Critical care 30-74 minutes at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$422.40
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.
$1,320.00
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.
$367.50 with Wellpoint vs $4,108.00 with United Healthcare — 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 | $367.50 | ↓ -13% |
| Aetna | Commercial | $528.00 | ↑ +25% |
| EHN | Network Lease | $594.00 | ↑ +41% |
| United Healthcare | Tenncare | $668.00 | ↑ +58% |
| Ambetter | Exchange | $792.00 | ↑ +88% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $792.00 | ↑ +88% |
| Optum | VA CCN | $802.64 | ↑ +90% |
| Tricare | Humana Military | $802.64 | ↑ +90% |
| United Healthcare | Medicare Advantage | $826.72 | ↑ +96% |
| Humana | DSNP | $826.72 | ↑ +96% |
| Humana | Medicare Advantage PPO | $826.72 | ↑ +96% |
| Humana | Medicare Advantage HMO | $826.72 | ↑ +96% |
| United Healthcare | Community Plan DSNP | $826.72 | ↑ +96% |
| Farm Bureau | Medicare Advantage PPO | $834.75 | ↑ +98% |
| Farm Bureau | Medicare Advantage HMO | $834.75 | ↑ +98% |
| United Healthcare | DSNP | $842.77 | ↑ +100% |
| Devoted Health | HMO | $842.77 | ↑ +100% |
| Wellcare | Medicare Advantage | $842.77 | ↑ +100% |
| Devoted Health | PPO | $842.77 | ↑ +100% |
| HealthSpring | Medicare PPO | $842.77 | ↑ +100% |
| HealthSpring | Medicare HMO POS | $842.77 | ↑ +100% |
| Aetna | Medicare Advantage | $842.77 | ↑ +100% |
| Cigna | Medicare PPO | $842.77 | ↑ +100% |
| Cigna | Medicare HMO | $842.77 | ↑ +100% |
| Cigna | Medicare HMO-POS | $842.77 | ↑ +100% |
| Wellpoint | DSNP | $842.77 | ↑ +100% |
| Wellpoint | Medicare Advantage | $842.77 | ↑ +100% |
| Blue Cross of TN | BlueEssential DSNP | $842.77 | ↑ +100% |
| Blue Cross of TN | BlueEssential HMO | $842.77 | ↑ +100% |
| Blue Cross of TN | Med Adv Diamond | $842.77 | ↑ +100% |
| Blue Cross of TN | Med Adv PPO | $842.77 | ↑ +100% |
| Blue Cross of TN | Med Adv Ruby | $842.77 | ↑ +100% |
| Blue Cross of TN | Med Adv Sapphire | $842.77 | ↑ +100% |
| Community Services Network | NonProfit Public Benefit | $858.00 | ↑ +103% |
| BCBS TN | Blue Care | $876.00 | ↑ +107% |
| USA Managed Care Organization | PPO | $924.00 | ↑ +119% |
| NovaNet | Network Lease | $990.00 | ↑ +134% |
| MedSave USA | Commercial | $1,056.00 | ↑ +150% |
| National Provider Network | PPO | $1,056.00 | ↑ +150% |
| Direct Care America | PPO | $1,056.00 | ↑ +150% |
| Beech Street | PPO | $1,122.00 | ↑ +166% |
| CCN Managed Care | PPO | $1,122.00 | ↑ +166% |
| Initial Group | PPO | $1,161.60 | ↑ +175% |
| Galaxy Health Network | PPO | $1,188.00 | ↑ +181% |
| BCBS TN | Commercial Network S | $1,467.00 | ↑ +247% |
| BCBS TN | Commercial Network P | $1,467.00 | ↑ +247% |
| United Healthcare | All Other Plans | $2,860.00 | ↑ +577% |
| United Healthcare | Heritage Select | $3,363.00 | ↑ +696% |
| United Healthcare | Options PPO | $4,108.00 | ↑ +873% |
Visitor-reported prices
Comments
Critical care 30-74 minutes at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $976.02 | $326.00 – $1,483.00 |
| CHI Memorial Hospital Hixson | Hixson | $757.76 | $512.00 – $1,664.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $1,022.58 | $669.38 – $1,538.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,082.88 | $537.60 – $1,664.00 |
| Johnson City Medical Center | JOHNSON CITY | $699.60 | $770.80 – $1,680.35 |
| Ascension Saint Thomas DeKalb | Smithville | $976.02 | $232.88 – $1,483.00 |
| Ascension Saint Thomas Highlands | Sparta | $976.02 | $232.88 – $1,483.00 |
| Ascension Saint Thomas River Park | McMinnville | $1,382.76 | $232.88 – $1,483.00 |