3-d radiotherapy plan at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$14,372.65
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.
$14,372.65
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.
$230.24 with BCBS vs $12,647.93 with Prime Health — 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 | NetworkP | $230.24 | ↓ -98% |
| Aetna | COMM | $746.14 | ↓ -95% |
| Aetna | NewBusiness | $746.14 | ↓ -95% |
| Cigna | NewBusiness | $826.86 | ↓ -94% |
| Humana | BroadNetwork | $867.20 | ↓ -94% |
| Humana | NarrowExchangeNetwork | $867.20 | ↓ -94% |
| Humana | HumanaChoiceCare | $867.20 | ↓ -94% |
| Humana | HumanaChoice | $867.20 | ↓ -94% |
| Cigna | OAP | $939.20 | ↓ -93% |
| BCBS | TENNCARE | $1,117.19 | ↓ -92% |
| BCBS | COVERKIDS | $1,210.94 | ↓ -92% |
| BCBS | BlueCare | $2,078.13 | ↓ -86% |
| Bright Health | HIX | $2,443.35 | ↓ -83% |
| Oscar | HIX | $2,630.19 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $2,646.00 | ↓ -82% |
| Ambetter | CORE | $3,205.10 | ↓ -78% |
| Ambetter | Select | $3,334.45 | ↓ -77% |
| Bright Health | SmallGroup | $3,449.44 | ↓ -76% |
| Humana | TRICARE | $3,593.16 | ↓ -75% |
| United | OptionsPPO | $4,009.97 | ↓ -72% |
| Cigna | PPO | $4,685.48 | ↓ -67% |
| Centurion | PRISON | $5,921.53 | ↓ -59% |
| United | GlobalBenefitPlan | $6,467.69 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $7,186.32 | ↓ -50% |
| Aetna | NAP | $7,186.32 | ↓ -50% |
| Humana BH | COMM | $9,342.22 | ↓ -35% |
| Multiplan | COMM | $9,342.22 | ↓ -35% |
| Employers Health Network | COMM | $10,060.85 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $10,779.49 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $11,498.12 | ↓ -20% |
| ComPsych | COMM | $11,498.12 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $12,216.75 | ↓ -15% |
| Beech Street | COMM | $12,647.93 | ↓ -12% |
| Prime Health | COMMPPO | $12,647.93 | ↓ -12% |
Visitor-reported prices
Comments
3-d radiotherapy plan at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,717.29 | $277.23 – $781.25 |
| CHI Memorial Hospital Hixson | Hixson | $2,579.35 | $413.49 – $6,099.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,686.03 | $413.49 – $6,099.80 |
| Johnson City Medical Center | JOHNSON CITY | $1,404.15 | $481.81 – $2,815.67 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,717.29 | $277.23 – $781.25 |
| Greeneville Community Hospital | GREENEVILLE | $1,404.15 | $343.27 – $2,815.67 |
| Bristol Regional Medical Center | BRISTOL | $1,404.15 | $481.81 – $3,151.34 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,404.15 | $481.81 – $2,739.65 |