Plmt nephroureteral catheter at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$2,338.56
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.
$7,308.00
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.
$1,354.00 with United Healthcare vs $5,397.00 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $1,354.00 | ↓ -42% |
| BCBS TN | Blue Care | $1,575.00 | ↓ -33% |
| EHN | Network Lease | $1,644.30 | ↓ -30% |
| Aetna | Commercial | $1,808.27 | ↓ -23% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $2,192.40 | ↓ -6% |
| Wellpoint | Medicaid Tenncare | $2,328.05 | ↓ -0% |
| Community Services Network | NonProfit Public Benefit | $2,375.10 | ↑ +2% |
| USA Managed Care Organization | PPO | $2,557.80 | ↑ +9% |
| NovaNet | Network Lease | $2,740.50 | ↑ +17% |
| National Provider Network | PPO | $2,923.20 | ↑ +25% |
| Direct Care America | PPO | $2,923.20 | ↑ +25% |
| MedSave USA | Commercial | $2,923.20 | ↑ +25% |
| United Healthcare | All Other Plans | $2,930.00 | ↑ +25% |
| Beech Street | PPO | $3,105.90 | ↑ +33% |
| CCN Managed Care | PPO | $3,105.90 | ↑ +33% |
| Initial Group | PPO | $3,215.52 | ↑ +38% |
| Galaxy Health Network | PPO | $3,288.60 | ↑ +41% |
| Optum | VA CCN | $3,425.19 | ↑ +46% |
| Tricare | Humana Military | $3,425.19 | ↑ +46% |
| United Healthcare | Heritage Select | $3,446.00 | ↑ +47% |
| United Healthcare | Medicare Advantage | $3,527.95 | ↑ +51% |
| Humana | Medicare Advantage HMO | $3,527.95 | ↑ +51% |
| United Healthcare | Community Plan DSNP | $3,527.95 | ↑ +51% |
| Humana | DSNP | $3,527.95 | ↑ +51% |
| Humana | Medicare Advantage PPO | $3,527.95 | ↑ +51% |
| Farm Bureau | Medicare Advantage PPO | $3,562.20 | ↑ +52% |
| Farm Bureau | Medicare Advantage HMO | $3,562.20 | ↑ +52% |
| HealthSpring | Medicare PPO | $3,596.45 | ↑ +54% |
| Devoted Health | PPO | $3,596.45 | ↑ +54% |
| Cigna | Medicare PPO | $3,596.45 | ↑ +54% |
| Cigna | Medicare HMO | $3,596.45 | ↑ +54% |
| Cigna | Medicare HMO-POS | $3,596.45 | ↑ +54% |
| Wellpoint | DSNP | $3,596.45 | ↑ +54% |
| Wellpoint | Medicare Advantage | $3,596.45 | ↑ +54% |
| Blue Cross of TN | Med Adv Diamond | $3,596.45 | ↑ +54% |
| Blue Cross of TN | Med Adv PPO | $3,596.45 | ↑ +54% |
| Blue Cross of TN | Med Adv Ruby | $3,596.45 | ↑ +54% |
| Blue Cross of TN | Med Adv Sapphire | $3,596.45 | ↑ +54% |
| Devoted Health | HMO | $3,596.45 | ↑ +54% |
| United Healthcare | DSNP | $3,596.45 | ↑ +54% |
| HealthSpring | Medicare HMO POS | $3,596.45 | ↑ +54% |
| Wellcare | Medicare Advantage | $3,596.45 | ↑ +54% |
| Aetna | Medicare Advantage | $3,596.45 | ↑ +54% |
| Blue Cross of TN | BlueEssential DSNP | $3,596.45 | ↑ +54% |
| Blue Cross of TN | BlueEssential HMO | $3,596.45 | ↑ +54% |
| Cigna | IFP | $3,744.00 | ↑ +60% |
| Ambetter | Exchange | $3,915.00 | ↑ +67% |
| United Healthcare | Options PPO | $4,209.00 | ↑ +80% |
| BCBS TN | Commercial Network S | $4,238.00 | ↑ +81% |
| BCBS TN | Commercial Network P | $4,238.00 | ↑ +81% |
| Cigna | Local Plus | $4,588.00 | ↑ +96% |
| Cigna | POS | $5,397.00 | ↑ +131% |
| Cigna | OAP | $5,397.00 | ↑ +131% |
| Cigna | HMO | $5,397.00 | ↑ +131% |
Visitor-reported prices
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Plmt nephroureteral catheter at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $2,604.77 | $2,543.00 – $2,965.00 |
| CHI Memorial Hospital Hixson | Hixson | $2,115.22 | $1,429.20 – $5,002.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,022.76 | $1,500.66 – $5,002.20 |
| Johnson City Medical Center | JOHNSON CITY | $2,296.05 | $2,561.64 – $7,170.70 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $2,604.77 | $2,836.50 – $2,981.50 |
| Greeneville Community Hospital | GREENEVILLE | $2,296.05 | $2,290.69 – $7,170.70 |
| Bristol Regional Medical Center | BRISTOL | $2,296.05 | $3,343.98 – $8,025.55 |
| Franklin Woods Community Hospital | JOHNSON CITY | $2,296.05 | $2,252.81 – $6,977.09 |