Natriuretic peptide at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$109.44
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.
$342.00
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.
$17.67 with Wellpoint vs $212.40 with Galaxy Health Network — 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 |
|---|---|---|---|
| Wellpoint | Medicaid Tenncare | $17.67 | ↓ -84% |
| United Healthcare | Tenncare | $26.05 | ↓ -76% |
| United Healthcare | Heritage Select | $39.26 | ↓ -64% |
| United Healthcare | Options PPO | $39.26 | ↓ -64% |
| United Healthcare | All Other Plans | $39.26 | ↓ -64% |
| Optum | VA CCN | $42.05 | ↓ -62% |
| Tricare | Humana Military | $42.05 | ↓ -62% |
| Humana | DSNP | $43.31 | ↓ -60% |
| Humana | Medicare Advantage PPO | $43.31 | ↓ -60% |
| Humana | Medicare Advantage HMO | $43.31 | ↓ -60% |
| United Healthcare | Community Plan DSNP | $43.31 | ↓ -60% |
| United Healthcare | Medicare Advantage | $43.31 | ↓ -60% |
| Farm Bureau | Medicare Advantage PPO | $43.73 | ↓ -60% |
| Farm Bureau | Medicare Advantage HMO | $43.73 | ↓ -60% |
| Devoted Health | PPO | $44.15 | ↓ -60% |
| HealthSpring | Medicare PPO | $44.15 | ↓ -60% |
| HealthSpring | Medicare HMO POS | $44.15 | ↓ -60% |
| Blue Cross of TN | Med Adv Sapphire | $44.15 | ↓ -60% |
| Aetna | Medicare Advantage | $44.15 | ↓ -60% |
| Wellcare | Medicare Advantage | $44.15 | ↓ -60% |
| Blue Cross of TN | Med Adv Ruby | $44.15 | ↓ -60% |
| Devoted Health | HMO | $44.15 | ↓ -60% |
| Cigna | Medicare PPO | $44.15 | ↓ -60% |
| Cigna | Medicare HMO | $44.15 | ↓ -60% |
| Blue Cross of TN | Med Adv PPO | $44.15 | ↓ -60% |
| Blue Cross of TN | Med Adv Diamond | $44.15 | ↓ -60% |
| Blue Cross of TN | BlueEssential HMO | $44.15 | ↓ -60% |
| Blue Cross of TN | BlueEssential DSNP | $44.15 | ↓ -60% |
| United Healthcare | DSNP | $44.15 | ↓ -60% |
| Cigna | Medicare HMO-POS | $44.15 | ↓ -60% |
| Wellpoint | DSNP | $44.15 | ↓ -60% |
| Wellpoint | Medicare Advantage | $44.15 | ↓ -60% |
| BCBS TN | Blue Care | $49.08 | ↓ -55% |
| Aetna | Commercial | $59.48 | ↓ -46% |
| Ambetter | Exchange | $71.06 | ↓ -35% |
| BCBS TN | Commercial Network P | $74.59 | ↓ -32% |
| BCBS TN | Commercial Network S | $74.59 | ↓ -32% |
| Cigna | IFP | $80.47 | ↓ -26% |
| Cigna | Local Plus | $80.82 | ↓ -26% |
| Cigna | POS | $87.85 | ↓ -20% |
| Cigna | OAP | $87.85 | ↓ -20% |
| Cigna | HMO | $87.85 | ↓ -20% |
| EHN | Network Lease | $106.20 | ↓ -3% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $141.60 | ↑ +29% |
| Community Services Network | NonProfit Public Benefit | $153.40 | ↑ +40% |
| USA Managed Care Organization | PPO | $165.20 | ↑ +51% |
| NovaNet | Network Lease | $177.00 | ↑ +62% |
| Direct Care America | PPO | $188.80 | ↑ +73% |
| MedSave USA | Commercial | $188.80 | ↑ +73% |
| National Provider Network | PPO | $188.80 | ↑ +73% |
| Beech Street | PPO | $200.60 | ↑ +83% |
| CCN Managed Care | PPO | $200.60 | ↑ +83% |
| Initial Group | PPO | $207.68 | ↑ +90% |
| Galaxy Health Network | PPO | $212.40 | ↑ +94% |
Visitor-reported prices
Comments
Natriuretic peptide at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $113.60 | $14.13 – $130.95 |
| CHI Memorial Hospital Hixson | Hixson | $102.72 | $30.15 – $221.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $69.46 | $34.16 – $78.52 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $146.79 | $30.15 – $221.20 |
| Johnson City Medical Center | JOHNSON CITY | $59.40 | $19.63 – $85.59 |
| Ascension Saint Thomas DeKalb | Smithville | $113.60 | $23.80 – $130.95 |
| Ascension Saint Thomas Highlands | Sparta | $113.60 | $23.80 – $130.95 |
| Ascension Saint Thomas River Park | McMinnville | $113.60 | $23.80 – $130.95 |