Culture typing nucleic acid probe amplified per culture/isolate each organism at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$40.64
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.
$127.00
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.
$15.79 with Wellpoint vs $78.78 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 | $15.79 | ↓ -61% |
| United Healthcare | Tenncare | $26.93 | ↓ -34% |
| EHN | Network Lease | $31.50 | ↓ -22% |
| United Healthcare | Options PPO | $35.09 | ↓ -14% |
| United Healthcare | Heritage Select | $35.09 | ↓ -14% |
| United Healthcare | All Other Plans | $35.09 | ↓ -14% |
| Optum | VA CCN | $37.58 | ↓ -8% |
| Tricare | Humana Military | $37.58 | ↓ -8% |
| Humana | Medicare Advantage HMO | $38.71 | ↓ -5% |
| Humana | DSNP | $38.71 | ↓ -5% |
| United Healthcare | Community Plan DSNP | $38.71 | ↓ -5% |
| United Healthcare | Medicare Advantage | $38.71 | ↓ -5% |
| Humana | Medicare Advantage PPO | $38.71 | ↓ -5% |
| Farm Bureau | Medicare Advantage HMO | $39.08 | ↓ -4% |
| Farm Bureau | Medicare Advantage PPO | $39.08 | ↓ -4% |
| Blue Cross of TN | BlueEssential DSNP | $39.46 | ↓ -3% |
| Devoted Health | HMO | $39.46 | ↓ -3% |
| Wellcare | Medicare Advantage | $39.46 | ↓ -3% |
| United Healthcare | DSNP | $39.46 | ↓ -3% |
| Devoted Health | PPO | $39.46 | ↓ -3% |
| HealthSpring | Medicare PPO | $39.46 | ↓ -3% |
| HealthSpring | Medicare HMO POS | $39.46 | ↓ -3% |
| Aetna | Medicare Advantage | $39.46 | ↓ -3% |
| Cigna | Medicare PPO | $39.46 | ↓ -3% |
| Cigna | Medicare HMO | $39.46 | ↓ -3% |
| Wellpoint | Medicare Advantage | $39.46 | ↓ -3% |
| Blue Cross of TN | Med Adv Diamond | $39.46 | ↓ -3% |
| Blue Cross of TN | BlueEssential HMO | $39.46 | ↓ -3% |
| Blue Cross of TN | Med Adv Sapphire | $39.46 | ↓ -3% |
| Blue Cross of TN | Med Adv Ruby | $39.46 | ↓ -3% |
| Blue Cross of TN | Med Adv PPO | $39.46 | ↓ -3% |
| Cigna | Medicare HMO-POS | $39.46 | ↓ -3% |
| Wellpoint | DSNP | $39.46 | ↓ -3% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $42.00 | ↑ +3% |
| Community Services Network | NonProfit Public Benefit | $45.50 | ↑ +12% |
| BCBS TN | Blue Care | $48.74 | ↑ +20% |
| USA Managed Care Organization | PPO | $49.00 | ↑ +21% |
| NovaNet | Network Lease | $52.50 | ↑ +29% |
| Aetna | Commercial | $53.17 | ↑ +31% |
| National Provider Network | PPO | $56.00 | ↑ +38% |
| Direct Care America | PPO | $56.00 | ↑ +38% |
| MedSave USA | Commercial | $56.00 | ↑ +38% |
| Beech Street | PPO | $59.50 | ↑ +46% |
| CCN Managed Care | PPO | $59.50 | ↑ +46% |
| Initial Group | PPO | $61.60 | ↑ +52% |
| Galaxy Health Network | PPO | $63.00 | ↑ +55% |
| Ambetter | Exchange | $63.51 | ↑ +56% |
| Cigna | IFP | $72.16 | ↑ +78% |
| Cigna | Local Plus | $72.47 | ↑ +78% |
| BCBS TN | Commercial Network S | $74.08 | ↑ +82% |
| BCBS TN | Commercial Network P | $74.08 | ↑ +82% |
| Cigna | HMO | $78.78 | ↑ +94% |
| Cigna | OAP | $78.78 | ↑ +94% |
| Cigna | POS | $78.78 | ↑ +94% |
Visitor-reported prices
Comments
Culture typing nucleic acid probe amplified per culture/isolate each organism at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,093.32 | $12.63 – $135.44 |
| CHI Memorial Hospital Hixson | Hixson | $87.03 | $31.18 – $117.60 |
| 62-1166050 BMH Carroll County | Huntingdon | $25.30 | $30.53 – $70.18 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $124.37 | $31.18 – $117.60 |
| Johnson City Medical Center | JOHNSON CITY | $61.50 | $17.55 – $76.50 |
| Ascension Saint Thomas DeKalb | Smithville | $1,093.32 | $24.61 – $135.44 |
| Ascension Saint Thomas Highlands | Sparta | $1,093.32 | $24.61 – $135.44 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,093.32 | $31.58 – $135.44 |