Tc-99m exametazime diag at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$1,242.22
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.
$3,881.94
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.
$448.91 with United Healthcare vs $3,493.74 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 | $448.91 | ↓ -64% |
| BCBS TN | Blue Care | $815.20 | ↓ -34% |
| Optum | VA CCN | $882.34 | ↓ -29% |
| Tricare | Humana Military | $882.34 | ↓ -29% |
| United Healthcare | Medicare Advantage | $908.81 | ↓ -27% |
| United Healthcare | Community Plan DSNP | $908.81 | ↓ -27% |
| Humana | Medicare Advantage HMO | $908.81 | ↓ -27% |
| Humana | DSNP | $908.81 | ↓ -27% |
| Humana | Medicare Advantage PPO | $908.81 | ↓ -27% |
| Farm Bureau | Medicare Advantage PPO | $917.63 | ↓ -26% |
| Farm Bureau | Medicare Advantage HMO | $917.63 | ↓ -26% |
| Wellpoint | Medicare Advantage | $926.46 | ↓ -25% |
| Devoted Health | HMO | $926.46 | ↓ -25% |
| Wellcare | Medicare Advantage | $926.46 | ↓ -25% |
| United Healthcare | DSNP | $926.46 | ↓ -25% |
| Devoted Health | PPO | $926.46 | ↓ -25% |
| HealthSpring | Medicare PPO | $926.46 | ↓ -25% |
| HealthSpring | Medicare HMO POS | $926.46 | ↓ -25% |
| Aetna | Medicare Advantage | $926.46 | ↓ -25% |
| Cigna | Medicare PPO | $926.46 | ↓ -25% |
| Cigna | Medicare HMO | $926.46 | ↓ -25% |
| Cigna | Medicare HMO-POS | $926.46 | ↓ -25% |
| Wellpoint | DSNP | $926.46 | ↓ -25% |
| Blue Cross of TN | Med Adv Sapphire | $926.46 | ↓ -25% |
| Blue Cross of TN | BlueEssential DSNP | $926.46 | ↓ -25% |
| Blue Cross of TN | BlueEssential HMO | $926.46 | ↓ -25% |
| Blue Cross of TN | Med Adv Diamond | $926.46 | ↓ -25% |
| Blue Cross of TN | Med Adv PPO | $926.46 | ↓ -25% |
| Blue Cross of TN | Med Adv Ruby | $926.46 | ↓ -25% |
| EHN | Network Lease | $1,746.87 | ↑ +41% |
| United Healthcare | All Other Plans | $1,940.97 | ↑ +56% |
| United Healthcare | Options PPO | $1,940.97 | ↑ +56% |
| United Healthcare | Heritage Select | $1,940.97 | ↑ +56% |
| Cigna | IFP | $1,975.52 | ↑ +59% |
| Cigna | HMO | $1,975.52 | ↑ +59% |
| Cigna | OAP | $1,975.52 | ↑ +59% |
| Cigna | POS | $1,975.52 | ↑ +59% |
| Cigna | Local Plus | $1,975.52 | ↑ +59% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $2,329.16 | ↑ +87% |
| BCBS TN | Commercial Network S | $2,406.80 | ↑ +94% |
| BCBS TN | Commercial Network P | $2,406.80 | ↑ +94% |
| Community Services Network | NonProfit Public Benefit | $2,523.26 | ↑ +103% |
| USA Managed Care Organization | PPO | $2,717.35 | ↑ +119% |
| NovaNet | Network Lease | $2,911.45 | ↑ +134% |
| National Provider Network | PPO | $3,105.55 | ↑ +150% |
| MedSave USA | Commercial | $3,105.55 | ↑ +150% |
| Direct Care America | PPO | $3,105.55 | ↑ +150% |
| CCN Managed Care | PPO | $3,299.64 | ↑ +166% |
| Beech Street | PPO | $3,299.64 | ↑ +166% |
| Initial Group | PPO | $3,416.10 | ↑ +175% |
| Galaxy Health Network | PPO | $3,493.74 | ↑ +181% |
| Aetna | Commercial | not published by hospital | — |
| Ambetter | Exchange | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $2,962.31 | $1,790.84 – $4,838.43 |
| CHI Memorial Hospital Hixson | Hixson | $1,096.68 | $741.00 – $2,896.64 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,567.22 | $778.05 – $2,896.64 |
| Johnson City Medical Center | JOHNSON CITY | $512.70 | $708.40 – $2,022.41 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $3,089.18 | $1,790.84 – $5,045.65 |
| Greeneville Community Hospital | GREENEVILLE | $512.70 | $288.84 – $2,022.41 |
| Bristol Regional Medical Center | BRISTOL | $512.70 | $481.40 – $2,226.50 |
| Franklin Woods Community Hospital | JOHNSON CITY | $512.70 | $708.40 – $2,022.41 |