Embo or occlude vascular arterial s&i at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$3,596.48
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.
?
What you pay up front if you don't use insurance.
$11,239.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2,009.00 with Ambetter vs $20,017.00 with BCBS TN — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Ambetter | Exchange | $2,009.00 | ↓ -44% |
| Aetna | Commercial | $2,074.32 | ↓ -42% |
| Cigna | IFP | $2,372.00 | ↓ -34% |
| Cigna | Local Plus | $2,857.00 | ↓ -21% |
| Cigna | HMO | $3,419.00 | ↓ -5% |
| Cigna | POS | $3,419.00 | ↓ -5% |
| Cigna | OAP | $3,419.00 | ↓ -5% |
| EHN | Network Lease | $5,057.55 | ↑ +41% |
| United Healthcare | Tenncare | $6,011.00 | ↑ +67% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $6,743.40 | ↑ +88% |
| Community Services Network | NonProfit Public Benefit | $7,305.35 | ↑ +103% |
| USA Managed Care Organization | PPO | $7,867.30 | ↑ +119% |
| NovaNet | Network Lease | $8,429.25 | ↑ +134% |
| Direct Care America | PPO | $8,991.20 | ↑ +150% |
| National Provider Network | PPO | $8,991.20 | ↑ +150% |
| MedSave USA | Commercial | $8,991.20 | ↑ +150% |
| Beech Street | PPO | $9,553.15 | ↑ +166% |
| CCN Managed Care | PPO | $9,553.15 | ↑ +166% |
| Initial Group | PPO | $9,890.32 | ↑ +175% |
| Galaxy Health Network | PPO | $10,115.10 | ↑ +181% |
| United Healthcare | All Other Plans | $10,648.00 | ↑ +196% |
| BCBS TN | Blue Care | $11,414.00 | ↑ +217% |
| United Healthcare | Heritage Select | $12,523.00 | ↑ +248% |
| Wellpoint | Medicaid Tenncare | $13,125.00 | ↑ +265% |
| United Healthcare | Options PPO | $15,284.00 | ↑ +325% |
| Tricare | Humana Military | $17,812.69 | ↑ +395% |
| Optum | VA CCN | $17,812.69 | ↑ +395% |
| Humana | DSNP | $18,347.07 | ↑ +410% |
| United Healthcare | Medicare Advantage | $18,347.07 | ↑ +410% |
| Humana | Medicare Advantage HMO | $18,347.07 | ↑ +410% |
| Humana | Medicare Advantage PPO | $18,347.07 | ↑ +410% |
| United Healthcare | Community Plan DSNP | $18,347.07 | ↑ +410% |
| Farm Bureau | Medicare Advantage HMO | $18,525.20 | ↑ +415% |
| Farm Bureau | Medicare Advantage PPO | $18,525.20 | ↑ +415% |
| HealthSpring | Medicare PPO | $18,703.32 | ↑ +420% |
| Aetna | Medicare Advantage | $18,703.32 | ↑ +420% |
| Cigna | Medicare PPO | $18,703.32 | ↑ +420% |
| Cigna | Medicare HMO | $18,703.32 | ↑ +420% |
| United Healthcare | DSNP | $18,703.32 | ↑ +420% |
| Cigna | Medicare HMO-POS | $18,703.32 | ↑ +420% |
| Wellpoint | DSNP | $18,703.32 | ↑ +420% |
| Wellpoint | Medicare Advantage | $18,703.32 | ↑ +420% |
| Blue Cross of TN | BlueEssential DSNP | $18,703.32 | ↑ +420% |
| Blue Cross of TN | BlueEssential HMO | $18,703.32 | ↑ +420% |
| Blue Cross of TN | Med Adv Diamond | $18,703.32 | ↑ +420% |
| Blue Cross of TN | Med Adv PPO | $18,703.32 | ↑ +420% |
| Blue Cross of TN | Med Adv Ruby | $18,703.32 | ↑ +420% |
| Blue Cross of TN | Med Adv Sapphire | $18,703.32 | ↑ +420% |
| Devoted Health | PPO | $18,703.32 | ↑ +420% |
| Wellcare | Medicare Advantage | $18,703.32 | ↑ +420% |
| Devoted Health | HMO | $18,703.32 | ↑ +420% |
| HealthSpring | Medicare HMO POS | $18,703.32 | ↑ +420% |
| BCBS TN | Commercial Network S | $20,017.00 | ↑ +457% |
| BCBS TN | Commercial Network P | $20,017.00 | ↑ +457% |
Visitor-reported prices
Comments
Embo or occlude vascular arterial s&i at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $7,822.04 | $1,534.53 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | $4,138.38 | $2,796.20 – $9,786.70 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $5,913.97 | $2,936.01 – $9,786.70 |
| Johnson City Medical Center | JOHNSON CITY | $4,518.90 | $13,931.04 – $37,291.16 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $7,822.04 | $1,636.56 – $2,225.50 |
| Greeneville Community Hospital | GREENEVILLE | $4,518.90 | $13,608.12 – $37,291.16 |
| Bristol Regional Medical Center | BRISTOL | $4,518.90 | $14,162.67 – $37,910.94 |
| Franklin Woods Community Hospital | JOHNSON CITY | $4,518.90 | $13,383.08 – $36,284.33 |