Sialography s&i at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$120.64
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.
$377.00
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.
$63.10 with BCBS TN vs $477.73 with United Healthcare — 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 | $63.10 | ↓ -48% |
| United Healthcare | Tenncare | $126.40 | ↑ +5% |
| BCBS TN | Commercial Network S | $141.00 | ↑ +17% |
| BCBS TN | Commercial Network P | $141.00 | ↑ +17% |
| Aetna | Commercial | $145.51 | ↑ +21% |
| EHN | Network Lease | $169.65 | ↑ +41% |
| Cigna | IFP | $208.53 | ↑ +73% |
| Cigna | Local Plus | $209.44 | ↑ +74% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $226.20 | ↑ +88% |
| Cigna | OAP | $227.65 | ↑ +89% |
| Cigna | HMO | $227.65 | ↑ +89% |
| Cigna | POS | $227.65 | ↑ +89% |
| Tricare | Humana Military | $231.85 | ↑ +92% |
| Optum | VA CCN | $231.85 | ↑ +92% |
| Wellpoint | Medicaid Tenncare | $232.72 | ↑ +93% |
| United Healthcare | Community Plan DSNP | $238.81 | ↑ +98% |
| Humana | Medicare Advantage PPO | $238.81 | ↑ +98% |
| Humana | Medicare Advantage HMO | $238.81 | ↑ +98% |
| Humana | DSNP | $238.81 | ↑ +98% |
| United Healthcare | Medicare Advantage | $238.81 | ↑ +98% |
| Farm Bureau | Medicare Advantage PPO | $241.12 | ↑ +100% |
| Farm Bureau | Medicare Advantage HMO | $241.12 | ↑ +100% |
| Cigna | Medicare HMO | $243.44 | ↑ +102% |
| HealthSpring | Medicare HMO POS | $243.44 | ↑ +102% |
| HealthSpring | Medicare PPO | $243.44 | ↑ +102% |
| Blue Cross of TN | Med Adv PPO | $243.44 | ↑ +102% |
| Blue Cross of TN | Med Adv Diamond | $243.44 | ↑ +102% |
| Cigna | Medicare PPO | $243.44 | ↑ +102% |
| Aetna | Medicare Advantage | $243.44 | ↑ +102% |
| Cigna | Medicare HMO-POS | $243.44 | ↑ +102% |
| Wellpoint | DSNP | $243.44 | ↑ +102% |
| Wellpoint | Medicare Advantage | $243.44 | ↑ +102% |
| Devoted Health | PPO | $243.44 | ↑ +102% |
| Blue Cross of TN | Med Adv Sapphire | $243.44 | ↑ +102% |
| Blue Cross of TN | Med Adv Ruby | $243.44 | ↑ +102% |
| United Healthcare | DSNP | $243.44 | ↑ +102% |
| Wellcare | Medicare Advantage | $243.44 | ↑ +102% |
| Devoted Health | HMO | $243.44 | ↑ +102% |
| Blue Cross of TN | BlueEssential DSNP | $243.44 | ↑ +102% |
| Blue Cross of TN | BlueEssential HMO | $243.44 | ↑ +102% |
| Community Services Network | NonProfit Public Benefit | $245.05 | ↑ +103% |
| USA Managed Care Organization | PPO | $263.90 | ↑ +119% |
| NovaNet | Network Lease | $282.75 | ↑ +134% |
| MedSave USA | Commercial | $301.60 | ↑ +150% |
| Direct Care America | PPO | $301.60 | ↑ +150% |
| National Provider Network | PPO | $301.60 | ↑ +150% |
| Beech Street | PPO | $320.45 | ↑ +166% |
| CCN Managed Care | PPO | $320.45 | ↑ +166% |
| Initial Group | PPO | $331.76 | ↑ +175% |
| Galaxy Health Network | PPO | $339.30 | ↑ +181% |
| Ambetter | Exchange | $372.84 | ↑ +209% |
| United Healthcare | All Other Plans | $477.73 | ↑ +296% |
| United Healthcare | Heritage Select | $477.73 | ↑ +296% |
| United Healthcare | Options PPO | $477.73 | ↑ +296% |
Visitor-reported prices
Comments
Sialography s&i at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $155.40 | $58.56 – $485.38 |
| Bristol Regional Medical Center | BRISTOL | $155.40 | $58.56 – $543.24 |
| Holston Valley Medical Center | KINGSPORT | $155.40 | $58.56 – $543.24 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $155.40 | $58.56 – $471.92 |
| Parkwest Medical Center | Knoxville | $113.10 | $63.10 – $372.84 |
| Roane County Medical Center | Harriman | $124.41 | $63.10 – $372.84 |
| LeConte Medical Center | Sevierville | $109.33 | $63.10 – $372.84 |
| Fort Loudoun Medical Center | Lenoir City | $124.41 | $63.10 – $372.84 |