Str markers specimen anal at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$288.64
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.
$902.00
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.
$104.88 with Wellpoint vs $811.80 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 |
|---|---|---|---|
| Wellpoint | Medicaid Tenncare | $104.88 | ↓ -64% |
| United Healthcare | Tenncare | $165.05 | ↓ -43% |
| United Healthcare | Heritage Select | $233.07 | ↓ -19% |
| United Healthcare | Options PPO | $233.07 | ↓ -19% |
| United Healthcare | All Other Plans | $233.07 | ↓ -19% |
| Optum | VA CCN | $249.62 | ↓ -14% |
| Tricare | Humana Military | $249.62 | ↓ -14% |
| Humana | DSNP | $257.11 | ↓ -11% |
| Humana | Medicare Advantage PPO | $257.11 | ↓ -11% |
| Humana | Medicare Advantage HMO | $257.11 | ↓ -11% |
| United Healthcare | Community Plan DSNP | $257.11 | ↓ -11% |
| United Healthcare | Medicare Advantage | $257.11 | ↓ -11% |
| Farm Bureau | Medicare Advantage PPO | $259.60 | ↓ -10% |
| Farm Bureau | Medicare Advantage HMO | $259.60 | ↓ -10% |
| Devoted Health | PPO | $262.10 | ↓ -9% |
| HealthSpring | Medicare PPO | $262.10 | ↓ -9% |
| HealthSpring | Medicare HMO POS | $262.10 | ↓ -9% |
| Blue Cross of TN | Med Adv Sapphire | $262.10 | ↓ -9% |
| Aetna | Medicare Advantage | $262.10 | ↓ -9% |
| Wellcare | Medicare Advantage | $262.10 | ↓ -9% |
| Blue Cross of TN | Med Adv Ruby | $262.10 | ↓ -9% |
| Devoted Health | HMO | $262.10 | ↓ -9% |
| Cigna | Medicare PPO | $262.10 | ↓ -9% |
| Cigna | Medicare HMO | $262.10 | ↓ -9% |
| Blue Cross of TN | Med Adv PPO | $262.10 | ↓ -9% |
| Blue Cross of TN | Med Adv Diamond | $262.10 | ↓ -9% |
| Blue Cross of TN | BlueEssential HMO | $262.10 | ↓ -9% |
| Blue Cross of TN | BlueEssential DSNP | $262.10 | ↓ -9% |
| United Healthcare | DSNP | $262.10 | ↓ -9% |
| Cigna | Medicare HMO-POS | $262.10 | ↓ -9% |
| Wellpoint | DSNP | $262.10 | ↓ -9% |
| Wellpoint | Medicare Advantage | $262.10 | ↓ -9% |
| BCBS TN | Blue Care | $298.68 | ↑ +3% |
| Aetna | Commercial | $353.13 | ↑ +22% |
| EHN | Network Lease | $405.90 | ↑ +41% |
| Ambetter | Exchange | $421.86 | ↑ +46% |
| BCBS TN | Commercial Network P | $453.99 | ↑ +57% |
| BCBS TN | Commercial Network S | $453.99 | ↑ +57% |
| Cigna | IFP | $477.30 | ↑ +65% |
| Cigna | Local Plus | $479.39 | ↑ +66% |
| Cigna | POS | $521.08 | ↑ +81% |
| Cigna | OAP | $521.08 | ↑ +81% |
| Cigna | HMO | $521.08 | ↑ +81% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $541.20 | ↑ +88% |
| Community Services Network | NonProfit Public Benefit | $586.30 | ↑ +103% |
| USA Managed Care Organization | PPO | $631.40 | ↑ +119% |
| NovaNet | Network Lease | $676.50 | ↑ +134% |
| Direct Care America | PPO | $721.60 | ↑ +150% |
| MedSave USA | Commercial | $721.60 | ↑ +150% |
| National Provider Network | PPO | $721.60 | ↑ +150% |
| Beech Street | PPO | $766.70 | ↑ +166% |
| CCN Managed Care | PPO | $766.70 | ↑ +166% |
| Initial Group | PPO | $793.76 | ↑ +175% |
| Galaxy Health Network | PPO | $811.80 | ↑ +181% |
Visitor-reported prices
Comments
Str markers specimen anal at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $388.47 | $115.92 – $513.91 |
| Greeneville Community Hospital | GREENEVILLE | $396.00 | $104.88 – $508.09 |
| Bristol Regional Medical Center | BRISTOL | $396.00 | $115.92 – $559.37 |
| Holston Valley Medical Center | KINGSPORT | $396.00 | $115.92 – $559.37 |
| 62-0123940 BMH Collierville | Collierville | $558.60 | $99.93 – $466.14 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $396.00 | $115.92 – $508.09 |
| Roane County Medical Center | Harriman | $297.66 | $104.88 – $811.80 |
| Fort Loudoun Medical Center | Lenoir City | $297.66 | $104.88 – $811.80 |