Mayo analysis gene smn1 dosage/deletion at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$285.76
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.
$893.00
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.
$61.65 with Wellpoint vs $305.98 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 | $61.65 | ↓ -78% |
| United Healthcare | Tenncare | $76.65 | ↓ -73% |
| EHN | Network Lease | $123.30 | ↓ -57% |
| United Healthcare | Options PPO | $137.00 | ↓ -52% |
| United Healthcare | Heritage Select | $137.00 | ↓ -52% |
| United Healthcare | All Other Plans | $137.00 | ↓ -52% |
| Optum | VA CCN | $146.73 | ↓ -49% |
| Tricare | Humana Military | $146.73 | ↓ -49% |
| Humana | Medicare Advantage HMO | $151.13 | ↓ -47% |
| Humana | DSNP | $151.13 | ↓ -47% |
| United Healthcare | Community Plan DSNP | $151.13 | ↓ -47% |
| United Healthcare | Medicare Advantage | $151.13 | ↓ -47% |
| Humana | Medicare Advantage PPO | $151.13 | ↓ -47% |
| Farm Bureau | Medicare Advantage HMO | $152.60 | ↓ -47% |
| Farm Bureau | Medicare Advantage PPO | $152.60 | ↓ -47% |
| Blue Cross of TN | BlueEssential DSNP | $154.07 | ↓ -46% |
| Devoted Health | HMO | $154.07 | ↓ -46% |
| Wellcare | Medicare Advantage | $154.07 | ↓ -46% |
| United Healthcare | DSNP | $154.07 | ↓ -46% |
| Devoted Health | PPO | $154.07 | ↓ -46% |
| HealthSpring | Medicare PPO | $154.07 | ↓ -46% |
| HealthSpring | Medicare HMO POS | $154.07 | ↓ -46% |
| Aetna | Medicare Advantage | $154.07 | ↓ -46% |
| Cigna | Medicare PPO | $154.07 | ↓ -46% |
| Cigna | Medicare HMO | $154.07 | ↓ -46% |
| Wellpoint | Medicare Advantage | $154.07 | ↓ -46% |
| Blue Cross of TN | Med Adv Diamond | $154.07 | ↓ -46% |
| Blue Cross of TN | BlueEssential HMO | $154.07 | ↓ -46% |
| Blue Cross of TN | Med Adv Sapphire | $154.07 | ↓ -46% |
| Blue Cross of TN | Med Adv Ruby | $154.07 | ↓ -46% |
| Blue Cross of TN | Med Adv PPO | $154.07 | ↓ -46% |
| Cigna | Medicare HMO-POS | $154.07 | ↓ -46% |
| Wellpoint | DSNP | $154.07 | ↓ -46% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $164.40 | ↓ -42% |
| BCBS TN | Blue Care | $171.25 | ↓ -40% |
| Community Services Network | NonProfit Public Benefit | $178.10 | ↓ -38% |
| USA Managed Care Organization | PPO | $191.80 | ↓ -33% |
| NovaNet | Network Lease | $205.50 | ↓ -28% |
| Aetna | Commercial | $207.58 | ↓ -27% |
| Direct Care America | PPO | $219.20 | ↓ -23% |
| National Provider Network | PPO | $219.20 | ↓ -23% |
| MedSave USA | Commercial | $219.20 | ↓ -23% |
| CCN Managed Care | PPO | $232.90 | ↓ -18% |
| Beech Street | PPO | $232.90 | ↓ -18% |
| Initial Group | PPO | $241.12 | ↓ -16% |
| Galaxy Health Network | PPO | $246.60 | ↓ -14% |
| Ambetter | Exchange | $247.97 | ↓ -13% |
| BCBS TN | Commercial Network S | $260.30 | ↓ -9% |
| BCBS TN | Commercial Network P | $260.30 | ↓ -9% |
| Cigna | IFP | $280.27 | ↓ -2% |
| Cigna | Local Plus | $281.50 | ↓ -1% |
| Cigna | HMO | $305.98 | ↑ +7% |
| Cigna | OAP | $305.98 | ↑ +7% |
| Cigna | POS | $305.98 | ↑ +7% |
Visitor-reported prices
Comments
Mayo analysis gene smn1 dosage/deletion at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $114.77 | $111.30 – $274.00 |
| Johnson City Medical Center | JOHNSON CITY | $175.80 | $68.50 – $298.66 |
| Hancock County Hospital | SNEEDVILLE | $172.50 | $68.50 – $301.70 |
| Greeneville Community Hospital | GREENEVILLE | $175.80 | $49.32 – $298.66 |
| Bristol Regional Medical Center | BRISTOL | $175.80 | $68.50 – $328.80 |
| Franklin Woods Community Hospital | JOHNSON CITY | $175.80 | $68.50 – $298.66 |
| Holston Valley Medical Center | KINGSPORT | $175.80 | $68.50 – $328.80 |
| 62-0123940 BMH Collierville | Collierville | $104.79 | $111.30 – $274.00 |