ↓ -52% |
Visitor-reported prices
Comments
#creutz-prot.,western blot at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $96.96 | $10.52 – $91.42 |
| CHI Memorial Hospital Hixson | Hixson | $314.95 | $15.99 – $171.50 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $450.08 | $15.99 – $171.50 |
| Johnson City Medical Center | JOHNSON CITY | $31.65 | $14.61 – $63.68 |
| Ascension Saint Thomas DeKalb | Smithville | $96.96 | $12.62 – $91.42 |
| Ascension Saint Thomas Highlands | Sparta | $96.96 | $12.62 – $91.42 |
| Ascension Saint Thomas River Park | McMinnville | $96.96 | $12.62 – $91.42 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $96.96 | $22.59 – $91.42 |