Herpes simplex virus isolation at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$42.56
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.
$133.00
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.
$15.24 with Wellpoint vs $119.70 with Galaxy Health Network — 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 |
|---|---|---|---|
| Wellpoint | Medicaid Tenncare | $15.24 | ↓ -64% |
| United Healthcare | Tenncare | $25.99 | ↓ -39% |
| United Healthcare | Heritage Select | $33.86 | ↓ -20% |
| United Healthcare | Options PPO | $33.86 | ↓ -20% |
| United Healthcare | All Other Plans | $33.86 | ↓ -20% |
| Optum | VA CCN | $36.26 | ↓ -15% |
| Tricare | Humana Military | $36.26 | ↓ -15% |
| Humana | DSNP | $37.35 | ↓ -12% |
| Humana | Medicare Advantage PPO | $37.35 | ↓ -12% |
| Humana | Medicare Advantage HMO | $37.35 | ↓ -12% |
| United Healthcare | Community Plan DSNP | $37.35 | ↓ -12% |
| United Healthcare | Medicare Advantage | $37.35 | ↓ -12% |
| Farm Bureau | Medicare Advantage PPO | $37.71 | ↓ -11% |
| Farm Bureau | Medicare Advantage HMO | $37.71 | ↓ -11% |
| Devoted Health | PPO | $38.07 | ↓ -11% |
| HealthSpring | Medicare PPO | $38.07 | ↓ -11% |
| HealthSpring | Medicare HMO POS | $38.07 | ↓ -11% |
| Blue Cross of TN | Med Adv Sapphire | $38.07 | ↓ -11% |
| Aetna | Medicare Advantage | $38.07 | ↓ -11% |
| Wellcare | Medicare Advantage | $38.07 | ↓ -11% |
| Blue Cross of TN | Med Adv Ruby | $38.07 | ↓ -11% |
| Devoted Health | HMO | $38.07 | ↓ -11% |
| Cigna | Medicare PPO | $38.07 | ↓ -11% |
| Cigna | Medicare HMO | $38.07 | ↓ -11% |
| Blue Cross of TN | Med Adv PPO | $38.07 | ↓ -11% |
| Blue Cross of TN | Med Adv Diamond | $38.07 | ↓ -11% |
| Blue Cross of TN | BlueEssential HMO | $38.07 | ↓ -11% |
| Blue Cross of TN | BlueEssential DSNP | $38.07 | ↓ -11% |
| United Healthcare | DSNP | $38.07 | ↓ -11% |
| Cigna | Medicare HMO-POS | $38.07 | ↓ -11% |
| Wellpoint | DSNP | $38.07 | ↓ -11% |
| Wellpoint | Medicare Advantage | $38.07 | ↓ -11% |
| BCBS TN | Blue Care | $47.03 | ↑ +11% |
| Aetna | Commercial | $51.30 | ↑ +21% |
| EHN | Network Lease | $59.85 | ↑ +41% |
| Ambetter | Exchange | $61.29 | ↑ +44% |
| Cigna | IFP | $69.39 | ↑ +63% |
| Cigna | Local Plus | $69.69 | ↑ +64% |
| BCBS TN | Commercial Network P | $71.48 | ↑ +68% |
| BCBS TN | Commercial Network S | $71.48 | ↑ +68% |
| Cigna | POS | $75.75 | ↑ +78% |
| Cigna | OAP | $75.75 | ↑ +78% |
| Cigna | HMO | $75.75 | ↑ +78% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $79.80 | ↑ +88% |
| Community Services Network | NonProfit Public Benefit | $86.45 | ↑ +103% |
| USA Managed Care Organization | PPO | $93.10 | ↑ +119% |
| NovaNet | Network Lease | $99.75 | ↑ +134% |
| Direct Care America | PPO | $106.40 | ↑ +150% |
| MedSave USA | Commercial | $106.40 | ↑ +150% |
| National Provider Network | PPO | $106.40 | ↑ +150% |
| Beech Street | PPO | $113.05 | ↑ +166% |
| CCN Managed Care | PPO | $113.05 | ↑ +166% |
| Initial Group | PPO | $117.04 | ↑ +175% |
| Galaxy Health Network | PPO | $119.70 | ↑ +181% |
Visitor-reported prices
Comments
Herpes simplex virus isolation at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $28.53 | $12.19 – $130.95 |
| CHI Memorial Hospital Hixson | Hixson | $39.96 | $30.08 – $94.50 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $57.11 | $28.35 – $94.50 |
| Johnson City Medical Center | JOHNSON CITY | $30.75 | $16.93 – $73.81 |
| Ascension Saint Thomas DeKalb | Smithville | $28.53 | $23.75 – $130.95 |
| Ascension Saint Thomas Highlands | Sparta | $28.53 | $23.75 – $130.95 |
| Ascension Saint Thomas River Park | McMinnville | $28.53 | $23.75 – $130.95 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $28.53 | $30.47 – $130.95 |