Inject sacroiliac joint at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$692.48
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.
$2,164.00
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.
$144.00 with Cigna vs $2,945.00 with BCBS TN — 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 |
|---|---|---|---|
| Cigna | IFP | $144.00 | ↓ -79% |
| Cigna | Local Plus | $145.00 | ↓ -79% |
| Cigna | POS | $169.00 | ↓ -76% |
| Cigna | HMO | $169.00 | ↓ -76% |
| Cigna | OAP | $169.00 | ↓ -76% |
| United Healthcare | Tenncare | $303.00 | ↓ -56% |
| Wellpoint | Medicaid Tenncare | $307.90 | ↓ -56% |
| United Healthcare | All Other Plans | $433.00 | ↓ -37% |
| EHN | Network Lease | $486.90 | ↓ -30% |
| United Healthcare | Heritage Select | $509.00 | ↓ -26% |
| United Healthcare | Options PPO | $623.00 | ↓ -10% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $649.20 | ↓ -6% |
| Community Services Network | NonProfit Public Benefit | $703.30 | ↑ +2% |
| USA Managed Care Organization | PPO | $757.40 | ↑ +9% |
| NovaNet | Network Lease | $811.50 | ↑ +17% |
| National Provider Network | PPO | $865.60 | ↑ +25% |
| Direct Care America | PPO | $865.60 | ↑ +25% |
| MedSave USA | Commercial | $865.60 | ↑ +25% |
| CCN Managed Care | PPO | $919.70 | ↑ +33% |
| Beech Street | PPO | $919.70 | ↑ +33% |
| Initial Group | PPO | $952.16 | ↑ +38% |
| Galaxy Health Network | PPO | $973.80 | ↑ +41% |
| BCBS TN | Blue Care | $1,155.00 | ↑ +67% |
| Aetna | Commercial | $1,349.71 | ↑ +95% |
| Ambetter | Exchange | $2,009.00 | ↑ +190% |
| BCBS TN | Commercial Network S | $2,945.00 | ↑ +325% |
| BCBS TN | Commercial Network P | $2,945.00 | ↑ +325% |
Visitor-reported prices
Comments
Inject sacroiliac joint at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $342.93 | $74.50 – $1,854.00 |
| Johnson City Medical Center | JOHNSON CITY | $342.15 | $393.75 – $588.69 |
| Greeneville Community Hospital | GREENEVILLE | $342.15 | $393.75 – $614.23 |
| Bristol Regional Medical Center | BRISTOL | $342.15 | $162.34 – $586.64 |
| Franklin Woods Community Hospital | JOHNSON CITY | $342.15 | $393.75 – $638.80 |
| Holston Valley Medical Center | KINGSPORT | $342.15 | $162.34 – $586.64 |
| Indian Path Community Hospital | KINGSPORT | $342.15 | $162.34 – $562.12 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $342.15 | $162.34 – $644.94 |