Tc-99m labeled rbc at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$106.91
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.
$334.09
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.
$70.15 with BCBS TN vs $300.68 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 | $70.15 | ↓ -34% |
| Cigna | HMO | $107.66 | ↑ +1% |
| Cigna | OAP | $107.66 | ↑ +1% |
| Cigna | POS | $107.66 | ↑ +1% |
| Cigna | Local Plus | $107.66 | ↑ +1% |
| Cigna | IFP | $107.66 | ↑ +1% |
| EHN | Network Lease | $150.34 | ↑ +41% |
| United Healthcare | Heritage Select | $167.04 | ↑ +56% |
| United Healthcare | All Other Plans | $167.04 | ↑ +56% |
| United Healthcare | Options PPO | $167.04 | ↑ +56% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $200.45 | ↑ +87% |
| BCBS TN | Commercial Network P | $207.13 | ↑ +94% |
| BCBS TN | Commercial Network S | $207.13 | ↑ +94% |
| Community Services Network | NonProfit Public Benefit | $217.15 | ↑ +103% |
| USA Managed Care Organization | PPO | $233.86 | ↑ +119% |
| NovaNet | Network Lease | $250.56 | ↑ +134% |
| National Provider Network | PPO | $267.27 | ↑ +150% |
| Direct Care America | PPO | $267.27 | ↑ +150% |
| MedSave USA | Commercial | $267.27 | ↑ +150% |
| CCN Managed Care | PPO | $283.97 | ↑ +166% |
| Beech Street | PPO | $283.97 | ↑ +166% |
| Initial Group | PPO | $293.99 | ↑ +175% |
| Galaxy Health Network | PPO | $300.68 | ↑ +181% |
| Ambetter | Exchange | not published by hospital | — |
| Aetna | Commercial | not published by hospital | — |
Visitor-reported prices
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Tc-99m labeled rbc at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $299.12 | $114.88 – $481.67 |
| CHI Memorial Hospital Hixson | Hixson | $122.55 | $32.60 – $157.85 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $175.13 | $34.23 – $157.85 |
| Johnson City Medical Center | JOHNSON CITY | $209.85 | $106.48 – $167.68 |
| Ascension Saint Thomas River Park | McMinnville | $298.40 | $114.88 – $487.38 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $299.49 | $114.88 – $489.17 |
| Greeneville Community Hospital | GREENEVILLE | $209.85 | $106.48 – $167.68 |
| Bristol Regional Medical Center | BRISTOL | $209.85 | $106.48 – $167.68 |