Prcrd drg 6+yr without anomly at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$677.76
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.
$2,118.00
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.
$882.00 with United Healthcare vs $9,765.00 with Aetna — 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 | $882.00 | ↑ +30% |
| EHN | Network Lease | $953.10 | ↑ +41% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $1,270.80 | ↑ +88% |
| Community Services Network | NonProfit Public Benefit | $1,376.70 | ↑ +103% |
| USA Managed Care Organization | PPO | $1,482.60 | ↑ +119% |
| BCBS TN | Blue Care | $1,575.00 | ↑ +132% |
| Wellpoint | Medicaid Tenncare | $1,587.60 | ↑ +134% |
| NovaNet | Network Lease | $1,588.50 | ↑ +134% |
| MedSave USA | Commercial | $1,694.40 | ↑ +150% |
| Direct Care America | PPO | $1,694.40 | ↑ +150% |
| National Provider Network | PPO | $1,694.40 | ↑ +150% |
| CCN Managed Care | PPO | $1,800.30 | ↑ +166% |
| Beech Street | PPO | $1,800.30 | ↑ +166% |
| Initial Group | PPO | $1,863.84 | ↑ +175% |
| Galaxy Health Network | PPO | $1,906.20 | ↑ +181% |
| Ambetter | Exchange | $2,009.00 | ↑ +196% |
| United Healthcare | All Other Plans | $2,238.00 | ↑ +230% |
| Cigna | IFP | $2,372.00 | ↑ +250% |
| United Healthcare | Heritage Select | $2,631.00 | ↑ +288% |
| Cigna | Local Plus | $2,857.00 | ↑ +322% |
| BCBS TN | Commercial Network P | $2,945.00 | ↑ +335% |
| BCBS TN | Commercial Network S | $2,945.00 | ↑ +335% |
| United Healthcare | Options PPO | $3,209.00 | ↑ +373% |
| Cigna | POS | $3,419.00 | ↑ +404% |
| Cigna | OAP | $3,419.00 | ↑ +404% |
| Cigna | HMO | $3,419.00 | ↑ +404% |
| Aetna | Commercial | $9,765.00 | ↑ +1341% |
Visitor-reported prices
Comments
Prcrd drg 6+yr without anomly at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $550.74 | $461.72 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | $2,177.97 | $1,471.60 – $5,150.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,112.44 | $1,545.18 – $5,150.60 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $530.72 | $461.72 – $2,225.50 |
| Greeneville Community Hospital | GREENEVILLE | $913.65 | $1,390.68 – $1,390.68 |
| Bristol Regional Medical Center | BRISTOL | $913.65 | $1,302.89 – $1,328.19 |
| Holston Valley Medical Center | KINGSPORT | $913.65 | $1,264.94 – $1,328.19 |
| 62-0123940 BMH Collierville | Collierville | $524.58 | $249.48 – $249.48 |