Galac-1-phosphate uridyltran - sendout at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$15.04
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.
$47.00
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.
$9.48 with Wellpoint vs $46.95 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 | $9.48 | ↓ -37% |
| United Healthcare | Tenncare | $16.17 | ↑ +8% |
| United Healthcare | All Other Plans | $21.07 | ↑ +40% |
| United Healthcare | Options PPO | $21.07 | ↑ +40% |
| United Healthcare | Heritage Select | $21.07 | ↑ +40% |
| EHN | Network Lease | $21.15 | ↑ +41% |
| Optum | VA CCN | $22.57 | ↑ +50% |
| Tricare | Humana Military | $22.57 | ↑ +50% |
| United Healthcare | Medicare Advantage | $23.25 | ↑ +55% |
| Humana | Medicare Advantage HMO | $23.25 | ↑ +55% |
| Humana | DSNP | $23.25 | ↑ +55% |
| United Healthcare | Community Plan DSNP | $23.25 | ↑ +55% |
| Humana | Medicare Advantage PPO | $23.25 | ↑ +55% |
| Farm Bureau | Medicare Advantage HMO | $23.47 | ↑ +56% |
| Farm Bureau | Medicare Advantage PPO | $23.47 | ↑ +56% |
| Blue Cross of TN | BlueEssential HMO | $23.70 | ↑ +58% |
| Devoted Health | HMO | $23.70 | ↑ +58% |
| Wellcare | Medicare Advantage | $23.70 | ↑ +58% |
| United Healthcare | DSNP | $23.70 | ↑ +58% |
| Devoted Health | PPO | $23.70 | ↑ +58% |
| HealthSpring | Medicare PPO | $23.70 | ↑ +58% |
| HealthSpring | Medicare HMO POS | $23.70 | ↑ +58% |
| Aetna | Medicare Advantage | $23.70 | ↑ +58% |
| Cigna | Medicare PPO | $23.70 | ↑ +58% |
| Cigna | Medicare HMO | $23.70 | ↑ +58% |
| Wellpoint | Medicare Advantage | $23.70 | ↑ +58% |
| Blue Cross of TN | Med Adv PPO | $23.70 | ↑ +58% |
| Blue Cross of TN | Med Adv Diamond | $23.70 | ↑ +58% |
| Blue Cross of TN | BlueEssential DSNP | $23.70 | ↑ +58% |
| Blue Cross of TN | Med Adv Sapphire | $23.70 | ↑ +58% |
| Blue Cross of TN | Med Adv Ruby | $23.70 | ↑ +58% |
| Cigna | Medicare HMO-POS | $23.70 | ↑ +58% |
| Wellpoint | DSNP | $23.70 | ↑ +58% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $28.20 | ↑ +88% |
| BCBS TN | Blue Care | $29.26 | ↑ +95% |
| Community Services Network | NonProfit Public Benefit | $30.55 | ↑ +103% |
| Aetna | Commercial | $31.92 | ↑ +112% |
| USA Managed Care Organization | PPO | $32.90 | ↑ +119% |
| NovaNet | Network Lease | $35.25 | ↑ +134% |
| National Provider Network | PPO | $37.60 | ↑ +150% |
| Direct Care America | PPO | $37.60 | ↑ +150% |
| MedSave USA | Commercial | $37.60 | ↑ +150% |
| Ambetter | Exchange | $38.14 | ↑ +154% |
| Beech Street | PPO | $39.95 | ↑ +166% |
| CCN Managed Care | PPO | $39.95 | ↑ +166% |
| Initial Group | PPO | $41.36 | ↑ +175% |
| Galaxy Health Network | PPO | $42.30 | ↑ +181% |
| Cigna | IFP | $43.01 | ↑ +186% |
| Cigna | Local Plus | $43.19 | ↑ +187% |
| BCBS TN | Commercial Network S | $44.48 | ↑ +196% |
| BCBS TN | Commercial Network P | $44.48 | ↑ +196% |
| Cigna | HMO | $46.95 | ↑ +212% |
| Cigna | OAP | $46.95 | ↑ +212% |
| Cigna | POS | $46.95 | ↑ +212% |
Visitor-reported prices
Comments
Galac-1-phosphate uridyltran - sendout at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-0123940 BMH Collierville | Collierville | $81.27 | $20.02 – $42.14 |
| 62-1138045 BMH Union City | Union City | $96.40 | $18.33 – $42.14 |
| Parkwest Medical Center | Knoxville | $29.61 | $9.48 – $42.30 |
| LeConte Medical Center | Sevierville | $13.63 | $9.48 – $42.30 |
| Fort Sanders Regional Medical Center | Knoxville | $15.51 | $9.48 – $42.30 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $15.51 | $9.48 – $42.30 |
| Morristown-Hamblen Hospital Association | Morristown | $14.10 | $9.48 – $42.30 |
| Ascension Saint Thomas Midtown | Nashville | not published | $7.59 – $81.26 |