Enzyme histochemistry at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$108.80
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.
$340.00
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.
$79.79 with BCBS TN vs $822.01 with Blue Cross of 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 |
|---|---|---|---|
| BCBS TN | Blue Care | $79.79 | ↓ -27% |
| EHN | Network Lease | $111.15 | ↑ +2% |
| BCBS TN | Commercial Network S | $121.28 | ↑ +11% |
| BCBS TN | Commercial Network P | $121.28 | ↑ +11% |
| Aetna | Commercial | $138.69 | ↑ +27% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $148.20 | ↑ +36% |
| Community Services Network | NonProfit Public Benefit | $160.55 | ↑ +48% |
| USA Managed Care Organization | PPO | $172.90 | ↑ +59% |
| NovaNet | Network Lease | $185.25 | ↑ +70% |
| National Provider Network | PPO | $197.60 | ↑ +82% |
| Direct Care America | PPO | $197.60 | ↑ +82% |
| MedSave USA | Commercial | $197.60 | ↑ +82% |
| Beech Street | PPO | $209.95 | ↑ +93% |
| CCN Managed Care | PPO | $209.95 | ↑ +93% |
| Initial Group | PPO | $217.36 | ↑ +100% |
| Galaxy Health Network | PPO | $222.30 | ↑ +104% |
| Cigna | IFP | $225.59 | ↑ +107% |
| Cigna | Local Plus | $226.57 | ↑ +108% |
| Cigna | HMO | $246.28 | ↑ +126% |
| Cigna | POS | $246.28 | ↑ +126% |
| Cigna | OAP | $246.28 | ↑ +126% |
| United Healthcare | Tenncare | $254.10 | ↑ +134% |
| Ambetter | Exchange | $425.87 | ↑ +291% |
| Wellpoint | Medicaid Tenncare | $627.35 | ↑ +477% |
| United Healthcare | Heritage Select | $628.20 | ↑ +477% |
| United Healthcare | All Other Plans | $628.20 | ↑ +477% |
| United Healthcare | Options PPO | $628.20 | ↑ +477% |
| Optum | VA CCN | $782.87 | ↑ +620% |
| Tricare | Humana Military | $782.87 | ↑ +620% |
| United Healthcare | Medicare Advantage | $806.36 | ↑ +641% |
| United Healthcare | Community Plan DSNP | $806.36 | ↑ +641% |
| Humana | Medicare Advantage PPO | $806.36 | ↑ +641% |
| Humana | Medicare Advantage HMO | $806.36 | ↑ +641% |
| Humana | DSNP | $806.36 | ↑ +641% |
| Farm Bureau | Medicare Advantage HMO | $814.18 | ↑ +648% |
| Farm Bureau | Medicare Advantage PPO | $814.18 | ↑ +648% |
| Devoted Health | HMO | $822.01 | ↑ +656% |
| United Healthcare | DSNP | $822.01 | ↑ +656% |
| HealthSpring | Medicare PPO | $822.01 | ↑ +656% |
| Wellcare | Medicare Advantage | $822.01 | ↑ +656% |
| Blue Cross of TN | BlueEssential DSNP | $822.01 | ↑ +656% |
| Cigna | Medicare HMO | $822.01 | ↑ +656% |
| Devoted Health | PPO | $822.01 | ↑ +656% |
| Aetna | Medicare Advantage | $822.01 | ↑ +656% |
| Cigna | Medicare HMO-POS | $822.01 | ↑ +656% |
| Wellpoint | DSNP | $822.01 | ↑ +656% |
| Wellpoint | Medicare Advantage | $822.01 | ↑ +656% |
| HealthSpring | Medicare HMO POS | $822.01 | ↑ +656% |
| Cigna | Medicare PPO | $822.01 | ↑ +656% |
| Blue Cross of TN | BlueEssential HMO | $822.01 | ↑ +656% |
| Blue Cross of TN | Med Adv Diamond | $822.01 | ↑ +656% |
| Blue Cross of TN | Med Adv PPO | $822.01 | ↑ +656% |
| Blue Cross of TN | Med Adv Ruby | $822.01 | ↑ +656% |
| Blue Cross of TN | Med Adv Sapphire | $822.01 | ↑ +656% |
Visitor-reported prices
Comments
Enzyme histochemistry at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $85.84 | $10.02 – $203.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $242.42 | $6.73 – $1,491.86 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $122.67 | $10.02 – $203.00 |
| Johnson City Medical Center | JOHNSON CITY | $207.75 | $7.81 – $1,638.95 |
| Greeneville Community Hospital | GREENEVILLE | $207.75 | $6.15 – $1,638.95 |
| Bristol Regional Medical Center | BRISTOL | $207.75 | $7.81 – $1,666.19 |
| Franklin Woods Community Hospital | JOHNSON CITY | $207.75 | $9.49 – $1,594.70 |
| Holston Valley Medical Center | KINGSPORT | $207.75 | $7.81 – $1,666.19 |