Microsatellite instability at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$336.00
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.
$1,050.00
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.
$156.85 with Wellpoint vs $945.00 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 | $156.85 | ↓ -53% |
| United Healthcare | Tenncare | $222.23 | ↓ -34% |
| United Healthcare | Options PPO | $348.56 | ↑ +4% |
| United Healthcare | All Other Plans | $348.56 | ↑ +4% |
| United Healthcare | Heritage Select | $348.56 | ↑ +4% |
| Tricare | Humana Military | $373.31 | ↑ +11% |
| Optum | VA CCN | $373.31 | ↑ +11% |
| Humana | Medicare Advantage HMO | $384.51 | ↑ +14% |
| Humana | DSNP | $384.51 | ↑ +14% |
| Humana | Medicare Advantage PPO | $384.51 | ↑ +14% |
| United Healthcare | Medicare Advantage | $384.51 | ↑ +14% |
| United Healthcare | Community Plan DSNP | $384.51 | ↑ +14% |
| Farm Bureau | Medicare Advantage HMO | $388.24 | ↑ +16% |
| Farm Bureau | Medicare Advantage PPO | $388.24 | ↑ +16% |
| Wellpoint | Medicare Advantage | $391.98 | ↑ +17% |
| Devoted Health | HMO | $391.98 | ↑ +17% |
| Wellcare | Medicare Advantage | $391.98 | ↑ +17% |
| United Healthcare | DSNP | $391.98 | ↑ +17% |
| Devoted Health | PPO | $391.98 | ↑ +17% |
| HealthSpring | Medicare PPO | $391.98 | ↑ +17% |
| HealthSpring | Medicare HMO POS | $391.98 | ↑ +17% |
| Aetna | Medicare Advantage | $391.98 | ↑ +17% |
| Cigna | Medicare PPO | $391.98 | ↑ +17% |
| Cigna | Medicare HMO | $391.98 | ↑ +17% |
| Cigna | Medicare HMO-POS | $391.98 | ↑ +17% |
| Wellpoint | DSNP | $391.98 | ↑ +17% |
| Blue Cross of TN | Med Adv Ruby | $391.98 | ↑ +17% |
| Blue Cross of TN | Med Adv Sapphire | $391.98 | ↑ +17% |
| Blue Cross of TN | BlueEssential DSNP | $391.98 | ↑ +17% |
| Blue Cross of TN | BlueEssential HMO | $391.98 | ↑ +17% |
| Blue Cross of TN | Med Adv Diamond | $391.98 | ↑ +17% |
| Blue Cross of TN | Med Adv PPO | $391.98 | ↑ +17% |
| BCBS TN | Blue Care | $435.70 | ↑ +30% |
| EHN | Network Lease | $472.50 | ↑ +41% |
| Aetna | Commercial | $528.13 | ↑ +57% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $630.00 | ↑ +88% |
| Ambetter | Exchange | $630.89 | ↑ +88% |
| BCBS TN | Commercial Network P | $662.26 | ↑ +97% |
| BCBS TN | Commercial Network S | $662.26 | ↑ +97% |
| Community Services Network | NonProfit Public Benefit | $682.50 | ↑ +103% |
| Cigna | IFP | $713.88 | ↑ +112% |
| Cigna | Local Plus | $717.00 | ↑ +113% |
| USA Managed Care Organization | PPO | $735.00 | ↑ +119% |
| Cigna | HMO | $779.35 | ↑ +132% |
| Cigna | OAP | $779.35 | ↑ +132% |
| Cigna | POS | $779.35 | ↑ +132% |
| NovaNet | Network Lease | $787.50 | ↑ +134% |
| National Provider Network | PPO | $840.00 | ↑ +150% |
| Direct Care America | PPO | $840.00 | ↑ +150% |
| MedSave USA | Commercial | $840.00 | ↑ +150% |
| Beech Street | PPO | $892.50 | ↑ +166% |
| CCN Managed Care | PPO | $892.50 | ↑ +166% |
| Initial Group | PPO | $924.00 | ↑ +175% |
| Galaxy Health Network | PPO | $945.00 | ↑ +181% |
Visitor-reported prices
Comments
Microsatellite instability at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $507.00 | $167.53 – $759.86 |
| Hancock County Hospital | SNEEDVILLE | $497.49 | $187.24 – $767.97 |
| Greeneville Community Hospital | GREENEVILLE | $507.00 | $142.21 – $759.86 |
| Bristol Regional Medical Center | BRISTOL | $507.00 | $170.32 – $836.54 |
| Franklin Woods Community Hospital | JOHNSON CITY | $507.00 | $174.28 – $759.86 |
| Holston Valley Medical Center | KINGSPORT | $507.00 | $165.36 – $836.54 |
| 62-0123940 BMH Collierville | Collierville | $178.71 | $190.92 – $697.12 |
| Indian Path Community Hospital | KINGSPORT | $507.00 | $159.97 – $836.54 |