Transcatheter bx s&i at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$415.36
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.
$1,298.00
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.
$216.00 with BCBS TN vs $1,168.20 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 | Commercial Network S | $216.00 | ↓ -48% |
| BCBS TN | Commercial Network P | $216.00 | ↓ -48% |
| BCBS TN | Blue Care | $408.66 | ↓ -2% |
| Aetna | Commercial | $538.25 | ↑ +30% |
| EHN | Network Lease | $584.10 | ↑ +41% |
| Cigna | Local Plus | $659.38 | ↑ +59% |
| Cigna | IFP | $659.38 | ↑ +59% |
| Cigna | OAP | $776.20 | ↑ +87% |
| Cigna | POS | $776.20 | ↑ +87% |
| Cigna | HMO | $776.20 | ↑ +87% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $778.80 | ↑ +88% |
| Community Services Network | NonProfit Public Benefit | $843.70 | ↑ +103% |
| USA Managed Care Organization | PPO | $908.60 | ↑ +119% |
| NovaNet | Network Lease | $973.50 | ↑ +134% |
| National Provider Network | PPO | $1,038.40 | ↑ +150% |
| MedSave USA | Commercial | $1,038.40 | ↑ +150% |
| Direct Care America | PPO | $1,038.40 | ↑ +150% |
| Beech Street | PPO | $1,103.30 | ↑ +166% |
| CCN Managed Care | PPO | $1,103.30 | ↑ +166% |
| Initial Group | PPO | $1,142.24 | ↑ +175% |
| Galaxy Health Network | PPO | $1,168.20 | ↑ +181% |
Visitor-reported prices
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Transcatheter bx s&i at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $701.91 | $77.61 – $759.72 |
| CHI Memorial Hospital Hixson | Hixson | $1,037.78 | $486.57 – $2,454.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $560.51 | $326.93 – $329.19 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,483.04 | $486.57 – $2,454.20 |
| Johnson City Medical Center | JOHNSON CITY | $347.25 | $259.43 – $269.81 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $668.48 | $77.61 – $744.63 |
| Greeneville Community Hospital | GREENEVILLE | $347.25 | $224.00 – $281.52 |
| Bristol Regional Medical Center | BRISTOL | $347.25 | $224.00 – $268.86 |