Diagnostic radio unlisted proc at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$96.00
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.
$300.00
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.
$33.49 with United Healthcare vs $216.00 with BCBS TN — 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $33.49 | ↓ -65% |
| Aetna | Commercial | $60.00 | ↓ -38% |
| EHN | Network Lease | $67.50 | ↓ -30% |
| Wellpoint | Medicaid Tenncare | $79.70 | ↓ -17% |
| Tricare | Humana Military | $84.56 | ↓ -12% |
| Optum | VA CCN | $84.56 | ↓ -12% |
| Humana | Medicare Advantage PPO | $87.10 | ↓ -9% |
| United Healthcare | Community Plan DSNP | $87.10 | ↓ -9% |
| Humana | Medicare Advantage HMO | $87.10 | ↓ -9% |
| Humana | DSNP | $87.10 | ↓ -9% |
| United Healthcare | Medicare Advantage | $87.10 | ↓ -9% |
| Farm Bureau | Medicare Advantage PPO | $87.94 | ↓ -8% |
| Farm Bureau | Medicare Advantage HMO | $87.94 | ↓ -8% |
| Blue Cross of TN | BlueEssential HMO | $88.79 | ↓ -8% |
| Devoted Health | HMO | $88.79 | ↓ -8% |
| Wellcare | Medicare Advantage | $88.79 | ↓ -8% |
| United Healthcare | DSNP | $88.79 | ↓ -8% |
| Devoted Health | PPO | $88.79 | ↓ -8% |
| HealthSpring | Medicare PPO | $88.79 | ↓ -8% |
| HealthSpring | Medicare HMO POS | $88.79 | ↓ -8% |
| Aetna | Medicare Advantage | $88.79 | ↓ -8% |
| Cigna | Medicare PPO | $88.79 | ↓ -8% |
| Cigna | Medicare HMO | $88.79 | ↓ -8% |
| Wellpoint | Medicare Advantage | $88.79 | ↓ -8% |
| Blue Cross of TN | BlueEssential DSNP | $88.79 | ↓ -8% |
| Blue Cross of TN | Med Adv Sapphire | $88.79 | ↓ -8% |
| Blue Cross of TN | Med Adv Ruby | $88.79 | ↓ -8% |
| Blue Cross of TN | Med Adv PPO | $88.79 | ↓ -8% |
| Blue Cross of TN | Med Adv Diamond | $88.79 | ↓ -8% |
| Cigna | Medicare HMO-POS | $88.79 | ↓ -8% |
| Wellpoint | DSNP | $88.79 | ↓ -8% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $90.00 | ↓ -6% |
| Community Services Network | NonProfit Public Benefit | $97.50 | ↑ +2% |
| USA Managed Care Organization | PPO | $105.00 | ↑ +9% |
| NovaNet | Network Lease | $112.50 | ↑ +17% |
| National Provider Network | PPO | $120.00 | ↑ +25% |
| Direct Care America | PPO | $120.00 | ↑ +25% |
| MedSave USA | Commercial | $120.00 | ↑ +25% |
| CCN Managed Care | PPO | $127.50 | ↑ +33% |
| Beech Street | PPO | $127.50 | ↑ +33% |
| Initial Group | PPO | $132.00 | ↑ +38% |
| Galaxy Health Network | PPO | $135.00 | ↑ +41% |
| United Healthcare | Options PPO | $163.61 | ↑ +70% |
| United Healthcare | All Other Plans | $163.61 | ↑ +70% |
| United Healthcare | Heritage Select | $163.61 | ↑ +70% |
| Cigna | IFP | $165.45 | ↑ +72% |
| Cigna | Local Plus | $166.18 | ↑ +73% |
| Cigna | HMO | $180.63 | ↑ +88% |
| Cigna | POS | $180.63 | ↑ +88% |
| Cigna | OAP | $180.63 | ↑ +88% |
| BCBS TN | Commercial Network P | $216.00 | ↑ +125% |
| BCBS TN | Commercial Network S | $216.00 | ↑ +125% |
Visitor-reported prices
Comments
Diagnostic radio unlisted proc at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $63.90 | $16.13 – $177.03 |
| Bristol Regional Medical Center | BRISTOL | $63.90 | $26.88 – $198.14 |
| Holston Valley Medical Center | KINGSPORT | $63.90 | $26.88 – $198.14 |
| 62-0123940 BMH Collierville | Collierville | $77.28 | $76.60 – $161.26 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $63.90 | $22.40 – $172.12 |
| Parkwest Medical Center | Knoxville | $90.00 | $27.91 – $181.00 |
| Fort Sanders Regional Medical Center | Knoxville | $99.00 | $27.91 – $181.00 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $99.00 | $27.91 – $200.00 |