Infect ag if influenza b at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$36.80
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.
$115.00
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.
$5.51 with Wellpoint vs $103.50 with Galaxy Health Network — 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 | $5.51 | ↓ -85% |
| United Healthcare | Tenncare | $9.20 | ↓ -75% |
| United Healthcare | Heritage Select | $12.25 | ↓ -67% |
| United Healthcare | Options PPO | $12.25 | ↓ -67% |
| United Healthcare | All Other Plans | $12.25 | ↓ -67% |
| Optum | VA CCN | $13.12 | ↓ -64% |
| Tricare | Humana Military | $13.12 | ↓ -64% |
| Humana | DSNP | $13.51 | ↓ -63% |
| Humana | Medicare Advantage PPO | $13.51 | ↓ -63% |
| Humana | Medicare Advantage HMO | $13.51 | ↓ -63% |
| United Healthcare | Community Plan DSNP | $13.51 | ↓ -63% |
| United Healthcare | Medicare Advantage | $13.51 | ↓ -63% |
| Farm Bureau | Medicare Advantage PPO | $13.64 | ↓ -63% |
| Farm Bureau | Medicare Advantage HMO | $13.64 | ↓ -63% |
| Devoted Health | PPO | $13.78 | ↓ -63% |
| HealthSpring | Medicare PPO | $13.78 | ↓ -63% |
| HealthSpring | Medicare HMO POS | $13.78 | ↓ -63% |
| Blue Cross of TN | Med Adv Sapphire | $13.78 | ↓ -63% |
| Aetna | Medicare Advantage | $13.78 | ↓ -63% |
| Wellcare | Medicare Advantage | $13.78 | ↓ -63% |
| Blue Cross of TN | Med Adv Ruby | $13.78 | ↓ -63% |
| Devoted Health | HMO | $13.78 | ↓ -63% |
| Cigna | Medicare PPO | $13.78 | ↓ -63% |
| Cigna | Medicare HMO | $13.78 | ↓ -63% |
| Blue Cross of TN | Med Adv PPO | $13.78 | ↓ -63% |
| Blue Cross of TN | Med Adv Diamond | $13.78 | ↓ -63% |
| Blue Cross of TN | BlueEssential HMO | $13.78 | ↓ -63% |
| Blue Cross of TN | BlueEssential DSNP | $13.78 | ↓ -63% |
| United Healthcare | DSNP | $13.78 | ↓ -63% |
| Cigna | Medicare HMO-POS | $13.78 | ↓ -63% |
| Wellpoint | DSNP | $13.78 | ↓ -63% |
| Wellpoint | Medicare Advantage | $13.78 | ↓ -63% |
| BCBS TN | Blue Care | $16.65 | ↓ -55% |
| Aetna | Commercial | $18.57 | ↓ -50% |
| Ambetter | Exchange | $22.17 | ↓ -40% |
| Cigna | IFP | $24.98 | ↓ -32% |
| Cigna | Local Plus | $25.09 | ↓ -32% |
| BCBS TN | Commercial Network S | $25.31 | ↓ -31% |
| BCBS TN | Commercial Network P | $25.31 | ↓ -31% |
| Cigna | POS | $27.28 | ↓ -26% |
| Cigna | OAP | $27.28 | ↓ -26% |
| Cigna | HMO | $27.28 | ↓ -26% |
| EHN | Network Lease | $51.75 | ↑ +41% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $69.00 | ↑ +88% |
| Community Services Network | NonProfit Public Benefit | $74.75 | ↑ +103% |
| USA Managed Care Organization | PPO | $80.50 | ↑ +119% |
| NovaNet | Network Lease | $86.25 | ↑ +134% |
| Direct Care America | PPO | $92.00 | ↑ +150% |
| MedSave USA | Commercial | $92.00 | ↑ +150% |
| National Provider Network | PPO | $92.00 | ↑ +150% |
| Beech Street | PPO | $97.75 | ↑ +166% |
| CCN Managed Care | PPO | $97.75 | ↑ +166% |
| Initial Group | PPO | $101.20 | ↑ +175% |
| Galaxy Health Network | PPO | $103.50 | ↑ +181% |
Visitor-reported prices
Comments
Infect ag if influenza b at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $10.12 | $8.50 – $26.71 |
| Greeneville Community Hospital | GREENEVILLE | $10.35 | $5.51 – $26.71 |
| Bristol Regional Medical Center | BRISTOL | $10.35 | $6.13 – $29.40 |
| Holston Valley Medical Center | KINGSPORT | $10.35 | $6.13 – $29.40 |
| 62-0123940 BMH Collierville | Collierville | $18.90 | $11.64 – $24.50 |
| 62-1138045 BMH Union City | Union City | $17.40 | $10.66 – $24.50 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $10.35 | $6.13 – $26.71 |
| Parkwest Medical Center | Knoxville | $72.45 | $5.51 – $59.40 |