MRI breast without cont bi at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$505.60
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.
$1,580.00
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.
$129.00 with United Healthcare vs $1,422.00 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $129.00 | ↓ -74% |
| BCBS TN | Blue Care | $199.94 | ↓ -60% |
| Optum | VA CCN | $231.85 | ↓ -54% |
| Tricare | Humana Military | $231.85 | ↓ -54% |
| Wellpoint | Medicaid Tenncare | $232.72 | ↓ -54% |
| United Healthcare | Community Plan DSNP | $238.81 | ↓ -53% |
| United Healthcare | Medicare Advantage | $238.81 | ↓ -53% |
| Humana | Medicare Advantage HMO | $238.81 | ↓ -53% |
| Humana | DSNP | $238.81 | ↓ -53% |
| Humana | Medicare Advantage PPO | $238.81 | ↓ -53% |
| Farm Bureau | Medicare Advantage PPO | $241.12 | ↓ -52% |
| Farm Bureau | Medicare Advantage HMO | $241.12 | ↓ -52% |
| Blue Cross of TN | BlueEssential HMO | $243.44 | ↓ -52% |
| Cigna | Medicare PPO | $243.44 | ↓ -52% |
| Cigna | Medicare HMO | $243.44 | ↓ -52% |
| Blue Cross of TN | BlueEssential DSNP | $243.44 | ↓ -52% |
| Wellpoint | Medicare Advantage | $243.44 | ↓ -52% |
| Wellpoint | DSNP | $243.44 | ↓ -52% |
| Cigna | Medicare HMO-POS | $243.44 | ↓ -52% |
| Devoted Health | HMO | $243.44 | ↓ -52% |
| Wellcare | Medicare Advantage | $243.44 | ↓ -52% |
| United Healthcare | DSNP | $243.44 | ↓ -52% |
| Blue Cross of TN | Med Adv Sapphire | $243.44 | ↓ -52% |
| Blue Cross of TN | Med Adv Ruby | $243.44 | ↓ -52% |
| Blue Cross of TN | Med Adv PPO | $243.44 | ↓ -52% |
| Devoted Health | PPO | $243.44 | ↓ -52% |
| HealthSpring | Medicare PPO | $243.44 | ↓ -52% |
| HealthSpring | Medicare HMO POS | $243.44 | ↓ -52% |
| Blue Cross of TN | Med Adv Diamond | $243.44 | ↓ -52% |
| Aetna | Medicare Advantage | $243.44 | ↓ -52% |
| Aetna | Commercial | $248.29 | ↓ -51% |
| Cigna | OAP | $472.00 | ↓ -7% |
| Cigna | Local Plus | $472.00 | ↓ -7% |
| Cigna | POS | $472.00 | ↓ -7% |
| Cigna | HMO | $472.00 | ↓ -7% |
| United Healthcare | Options PPO | $477.73 | ↓ -6% |
| United Healthcare | All Other Plans | $477.73 | ↓ -6% |
| United Healthcare | Heritage Select | $477.73 | ↓ -6% |
| Cigna | IFP | $482.00 | ↓ -5% |
| EHN | Network Lease | $711.00 | ↑ +41% |
| Ambetter | Exchange | $720.47 | ↑ +42% |
| BCBS TN | Commercial Network S | $864.00 | ↑ +71% |
| BCBS TN | Commercial Network P | $864.00 | ↑ +71% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $948.00 | ↑ +88% |
| Community Services Network | NonProfit Public Benefit | $1,027.00 | ↑ +103% |
| USA Managed Care Organization | PPO | $1,106.00 | ↑ +119% |
| NovaNet | Network Lease | $1,185.00 | ↑ +134% |
| Direct Care America | PPO | $1,264.00 | ↑ +150% |
| MedSave USA | Commercial | $1,264.00 | ↑ +150% |
| National Provider Network | PPO | $1,264.00 | ↑ +150% |
| Beech Street | PPO | $1,343.00 | ↑ +166% |
| CCN Managed Care | PPO | $1,343.00 | ↑ +166% |
| Initial Group | PPO | $1,390.40 | ↑ +175% |
| Galaxy Health Network | PPO | $1,422.00 | ↑ +181% |
Visitor-reported prices
Comments
MRI breast without cont bi at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $376.81 | $150.50 – $2,459.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $538.48 | $150.50 – $2,459.00 |
| Johnson City Medical Center | JOHNSON CITY | $668.55 | $150.74 – $485.38 |
| Greeneville Community Hospital | GREENEVILLE | $668.55 | $83.00 – $485.38 |
| Bristol Regional Medical Center | BRISTOL | $668.55 | $138.34 – $543.24 |
| Franklin Woods Community Hospital | JOHNSON CITY | $668.55 | $183.23 – $472.27 |
| Holston Valley Medical Center | KINGSPORT | $668.55 | $138.34 – $543.24 |
| 62-0123940 BMH Collierville | Collierville | $924.84 | $129.95 – $442.68 |