Pretreat rbc w chem/drugs reference at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$60.80
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.
$190.00
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.
$15.88 with United Healthcare vs $75.60 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 | $15.88 | ↓ -74% |
| Wellpoint | Medicaid Tenncare | $33.38 | ↓ -45% |
| United Healthcare | Heritage Select | $33.43 | ↓ -45% |
| United Healthcare | Options PPO | $33.43 | ↓ -45% |
| United Healthcare | All Other Plans | $33.43 | ↓ -45% |
| BCBS TN | Blue Care | $34.50 | ↓ -43% |
| EHN | Network Lease | $37.80 | ↓ -38% |
| Aetna | Commercial | $41.03 | ↓ -33% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $50.40 | ↓ -17% |
| BCBS TN | Commercial Network S | $52.44 | ↓ -14% |
| BCBS TN | Commercial Network P | $52.44 | ↓ -14% |
| Community Services Network | NonProfit Public Benefit | $54.60 | ↓ -10% |
| Optum | VA CCN | $57.32 | ↓ -6% |
| Tricare | Humana Military | $57.32 | ↓ -6% |
| Cigna | IFP | $58.28 | ↓ -4% |
| Cigna | Local Plus | $58.54 | ↓ -4% |
| USA Managed Care Organization | PPO | $58.80 | ↓ -3% |
| United Healthcare | Community Plan DSNP | $59.04 | ↓ -3% |
| Humana | Medicare Advantage HMO | $59.04 | ↓ -3% |
| Humana | DSNP | $59.04 | ↓ -3% |
| Humana | Medicare Advantage PPO | $59.04 | ↓ -3% |
| United Healthcare | Medicare Advantage | $59.04 | ↓ -3% |
| Farm Bureau | Medicare Advantage HMO | $59.61 | ↓ -2% |
| Farm Bureau | Medicare Advantage PPO | $59.61 | ↓ -2% |
| United Healthcare | DSNP | $60.19 | ↓ -1% |
| Devoted Health | HMO | $60.19 | ↓ -1% |
| Wellcare | Medicare Advantage | $60.19 | ↓ -1% |
| Devoted Health | PPO | $60.19 | ↓ -1% |
| HealthSpring | Medicare PPO | $60.19 | ↓ -1% |
| HealthSpring | Medicare HMO POS | $60.19 | ↓ -1% |
| Aetna | Medicare Advantage | $60.19 | ↓ -1% |
| Cigna | Medicare PPO | $60.19 | ↓ -1% |
| Cigna | Medicare HMO | $60.19 | ↓ -1% |
| Cigna | Medicare HMO-POS | $60.19 | ↓ -1% |
| Wellpoint | DSNP | $60.19 | ↓ -1% |
| Wellpoint | Medicare Advantage | $60.19 | ↓ -1% |
| Blue Cross of TN | BlueEssential DSNP | $60.19 | ↓ -1% |
| Blue Cross of TN | BlueEssential HMO | $60.19 | ↓ -1% |
| Blue Cross of TN | Med Adv Diamond | $60.19 | ↓ -1% |
| Blue Cross of TN | Med Adv PPO | $60.19 | ↓ -1% |
| Blue Cross of TN | Med Adv Ruby | $60.19 | ↓ -1% |
| Blue Cross of TN | Med Adv Sapphire | $60.19 | ↓ -1% |
| NovaNet | Network Lease | $63.00 | ↑ +4% |
| Cigna | HMO | $63.63 | ↑ +5% |
| Cigna | OAP | $63.63 | ↑ +5% |
| Cigna | POS | $63.63 | ↑ +5% |
| National Provider Network | PPO | $67.20 | ↑ +11% |
| Direct Care America | PPO | $67.20 | ↑ +11% |
| MedSave USA | Commercial | $67.20 | ↑ +11% |
| CCN Managed Care | PPO | $71.40 | ↑ +17% |
| Beech Street | PPO | $71.40 | ↑ +17% |
| Initial Group | PPO | $73.92 | ↑ +22% |
| Galaxy Health Network | PPO | $75.60 | ↑ +24% |
Visitor-reported prices
Comments
Pretreat rbc w chem/drugs reference at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $91.73 | $0.90 – $97.06 |
| CHI Memorial Hospital Hixson | Hixson | $29.60 | $1.34 – $70.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $42.30 | $1.34 – $70.00 |
| Johnson City Medical Center | JOHNSON CITY | $91.65 | $1.04 – $120.01 |
| Ascension Saint Thomas DeKalb | Smithville | $91.73 | $0.90 – $97.06 |
| Ascension Saint Thomas Highlands | Sparta | $91.73 | $0.90 – $97.06 |
| Ascension Saint Thomas River Park | McMinnville | $91.73 | $1.34 – $97.06 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $91.73 | $0.90 – $97.06 |