Thrombectomy/inf pq dialysis circuit w/pta at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$4,180.48
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.
$13,064.00
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.
$1,890.00 with BCBS TN vs $15,284.00 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 | $1,890.00 | ↓ -55% |
| Ambetter | Exchange | $2,009.00 | ↓ -52% |
| Cigna | IFP | $2,372.00 | ↓ -43% |
| Cigna | Local Plus | $2,857.00 | ↓ -32% |
| Cigna | OAP | $3,419.00 | ↓ -18% |
| Cigna | HMO | $3,419.00 | ↓ -18% |
| Cigna | POS | $3,419.00 | ↓ -18% |
| Aetna | Commercial | $4,558.52 | ↑ +9% |
| EHN | Network Lease | $5,878.80 | ↑ +41% |
| United Healthcare | Tenncare | $6,011.00 | ↑ +44% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $7,838.40 | ↑ +88% |
| Wellpoint | Medicaid Tenncare | $8,400.00 | ↑ +101% |
| Community Services Network | NonProfit Public Benefit | $8,491.60 | ↑ +103% |
| BCBS TN | Commercial Network S | $8,989.00 | ↑ +115% |
| BCBS TN | Commercial Network P | $8,989.00 | ↑ +115% |
| USA Managed Care Organization | PPO | $9,144.80 | ↑ +119% |
| NovaNet | Network Lease | $9,798.00 | ↑ +134% |
| Direct Care America | PPO | $10,451.20 | ↑ +150% |
| National Provider Network | PPO | $10,451.20 | ↑ +150% |
| MedSave USA | Commercial | $10,451.20 | ↑ +150% |
| United Healthcare | All Other Plans | $10,648.00 | ↑ +155% |
| Beech Street | PPO | $11,104.40 | ↑ +166% |
| CCN Managed Care | PPO | $11,104.40 | ↑ +166% |
| Optum | VA CCN | $11,217.38 | ↑ +168% |
| Tricare | Humana Military | $11,217.38 | ↑ +168% |
| Initial Group | PPO | $11,496.32 | ↑ +175% |
| Humana | DSNP | $11,553.90 | ↑ +176% |
| United Healthcare | Community Plan DSNP | $11,553.90 | ↑ +176% |
| United Healthcare | Medicare Advantage | $11,553.90 | ↑ +176% |
| Humana | Medicare Advantage HMO | $11,553.90 | ↑ +176% |
| Humana | Medicare Advantage PPO | $11,553.90 | ↑ +176% |
| Farm Bureau | Medicare Advantage HMO | $11,666.08 | ↑ +179% |
| Farm Bureau | Medicare Advantage PPO | $11,666.08 | ↑ +179% |
| Galaxy Health Network | PPO | $11,757.60 | ↑ +181% |
| United Healthcare | DSNP | $11,778.25 | ↑ +182% |
| Aetna | Medicare Advantage | $11,778.25 | ↑ +182% |
| Blue Cross of TN | BlueEssential DSNP | $11,778.25 | ↑ +182% |
| Blue Cross of TN | BlueEssential HMO | $11,778.25 | ↑ +182% |
| Blue Cross of TN | Med Adv Diamond | $11,778.25 | ↑ +182% |
| Blue Cross of TN | Med Adv PPO | $11,778.25 | ↑ +182% |
| Blue Cross of TN | Med Adv Ruby | $11,778.25 | ↑ +182% |
| Blue Cross of TN | Med Adv Sapphire | $11,778.25 | ↑ +182% |
| HealthSpring | Medicare HMO POS | $11,778.25 | ↑ +182% |
| Devoted Health | HMO | $11,778.25 | ↑ +182% |
| Cigna | Medicare PPO | $11,778.25 | ↑ +182% |
| Devoted Health | PPO | $11,778.25 | ↑ +182% |
| Wellcare | Medicare Advantage | $11,778.25 | ↑ +182% |
| Wellpoint | DSNP | $11,778.25 | ↑ +182% |
| HealthSpring | Medicare PPO | $11,778.25 | ↑ +182% |
| Cigna | Medicare HMO | $11,778.25 | ↑ +182% |
| Cigna | Medicare HMO-POS | $11,778.25 | ↑ +182% |
| Wellpoint | Medicare Advantage | $11,778.25 | ↑ +182% |
| United Healthcare | Heritage Select | $12,523.00 | ↑ +200% |
| United Healthcare | Options PPO | $15,284.00 | ↑ +266% |
Visitor-reported prices
Comments
Thrombectomy/inf pq dialysis circuit w/pta at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $16,877.27 | $2,118.00 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | $8,828.20 | $5,965.00 – $20,877.50 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $12,615.98 | $6,263.25 – $20,877.50 |
| Johnson City Medical Center | JOHNSON CITY | $5,352.15 | $8,333.03 – $23,483.78 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $16,877.27 | $2,118.00 – $2,225.50 |
| Greeneville Community Hospital | GREENEVILLE | $5,352.15 | $8,927.85 – $23,483.78 |
| Bristol Regional Medical Center | BRISTOL | $5,352.15 | $8,471.58 – $26,283.39 |
| Franklin Woods Community Hospital | JOHNSON CITY | $5,352.15 | $8,780.21 – $22,849.74 |