Gel-one at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$441.60
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.
$1,380.00
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.
$367.57 with United Healthcare vs $1,217.35 with Wellpoint — 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $367.57 | ↓ -17% |
| Tricare | Humana Military | $503.37 | ↑ +14% |
| Optum | VA CCN | $503.37 | ↑ +14% |
| United Healthcare | Community Plan DSNP | $518.47 | ↑ +17% |
| Humana | Medicare Advantage PPO | $518.47 | ↑ +17% |
| Humana | Medicare Advantage HMO | $518.47 | ↑ +17% |
| United Healthcare | Medicare Advantage | $518.47 | ↑ +17% |
| Humana | DSNP | $518.47 | ↑ +17% |
| Farm Bureau | Medicare Advantage PPO | $523.50 | ↑ +19% |
| Farm Bureau | Medicare Advantage HMO | $523.50 | ↑ +19% |
| Blue Cross of TN | BlueEssential HMO | $528.54 | ↑ +20% |
| Blue Cross of TN | Med Adv PPO | $528.54 | ↑ +20% |
| Blue Cross of TN | Med Adv Ruby | $528.54 | ↑ +20% |
| Blue Cross of TN | Med Adv Sapphire | $528.54 | ↑ +20% |
| Devoted Health | HMO | $528.54 | ↑ +20% |
| Devoted Health | PPO | $528.54 | ↑ +20% |
| HealthSpring | Medicare PPO | $528.54 | ↑ +20% |
| HealthSpring | Medicare HMO POS | $528.54 | ↑ +20% |
| Wellcare | Medicare Advantage | $528.54 | ↑ +20% |
| Aetna | Medicare Advantage | $528.54 | ↑ +20% |
| Cigna | Medicare PPO | $528.54 | ↑ +20% |
| Cigna | Medicare HMO | $528.54 | ↑ +20% |
| Cigna | Medicare HMO-POS | $528.54 | ↑ +20% |
| Wellpoint | DSNP | $528.54 | ↑ +20% |
| Wellpoint | Medicare Advantage | $528.54 | ↑ +20% |
| United Healthcare | DSNP | $528.54 | ↑ +20% |
| Blue Cross of TN | BlueEssential DSNP | $528.54 | ↑ +20% |
| Blue Cross of TN | Med Adv Diamond | $528.54 | ↑ +20% |
| United Healthcare | Options PPO | $559.73 | ↑ +27% |
| United Healthcare | Heritage Select | $559.73 | ↑ +27% |
| United Healthcare | All Other Plans | $559.73 | ↑ +27% |
| BCBS TN | Commercial Network S | $575.57 | ↑ +30% |
| BCBS TN | Commercial Network P | $575.57 | ↑ +30% |
| BCBS TN | Blue Care | $576.89 | ↑ +31% |
| Cigna | IFP | $595.27 | ↑ +35% |
| Cigna | Local Plus | $595.27 | ↑ +35% |
| Cigna | HMO | $595.27 | ↑ +35% |
| Cigna | OAP | $595.27 | ↑ +35% |
| Cigna | POS | $595.27 | ↑ +35% |
| Wellpoint | Medicaid Tenncare | $1,217.35 | ↑ +176% |
| USA Managed Care Organization | PPO | not published by hospital | — |
| National Provider Network | PPO | not published by hospital | — |
| Aetna | Commercial | not published by hospital | — |
| Ambetter | Exchange | not published by hospital | — |
| Beech Street | PPO | not published by hospital | — |
| NovaNet | Network Lease | not published by hospital | — |
| Galaxy Health Network | PPO | not published by hospital | — |
| CCN Managed Care | PPO | not published by hospital | — |
| Community Services Network | NonProfit Public Benefit | not published by hospital | — |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | not published by hospital | — |
| Direct Care America | PPO | not published by hospital | — |
| EHN | Network Lease | not published by hospital | — |
| Initial Group | PPO | not published by hospital | — |
| MedSave USA | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Gel-one at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | $414.00 | $306.31 – $1,242.00 |
| Roane County Medical Center | Harriman | $455.40 | $306.31 – $1,242.00 |
| LeConte Medical Center | Sevierville | $400.20 | $306.31 – $575.57 |
| Fort Loudoun Medical Center | Lenoir City | $455.40 | $306.31 – $1,242.00 |
| Fort Sanders Regional Medical Center | Knoxville | $455.40 | $306.31 – $575.57 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $455.40 | $306.31 – $1,242.00 |
| Morristown-Hamblen Hospital Association | Morristown | $414.00 | $306.31 – $575.57 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $646.03 – $1,399.33 |