_afb org id by sequencing rflx ast-sendout at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$1,034.97
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.
$1,034.97
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.
$51.91 with Wellpoint vs $910.77 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $51.91 | ↓ -95% |
| Aetna | NewBusiness | $91.71 | ↓ -91% |
| Aetna | COMM | $91.71 | ↓ -91% |
| Devoted Health Plan | MCR | $115.36 | ↓ -89% |
| Bright Health | SmallGroup | $115.36 | ↓ -89% |
| Bright Health | HIX | $115.36 | ↓ -89% |
| Amerigroup | MGMCR | $115.36 | ↓ -89% |
| HealthSpring | DualEligible | $115.36 | ↓ -89% |
| HealthSpring | MCRHMO | $115.36 | ↓ -89% |
| HealthSpring | MCRPOS | $115.36 | ↓ -89% |
| HealthSpring | MCRPPO | $115.36 | ↓ -89% |
| Odyssey Healthcare | COMM | $115.36 | ↓ -89% |
| United | HeritageSelect | $115.36 | ↓ -89% |
| United | VACCN | $115.36 | ↓ -89% |
| Sarah Cannon Research | COMM | $115.36 | ↓ -89% |
| Humana | ChoicecareMGMCR | $115.36 | ↓ -89% |
| United | CorePayer | $115.36 | ↓ -89% |
| United | AllPayerAppendix | $115.36 | ↓ -89% |
| Aetna | MGMCRPPO | $116.51 | ↓ -89% |
| Aetna | MGMCRSNP | $116.51 | ↓ -89% |
| Aetna | MGMCRHMO | $116.51 | ↓ -89% |
| United | MGMCR | $117.67 | ↓ -89% |
| BCBS | MCR | $118.82 | ↓ -89% |
| WellCare | MCR | $118.82 | ↓ -89% |
| Zing | MGMCR | $118.82 | ↓ -89% |
| Ambetter | Select | $119.97 | ↓ -88% |
| American Health Advantage | MCRPFFS | $121.13 | ↓ -88% |
| American Health Advantage | MCRPOS | $121.13 | ↓ -88% |
| Evergreen HMO | MCR | $121.13 | ↓ -88% |
| American Health Advantage | MCRPPO | $121.13 | ↓ -88% |
| American Health Advantage | MCRSNP | $121.13 | ↓ -88% |
| American Health Advantage | MCRHMO | $121.13 | ↓ -88% |
| Signature Advantage | MCR | $122.28 | ↓ -88% |
| Ambetter | CORE | $124.59 | ↓ -88% |
| ATRIO Golden Times | MCR | $126.90 | ↓ -88% |
| Bright Health | MCRNarrow | $132.66 | ↓ -87% |
| BCBS | NetworkP | $157.38 | ↓ -85% |
| Prime Health | WORKERSCOMP | $166.12 | ↓ -84% |
| CorVel Corporation | WORKERSCOMP | $169.58 | ↓ -84% |
| NovaNET | WORKERSCOMP | $169.58 | ↓ -84% |
| Kentucky Labor Cabinet | WORKERSCOMP | $190.54 | ↓ -82% |
| NHC Advantage, Inc. | MCRHMO | $196.64 | ↓ -81% |
| Apex Health | MCR | $196.64 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $196.64 | ↓ -81% |
| Cigna | NewBusiness | $205.91 | ↓ -80% |
| BCBS | TENNCARE | $208.06 | ↓ -80% |
| BCBS | COVERKIDS | $225.51 | ↓ -78% |
| Cigna | OAP | $233.84 | ↓ -77% |
| Humana | TRICARE | $258.74 | ↓ -75% |
| United | OptionsPPO | $288.76 | ↓ -72% |
| Cigna | PPO | $337.40 | ↓ -67% |
| Oscar | HIX | $346.08 | ↓ -67% |
| BCBS | BlueCare | $387.92 | ↓ -63% |
| Centurion | PRISON | $426.41 | ↓ -59% |
| Humana | NarrowExchangeNetwork | $461.44 | ↓ -55% |
| Humana | HumanaChoiceCare | $461.44 | ↓ -55% |
| Humana | HumanaChoice | $461.44 | ↓ -55% |
| Humana | BroadNetwork | $461.44 | ↓ -55% |
| United | GlobalBenefitPlan | $465.74 | ↓ -55% |
| Aetna | NAP | $517.49 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $517.49 | ↓ -50% |
| Humana BH | COMM | $672.73 | ↓ -35% |
| Multiplan | COMM | $672.73 | ↓ -35% |
| Employers Health Network | COMM | $724.48 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $776.23 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $827.98 | ↓ -20% |
| ComPsych | COMM | $827.98 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $879.72 | ↓ -15% |
| Beech Street | COMM | $910.77 | ↓ -12% |
| Prime Health | COMMPPO | $910.77 | ↓ -12% |
Visitor-reported prices
Comments
_afb org id by sequencing rflx ast-sendout at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $164.88 | $94.80 – $331.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $235.62 | $99.54 – $331.80 |
| Johnson City Medical Center | JOHNSON CITY | $201.90 | $57.68 – $251.48 |
| Hancock County Hospital | SNEEDVILLE | $198.26 | $81.70 – $254.07 |
| Greeneville Community Hospital | GREENEVILLE | $201.90 | $51.91 – $251.48 |
| Bristol Regional Medical Center | BRISTOL | $201.90 | $57.68 – $276.86 |
| Franklin Woods Community Hospital | JOHNSON CITY | $201.90 | $57.68 – $251.48 |
| Holston Valley Medical Center | KINGSPORT | $201.90 | $57.68 – $276.86 |