Drug test(s) presumptive any class instrument chemistry analyzers at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$166.40
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.
$520.00
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.
$27.96 with Wellpoint vs $144.90 with Galaxy Health Network — 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 | $27.96 | ↓ -83% |
| United Healthcare | Tenncare | $44.65 | ↓ -73% |
| United Healthcare | Options PPO | $62.14 | ↓ -63% |
| United Healthcare | All Other Plans | $62.14 | ↓ -63% |
| United Healthcare | Heritage Select | $62.14 | ↓ -63% |
| Tricare | Humana Military | $66.55 | ↓ -60% |
| Optum | VA CCN | $66.55 | ↓ -60% |
| Humana | Medicare Advantage HMO | $68.55 | ↓ -59% |
| Humana | DSNP | $68.55 | ↓ -59% |
| Humana | Medicare Advantage PPO | $68.55 | ↓ -59% |
| United Healthcare | Medicare Advantage | $68.55 | ↓ -59% |
| United Healthcare | Community Plan DSNP | $68.55 | ↓ -59% |
| Farm Bureau | Medicare Advantage HMO | $69.21 | ↓ -58% |
| Farm Bureau | Medicare Advantage PPO | $69.21 | ↓ -58% |
| Blue Cross of TN | BlueEssential HMO | $69.88 | ↓ -58% |
| Devoted Health | HMO | $69.88 | ↓ -58% |
| Wellcare | Medicare Advantage | $69.88 | ↓ -58% |
| United Healthcare | DSNP | $69.88 | ↓ -58% |
| Devoted Health | PPO | $69.88 | ↓ -58% |
| HealthSpring | Medicare PPO | $69.88 | ↓ -58% |
| HealthSpring | Medicare HMO POS | $69.88 | ↓ -58% |
| Aetna | Medicare Advantage | $69.88 | ↓ -58% |
| Cigna | Medicare PPO | $69.88 | ↓ -58% |
| Cigna | Medicare HMO | $69.88 | ↓ -58% |
| Wellpoint | DSNP | $69.88 | ↓ -58% |
| Wellpoint | Medicare Advantage | $69.88 | ↓ -58% |
| Blue Cross of TN | Med Adv Ruby | $69.88 | ↓ -58% |
| Blue Cross of TN | Med Adv PPO | $69.88 | ↓ -58% |
| Blue Cross of TN | Med Adv Diamond | $69.88 | ↓ -58% |
| Blue Cross of TN | BlueEssential DSNP | $69.88 | ↓ -58% |
| Blue Cross of TN | Med Adv Sapphire | $69.88 | ↓ -58% |
| Cigna | Medicare HMO-POS | $69.88 | ↓ -58% |
| EHN | Network Lease | $72.45 | ↓ -56% |
| BCBS TN | Blue Care | $80.81 | ↓ -51% |
| Aetna | Commercial | $94.15 | ↓ -43% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $96.60 | ↓ -42% |
| Community Services Network | NonProfit Public Benefit | $104.65 | ↓ -37% |
| Ambetter | Exchange | $112.47 | ↓ -32% |
| USA Managed Care Organization | PPO | $112.70 | ↓ -32% |
| NovaNet | Network Lease | $120.75 | ↓ -27% |
| BCBS TN | Commercial Network P | $122.84 | ↓ -26% |
| BCBS TN | Commercial Network S | $122.84 | ↓ -26% |
| Cigna | IFP | $126.96 | ↓ -24% |
| Cigna | Local Plus | $127.51 | ↓ -23% |
| National Provider Network | PPO | $128.80 | ↓ -23% |
| Direct Care America | PPO | $128.80 | ↓ -23% |
| MedSave USA | Commercial | $128.80 | ↓ -23% |
| Beech Street | PPO | $136.85 | ↓ -18% |
| CCN Managed Care | PPO | $136.85 | ↓ -18% |
| Cigna | HMO | $138.60 | ↓ -17% |
| Cigna | POS | $138.60 | ↓ -17% |
| Cigna | OAP | $138.60 | ↓ -17% |
| Initial Group | PPO | $141.68 | ↓ -15% |
| Galaxy Health Network | PPO | $144.90 | ↓ -13% |
Visitor-reported prices
Comments
Drug test(s) presumptive any class instrument chemistry analyzers at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $448.49 | $22.37 – $162.48 |
| CHI Memorial Hospital Hixson | Hixson | $103.60 | $52.09 – $245.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $68.08 | $54.06 – $124.28 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $148.05 | $52.09 – $245.00 |
| Johnson City Medical Center | JOHNSON CITY | $102.45 | $31.07 – $135.47 |
| Ascension Saint Thomas DeKalb | Smithville | $495.35 | $55.93 – $170.00 |
| Ascension Saint Thomas Highlands | Sparta | $495.35 | $55.93 – $170.00 |
| Ascension Saint Thomas River Park | McMinnville | $495.36 | $55.93 – $170.00 |