Tc-99m pyroph diag per dose up to 25 mci at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$57.08
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.
$178.36
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.
$37.45 with BCBS TN vs $160.52 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 | $37.45 | ↓ -34% |
| Cigna | HMO | $73.82 | ↑ +29% |
| Cigna | OAP | $73.82 | ↑ +29% |
| Cigna | POS | $73.82 | ↑ +29% |
| Cigna | Local Plus | $73.82 | ↑ +29% |
| Cigna | IFP | $73.82 | ↑ +29% |
| EHN | Network Lease | $80.26 | ↑ +41% |
| United Healthcare | Heritage Select | $89.18 | ↑ +56% |
| United Healthcare | All Other Plans | $89.18 | ↑ +56% |
| United Healthcare | Options PPO | $89.18 | ↑ +56% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $107.01 | ↑ +87% |
| BCBS TN | Commercial Network P | $110.58 | ↑ +94% |
| BCBS TN | Commercial Network S | $110.58 | ↑ +94% |
| Community Services Network | NonProfit Public Benefit | $115.93 | ↑ +103% |
| USA Managed Care Organization | PPO | $124.85 | ↑ +119% |
| NovaNet | Network Lease | $133.77 | ↑ +134% |
| National Provider Network | PPO | $142.68 | ↑ +150% |
| Direct Care America | PPO | $142.68 | ↑ +150% |
| MedSave USA | Commercial | $142.68 | ↑ +150% |
| CCN Managed Care | PPO | $151.60 | ↑ +166% |
| Beech Street | PPO | $151.60 | ↑ +166% |
| Initial Group | PPO | $156.95 | ↑ +175% |
| Galaxy Health Network | PPO | $160.52 | ↑ +181% |
| Ambetter | Exchange | not published by hospital | — |
| Aetna | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m pyroph diag per dose up to 25 mci at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $133.02 | $54.83 – $217.27 |
| 62-1166050 BMH Carroll County | Huntingdon | $110.33 | $63.79 – $79.05 |
| Johnson City Medical Center | JOHNSON CITY | $121.65 | $23.40 – $114.98 |
| Ascension Saint Thomas DeKalb | Smithville | $77.01 | $54.83 – $125.78 |
| Ascension Saint Thomas Highlands | Sparta | $77.01 | $54.83 – $125.78 |
| Ascension Saint Thomas River Park | McMinnville | $77.01 | $54.83 – $125.78 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $137.01 | $54.83 – $223.78 |
| Greeneville Community Hospital | GREENEVILLE | $121.65 | $23.40 – $114.98 |