External chromosome analysis 20-25 cells at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$114.88
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.
$359.00
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.
$65.07 with Wellpoint vs $323.40 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 | $65.07 | ↓ -43% |
| United Healthcare | Tenncare | $95.66 | ↓ -17% |
| United Healthcare | All Other Plans | $144.61 | ↑ +26% |
| United Healthcare | Options PPO | $144.61 | ↑ +26% |
| United Healthcare | Heritage Select | $144.61 | ↑ +26% |
| Optum | VA CCN | $154.88 | ↑ +35% |
| Tricare | Humana Military | $154.88 | ↑ +35% |
| EHN | Network Lease | $157.50 | ↑ +37% |
| Humana | DSNP | $159.53 | ↑ +39% |
| Humana | Medicare Advantage PPO | $159.53 | ↑ +39% |
| Humana | Medicare Advantage HMO | $159.53 | ↑ +39% |
| United Healthcare | Community Plan DSNP | $159.53 | ↑ +39% |
| United Healthcare | Medicare Advantage | $159.53 | ↑ +39% |
| Farm Bureau | Medicare Advantage HMO | $161.08 | ↑ +40% |
| Farm Bureau | Medicare Advantage PPO | $161.08 | ↑ +40% |
| Blue Cross of TN | BlueEssential HMO | $162.62 | ↑ +42% |
| Devoted Health | HMO | $162.62 | ↑ +42% |
| Wellcare | Medicare Advantage | $162.62 | ↑ +42% |
| United Healthcare | DSNP | $162.62 | ↑ +42% |
| Devoted Health | PPO | $162.62 | ↑ +42% |
| HealthSpring | Medicare PPO | $162.62 | ↑ +42% |
| HealthSpring | Medicare HMO POS | $162.62 | ↑ +42% |
| Aetna | Medicare Advantage | $162.62 | ↑ +42% |
| Cigna | Medicare PPO | $162.62 | ↑ +42% |
| Cigna | Medicare HMO | $162.62 | ↑ +42% |
| Wellpoint | Medicare Advantage | $162.62 | ↑ +42% |
| Blue Cross of TN | Med Adv PPO | $162.62 | ↑ +42% |
| Blue Cross of TN | Med Adv Diamond | $162.62 | ↑ +42% |
| Blue Cross of TN | BlueEssential DSNP | $162.62 | ↑ +42% |
| Blue Cross of TN | Med Adv Sapphire | $162.62 | ↑ +42% |
| Blue Cross of TN | Med Adv Ruby | $162.62 | ↑ +42% |
| Cigna | Medicare HMO-POS | $162.62 | ↑ +42% |
| Wellpoint | DSNP | $162.62 | ↑ +42% |
| BCBS TN | Blue Care | $180.76 | ↑ +57% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $210.00 | ↑ +83% |
| Aetna | Commercial | $219.11 | ↑ +91% |
| Community Services Network | NonProfit Public Benefit | $227.50 | ↑ +98% |
| USA Managed Care Organization | PPO | $245.00 | ↑ +113% |
| Ambetter | Exchange | $261.74 | ↑ +128% |
| NovaNet | Network Lease | $262.50 | ↑ +128% |
| BCBS TN | Commercial Network P | $274.76 | ↑ +139% |
| BCBS TN | Commercial Network S | $274.76 | ↑ +139% |
| National Provider Network | PPO | $280.00 | ↑ +144% |
| Direct Care America | PPO | $280.00 | ↑ +144% |
| MedSave USA | Commercial | $280.00 | ↑ +144% |
| Cigna | IFP | $296.23 | ↑ +158% |
| CCN Managed Care | PPO | $297.50 | ↑ +159% |
| Beech Street | PPO | $297.50 | ↑ +159% |
| Cigna | Local Plus | $297.53 | ↑ +159% |
| Initial Group | PPO | $308.00 | ↑ +168% |
| Galaxy Health Network | PPO | $315.00 | ↑ +174% |
| Cigna | HMO | $323.40 | ↑ +182% |
| Cigna | POS | $323.40 | ↑ +182% |
| Cigna | OAP | $323.40 | ↑ +182% |
Visitor-reported prices
Comments
External chromosome analysis 20-25 cells at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $657.29 | $52.06 – $481.98 |
| CHI Memorial Hospital Hixson | Hixson | $194.77 | $110.72 – $460.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $278.34 | $110.72 – $460.60 |
| Johnson City Medical Center | JOHNSON CITY | $218.25 | $72.31 – $315.25 |
| Ascension Saint Thomas DeKalb | Smithville | $657.29 | $87.39 – $481.98 |
| Ascension Saint Thomas Highlands | Sparta | $657.29 | $87.39 – $481.98 |
| Ascension Saint Thomas River Park | McMinnville | $657.29 | $87.39 – $481.98 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $657.29 | $130.15 – $481.98 |