Ring fx reform 11-13x17mm at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$210.24
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.
$657.00
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.
$132.30 with BCBS TN vs $567.00 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 |
|---|---|---|---|
| BCBS TN | Blue Care | $132.30 | ↓ -37% |
| Aetna | Commercial | $138.60 | ↓ -34% |
| United Healthcare | All Other Plans | $176.40 | ↓ -16% |
| United Healthcare | Heritage Select | $176.40 | ↓ -16% |
| United Healthcare | Options PPO | $189.00 | ↓ -10% |
| Cigna | IFP | $267.75 | ↑ +27% |
| EHN | Network Lease | $283.50 | ↑ +35% |
| Cigna | HMO | $315.00 | ↑ +50% |
| Cigna | OAP | $315.00 | ↑ +50% |
| Cigna | POS | $315.00 | ↑ +50% |
| Cigna | Local Plus | $315.00 | ↑ +50% |
| Ambetter | Exchange | $315.00 | ↑ +50% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $378.00 | ↑ +80% |
| BCBS TN | Commercial Network P | $390.60 | ↑ +86% |
| BCBS TN | Commercial Network S | $390.60 | ↑ +86% |
| Community Services Network | NonProfit Public Benefit | $409.50 | ↑ +95% |
| USA Managed Care Organization | PPO | $441.00 | ↑ +110% |
| NovaNet | Network Lease | $472.50 | ↑ +125% |
| National Provider Network | PPO | $504.00 | ↑ +140% |
| MedSave USA | Commercial | $504.00 | ↑ +140% |
| Direct Care America | PPO | $504.00 | ↑ +140% |
| Beech Street | PPO | $535.50 | ↑ +155% |
| CCN Managed Care | PPO | $535.50 | ↑ +155% |
| Initial Group | PPO | $554.40 | ↑ +164% |
| Galaxy Health Network | PPO | $567.00 | ↑ +170% |
Visitor-reported prices
Comments
Ring fx reform 11-13x17mm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $784.19 – $1,152.76 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $760.66 – $1,152.76 |
| HORIZON MEDICAL CENTER | DICKSON | not published | $705.77 – $1,152.76 |
| SKYLINE MADISON CAMPUS | NASHVILLE | not published | $564.62 – $1,152.76 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH | not published | $564.62 – $1,152.76 |
| STONECREST MEDICAL CENTER | Smyrna | not published | $705.77 – $1,152.76 |
| SUMMIT MEDICAL CENTER | MT JULIET | not published | $705.77 – $1,152.76 |
| Parkwest Medical Center | Knoxville | not published | $375.67 – $823.40 |