Infect ag na orthopoxvirus amp prb each at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
not published by hospital
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.
$0.01
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.
$23.09 with Wellpoint vs $114.38 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 | $23.09 | — |
| United Healthcare | Tenncare | $28.63 | — |
| United Healthcare | Heritage Select | $51.17 | — |
| United Healthcare | All Other Plans | $51.17 | — |
| United Healthcare | Options PPO | $51.17 | — |
| Tricare | Humana Military | $54.95 | — |
| Optum | VA CCN | $54.95 | — |
| United Healthcare | Community Plan DSNP | $56.60 | — |
| Humana | Medicare Advantage HMO | $56.60 | — |
| Humana | Medicare Advantage PPO | $56.60 | — |
| United Healthcare | Medicare Advantage | $56.60 | — |
| Humana | DSNP | $56.60 | — |
| Farm Bureau | Medicare Advantage HMO | $57.15 | — |
| Farm Bureau | Medicare Advantage PPO | $57.15 | — |
| BCBS TN | Blue Care | $57.19 | — |
| Devoted Health | HMO | $57.70 | — |
| Blue Cross of TN | BlueEssential DSNP | $57.70 | — |
| Blue Cross of TN | BlueEssential HMO | $57.70 | — |
| Blue Cross of TN | Med Adv Diamond | $57.70 | — |
| Blue Cross of TN | Med Adv PPO | $57.70 | — |
| Blue Cross of TN | Med Adv Ruby | $57.70 | — |
| Blue Cross of TN | Med Adv Sapphire | $57.70 | — |
| Wellcare | Medicare Advantage | $57.70 | — |
| HealthSpring | Medicare HMO POS | $57.70 | — |
| Aetna | Medicare Advantage | $57.70 | — |
| HealthSpring | Medicare PPO | $57.70 | — |
| Cigna | Medicare PPO | $57.70 | — |
| Cigna | Medicare HMO | $57.70 | — |
| Cigna | Medicare HMO-POS | $57.70 | — |
| Wellpoint | DSNP | $57.70 | — |
| Wellpoint | Medicare Advantage | $57.70 | — |
| United Healthcare | DSNP | $57.70 | — |
| Devoted Health | PPO | $57.70 | — |
| BCBS TN | Commercial Network S | $86.93 | — |
| BCBS TN | Commercial Network P | $86.93 | — |
| Aetna | Commercial | $99.67 | — |
| Cigna | IFP | $104.77 | — |
| Cigna | Local Plus | $105.23 | — |
| Cigna | HMO | $114.38 | — |
| Cigna | OAP | $114.38 | — |
| Cigna | POS | $114.38 | — |
Visitor-reported prices
Comments
Infect ag na orthopoxvirus amp prb each at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $141.99 | $46.05 – $96.98 |
| CHI Memorial Hospital Hixson | Hixson | $51.80 | $35.00 – $122.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $27.14 | $37.17 – $102.62 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $74.03 | $36.75 – $122.50 |
| Johnson City Medical Center | JOHNSON CITY | $15.00 | $25.66 – $111.86 |
| Ascension Saint Thomas DeKalb | Smithville | $141.99 | $46.05 – $96.98 |
| Ascension Saint Thomas Highlands | Sparta | $141.99 | $46.05 – $96.98 |
| Ascension Saint Thomas River Park | McMinnville | $141.99 | $46.05 – $96.98 |