Acute hepatitis panel at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$780.00
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.
$780.00
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.
$21.43 with Wellpoint vs $686.40 with Beech Street — 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $21.43 | ↓ -97% |
| Aetna | NewBusiness | $37.86 | ↓ -95% |
| Aetna | COMM | $37.86 | ↓ -95% |
| Devoted Health Plan | MCR | $47.63 | ↓ -94% |
| Bright Health | SmallGroup | $47.63 | ↓ -94% |
| Bright Health | HIX | $47.63 | ↓ -94% |
| Amerigroup | MGMCR | $47.63 | ↓ -94% |
| HealthSpring | DualEligible | $47.63 | ↓ -94% |
| HealthSpring | MCRHMO | $47.63 | ↓ -94% |
| HealthSpring | MCRPOS | $47.63 | ↓ -94% |
| HealthSpring | MCRPPO | $47.63 | ↓ -94% |
| Odyssey Healthcare | COMM | $47.63 | ↓ -94% |
| United | HeritageSelect | $47.63 | ↓ -94% |
| United | VACCN | $47.63 | ↓ -94% |
| Sarah Cannon Research | COMM | $47.63 | ↓ -94% |
| Humana | ChoicecareMGMCR | $47.63 | ↓ -94% |
| United | CorePayer | $47.63 | ↓ -94% |
| United | AllPayerAppendix | $47.63 | ↓ -94% |
| Aetna | MGMCRPPO | $48.11 | ↓ -94% |
| Aetna | MGMCRSNP | $48.11 | ↓ -94% |
| Aetna | MGMCRHMO | $48.11 | ↓ -94% |
| United | MGMCR | $48.58 | ↓ -94% |
| BCBS | MCR | $49.06 | ↓ -94% |
| WellCare | MCR | $49.06 | ↓ -94% |
| Zing | MGMCR | $49.06 | ↓ -94% |
| Ambetter | Select | $49.54 | ↓ -94% |
| American Health Advantage | MCRHMO | $50.01 | ↓ -94% |
| American Health Advantage | MCRPPO | $50.01 | ↓ -94% |
| American Health Advantage | MCRPFFS | $50.01 | ↓ -94% |
| American Health Advantage | MCRSNP | $50.01 | ↓ -94% |
| American Health Advantage | MCRPOS | $50.01 | ↓ -94% |
| Evergreen HMO | MCR | $50.01 | ↓ -94% |
| Signature Advantage | MCR | $50.49 | ↓ -94% |
| Ambetter | CORE | $51.44 | ↓ -93% |
| ATRIO Golden Times | MCR | $52.39 | ↓ -93% |
| Bright Health | MCRNarrow | $54.77 | ↓ -93% |
| BCBS | NetworkP | $62.84 | ↓ -92% |
| Prime Health | WORKERSCOMP | $68.59 | ↓ -91% |
| CorVel Corporation | WORKERSCOMP | $70.02 | ↓ -91% |
| NovaNET | WORKERSCOMP | $70.02 | ↓ -91% |
| Cigna | NewBusiness | $84.77 | ↓ -89% |
| BCBS | TENNCARE | $90.50 | ↓ -88% |
| Cigna | OAP | $96.28 | ↓ -88% |
| BCBS | COVERKIDS | $98.10 | ↓ -87% |
| Oscar | HIX | $142.89 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $143.60 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $148.20 | ↓ -81% |
| Apex Health | MCR | $148.20 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $148.20 | ↓ -81% |
| BCBS | BlueCare | $168.75 | ↓ -78% |
| Humana | BroadNetwork | $190.52 | ↓ -76% |
| Humana | HumanaChoice | $190.52 | ↓ -76% |
| Humana | HumanaChoiceCare | $190.52 | ↓ -76% |
| Humana | NarrowExchangeNetwork | $190.52 | ↓ -76% |
| Humana | TRICARE | $195.00 | ↓ -75% |
| United | OptionsPPO | $217.62 | ↓ -72% |
| Cigna | PPO | $254.28 | ↓ -67% |
| Centurion | PRISON | $321.36 | ↓ -59% |
| United | GlobalBenefitPlan | $351.00 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $390.00 | ↓ -50% |
| Aetna | NAP | $390.00 | ↓ -50% |
| Humana BH | COMM | $507.00 | ↓ -35% |
| Multiplan | COMM | $507.00 | ↓ -35% |
| Employers Health Network | COMM | $546.00 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $585.00 | ↓ -25% |
| ComPsych | COMM | $624.00 | ↓ -20% |
| Cigna Evernorth Behavioral Health | COMM | $624.00 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $663.00 | ↓ -15% |
| Prime Health | COMMPPO | $686.40 | ↓ -12% |
| Beech Street | COMM | $686.40 | ↓ -12% |
Visitor-reported prices
Comments
Acute hepatitis panel at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $322.85 | $17.15 – $183.99 |
| CHI Memorial Hospital Hixson | Hixson | $145.64 | $42.32 – $344.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $73.14 | $41.44 – $95.26 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $208.12 | $42.32 – $344.40 |
| Johnson City Medical Center | JOHNSON CITY | $80.70 | $9.48 – $103.83 |
| Ascension Saint Thomas DeKalb | Smithville | $322.85 | $33.40 – $183.99 |
| Ascension Saint Thomas Highlands | Sparta | $322.85 | $33.40 – $183.99 |
| Ascension Saint Thomas River Park | McMinnville | $322.85 | $33.40 – $183.99 |