Albumin (human), 25%, 50ml at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
not published by hospital
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.
not published by hospital
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.
$55.21 with BCBS vs $660.02 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 |
|---|---|---|---|
| BCBS | NetworkP | $55.21 | — |
| Cigna | NewBusiness | $56.92 | — |
| Cigna | OAP | $64.72 | — |
| Aetna | MGMCRPPO | $112.50 | — |
| Aetna | MGMCRSNP | $112.50 | — |
| Aetna | MGMCRHMO | $112.50 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $138.08 | — |
| United | HeritageSelect | $140.66 | — |
| United | AllPayerAppendix | $140.66 | — |
| United | CorePayer | $140.66 | — |
| Ambetter | Select | $174.00 | — |
| Humana | TRICARE | $187.50 | — |
| United | OptionsPPO | $209.26 | — |
| Cigna | PPO | $244.51 | — |
| Centurion | PRISON | $309.01 | — |
| United | GlobalBenefitPlan | $337.51 | — |
| BGFH SingleSource | DIRECTNETWORK | $375.01 | — |
| Signature Advantage | MCR | $375.01 | — |
| Multiplan | COMM | $487.51 | — |
| Humana BH | COMM | $487.51 | — |
| Employers Health Network | COMM | $525.01 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $562.51 | — |
| Cigna Evernorth Behavioral Health | COMM | $600.02 | — |
| BGFH SingleSource | LEASEDNETWORK | $637.52 | — |
| Prime Health | COMMPPO | $660.02 | — |
| Beech Street | COMM | $660.02 | — |
Visitor-reported prices
Comments
Albumin (human), 25%, 50ml at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $123.36 | $46.01 – $227.80 |
| CHI Memorial Hospital Hixson | Hixson | $68.52 | $37.41 – $135.36 |
| 62-1166050 BMH Carroll County | Huntingdon | $50.92 | $46.56 – $67.17 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $97.91 | $37.41 – $135.36 |
| Johnson City Medical Center | JOHNSON CITY | $141.47 | $19.50 – $172.85 |
| Ascension Saint Thomas DeKalb | Smithville | $123.36 | $34.02 – $112.77 |
| Ascension Saint Thomas Highlands | Sparta | $123.36 | $34.02 – $112.77 |
| Ascension Saint Thomas River Park | McMinnville | $123.36 | $34.02 – $70.69 |