Insertion subcutaneous cardiac rhythm monitor at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$2,935.68
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.
$9,174.00
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.
$1,155.00 with BCBS TN vs $15,284.00 with United Healthcare — 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 |
|---|---|---|---|
| BCBS TN | Blue Care | $1,155.00 | ↓ -61% |
| Aetna | Commercial | $1,349.71 | ↓ -54% |
| Ambetter | Exchange | $2,009.00 | ↓ -32% |
| Cigna | IFP | $2,372.00 | ↓ -19% |
| Cigna | Local Plus | $2,857.00 | ↓ -3% |
| Cigna | HMO | $3,419.00 | ↑ +16% |
| Cigna | POS | $3,419.00 | ↑ +16% |
| Cigna | OAP | $3,419.00 | ↑ +16% |
| EHN | Network Lease | $4,128.30 | ↑ +41% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $5,504.40 | ↑ +88% |
| Community Services Network | NonProfit Public Benefit | $5,963.10 | ↑ +103% |
| United Healthcare | Tenncare | $6,011.00 | ↑ +105% |
| USA Managed Care Organization | PPO | $6,421.80 | ↑ +119% |
| NovaNet | Network Lease | $6,880.50 | ↑ +134% |
| BCBS TN | Commercial Network P | $7,191.00 | ↑ +145% |
| BCBS TN | Commercial Network S | $7,191.00 | ↑ +145% |
| Direct Care America | PPO | $7,339.20 | ↑ +150% |
| National Provider Network | PPO | $7,339.20 | ↑ +150% |
| MedSave USA | Commercial | $7,339.20 | ↑ +150% |
| CCN Managed Care | PPO | $7,797.90 | ↑ +166% |
| Beech Street | PPO | $7,797.90 | ↑ +166% |
| Tricare | Humana Military | $8,041.12 | ↑ +174% |
| Optum | VA CCN | $8,041.12 | ↑ +174% |
| Initial Group | PPO | $8,073.12 | ↑ +175% |
| Galaxy Health Network | PPO | $8,256.60 | ↑ +181% |
| United Healthcare | Community Plan DSNP | $8,282.35 | ↑ +182% |
| Humana | DSNP | $8,282.35 | ↑ +182% |
| United Healthcare | Medicare Advantage | $8,282.35 | ↑ +182% |
| Humana | Medicare Advantage HMO | $8,282.35 | ↑ +182% |
| Humana | Medicare Advantage PPO | $8,282.35 | ↑ +182% |
| Farm Bureau | Medicare Advantage PPO | $8,362.76 | ↑ +185% |
| Farm Bureau | Medicare Advantage HMO | $8,362.76 | ↑ +185% |
| Wellpoint | Medicaid Tenncare | $8,400.00 | ↑ +186% |
| Blue Cross of TN | Med Adv Sapphire | $8,443.18 | ↑ +188% |
| Devoted Health | PPO | $8,443.18 | ↑ +188% |
| Wellcare | Medicare Advantage | $8,443.18 | ↑ +188% |
| Aetna | Medicare Advantage | $8,443.18 | ↑ +188% |
| HealthSpring | Medicare HMO POS | $8,443.18 | ↑ +188% |
| Cigna | Medicare PPO | $8,443.18 | ↑ +188% |
| Cigna | Medicare HMO | $8,443.18 | ↑ +188% |
| HealthSpring | Medicare PPO | $8,443.18 | ↑ +188% |
| Cigna | Medicare HMO-POS | $8,443.18 | ↑ +188% |
| Wellpoint | DSNP | $8,443.18 | ↑ +188% |
| Wellpoint | Medicare Advantage | $8,443.18 | ↑ +188% |
| United Healthcare | DSNP | $8,443.18 | ↑ +188% |
| Blue Cross of TN | BlueEssential DSNP | $8,443.18 | ↑ +188% |
| Blue Cross of TN | BlueEssential HMO | $8,443.18 | ↑ +188% |
| Blue Cross of TN | Med Adv Diamond | $8,443.18 | ↑ +188% |
| Blue Cross of TN | Med Adv PPO | $8,443.18 | ↑ +188% |
| Blue Cross of TN | Med Adv Ruby | $8,443.18 | ↑ +188% |
| Devoted Health | HMO | $8,443.18 | ↑ +188% |
| United Healthcare | All Other Plans | $10,648.00 | ↑ +263% |
| United Healthcare | Heritage Select | $12,523.00 | ↑ +327% |
| United Healthcare | Options PPO | $15,284.00 | ↑ +421% |
Visitor-reported prices
Comments
Insertion subcutaneous cardiac rhythm monitor at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $3,523.34 | $2,118.00 – $14,894.00 |
| CHI Memorial Hospital Hixson | Hixson | $5,713.10 | $3,860.20 – $13,510.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $5,735.74 | $2,685.00 – $15,113.92 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $8,164.33 | $4,053.21 – $13,510.70 |
| Johnson City Medical Center | JOHNSON CITY | $4,215.15 | $1,279.00 – $16,834.22 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $3,523.34 | $2,118.00 – $2,225.50 |
| Greeneville Community Hospital | GREENEVILLE | $4,215.15 | $1,571.00 – $16,834.22 |
| Bristol Regional Medical Center | BRISTOL | $4,215.15 | $1,571.00 – $18,841.11 |