Trnscath retrv pq vasc fb w/guide at Cumberland Medical Center, Inc.
421 S Main St, Crossville, TN · Fsregional · · NPI 1871596403
$1,009.60
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.
$3,155.00
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.
$1,419.75 with EHN vs $5,693.00 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 |
|---|---|---|---|
| EHN | Network Lease | $1,419.75 | ↑ +41% |
| United Healthcare | Tenncare | $1,851.00 | ↑ +83% |
| BCBS TN | Blue Care | $1,890.00 | ↑ +87% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $1,893.00 | ↑ +88% |
| Community Services Network | NonProfit Public Benefit | $2,050.75 | ↑ +103% |
| Aetna | Commercial | $2,074.32 | ↑ +105% |
| USA Managed Care Organization | PPO | $2,208.50 | ↑ +119% |
| NovaNet | Network Lease | $2,366.25 | ↑ +134% |
| Direct Care America | PPO | $2,524.00 | ↑ +150% |
| MedSave USA | Commercial | $2,524.00 | ↑ +150% |
| National Provider Network | PPO | $2,524.00 | ↑ +150% |
| Beech Street | PPO | $2,681.75 | ↑ +166% |
| CCN Managed Care | PPO | $2,681.75 | ↑ +166% |
| Initial Group | PPO | $2,776.40 | ↑ +175% |
| Galaxy Health Network | PPO | $2,839.50 | ↑ +181% |
| Wellpoint | Medicaid Tenncare | $2,875.00 | ↑ +185% |
| Optum | VA CCN | $3,068.10 | ↑ +204% |
| Tricare | Humana Military | $3,068.10 | ↑ +204% |
| Humana | Medicare Advantage PPO | $3,160.14 | ↑ +213% |
| Humana | DSNP | $3,160.14 | ↑ +213% |
| United Healthcare | Community Plan DSNP | $3,160.14 | ↑ +213% |
| United Healthcare | Medicare Advantage | $3,160.14 | ↑ +213% |
| Humana | Medicare Advantage HMO | $3,160.14 | ↑ +213% |
| Cigna | IFP | $3,186.00 | ↑ +216% |
| Farm Bureau | Medicare Advantage HMO | $3,190.82 | ↑ +216% |
| Farm Bureau | Medicare Advantage PPO | $3,190.82 | ↑ +216% |
| Blue Cross of TN | Med Adv Sapphire | $3,221.51 | ↑ +219% |
| HealthSpring | Medicare PPO | $3,221.51 | ↑ +219% |
| HealthSpring | Medicare HMO POS | $3,221.51 | ↑ +219% |
| Aetna | Medicare Advantage | $3,221.51 | ↑ +219% |
| Devoted Health | PPO | $3,221.51 | ↑ +219% |
| Cigna | Medicare PPO | $3,221.51 | ↑ +219% |
| Cigna | Medicare HMO | $3,221.51 | ↑ +219% |
| Cigna | Medicare HMO-POS | $3,221.51 | ↑ +219% |
| Wellpoint | DSNP | $3,221.51 | ↑ +219% |
| Wellpoint | Medicare Advantage | $3,221.51 | ↑ +219% |
| Blue Cross of TN | BlueEssential DSNP | $3,221.51 | ↑ +219% |
| Blue Cross of TN | BlueEssential HMO | $3,221.51 | ↑ +219% |
| Blue Cross of TN | Med Adv Diamond | $3,221.51 | ↑ +219% |
| Blue Cross of TN | Med Adv PPO | $3,221.51 | ↑ +219% |
| Blue Cross of TN | Med Adv Ruby | $3,221.51 | ↑ +219% |
| Devoted Health | HMO | $3,221.51 | ↑ +219% |
| United Healthcare | DSNP | $3,221.51 | ↑ +219% |
| Wellcare | Medicare Advantage | $3,221.51 | ↑ +219% |
| Ambetter | Exchange | $3,332.00 | ↑ +230% |
| Cigna | Local Plus | $3,907.00 | ↑ +287% |
| United Healthcare | All Other Plans | $3,967.00 | ↑ +293% |
| BCBS TN | Commercial Network P | $4,238.00 | ↑ +320% |
| BCBS TN | Commercial Network S | $4,238.00 | ↑ +320% |
| Cigna | POS | $4,595.00 | ↑ +355% |
| Cigna | OAP | $4,595.00 | ↑ +355% |
| Cigna | HMO | $4,595.00 | ↑ +355% |
| United Healthcare | Heritage Select | $4,666.00 | ↑ +362% |
| United Healthcare | Options PPO | $5,693.00 | ↑ +464% |
Visitor-reported prices
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Trnscath retrv pq vasc fb w/guide at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $4,358.24 | $1,752.88 – $3,142.00 |
| CHI Memorial Hospital Hixson | Hixson | $3,225.22 | $2,179.20 – $7,627.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $2,371.53 | $2,364.00 – $5,748.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $4,609.01 | $2,288.16 – $7,627.20 |
| Johnson City Medical Center | JOHNSON CITY | $1,487.10 | $2,367.84 – $6,423.11 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $4,358.24 | $1,869.19 – $3,160.00 |
| Greeneville Community Hospital | GREENEVILLE | $1,487.10 | $2,117.40 – $6,423.11 |
| Bristol Regional Medical Center | BRISTOL | $1,487.10 | $2,995.35 – $7,188.84 |