Allograft epieffect 2x3cm-q4186-cost per sq cm 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.
$191.79 with Cigna vs $1,600.72 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 |
|---|---|---|---|
| Cigna | NewBusiness | $191.79 | — |
| Cigna | OAP | $218.08 | — |
| Aetna | MGMCRHMO | $272.85 | — |
| Aetna | MGMCRPPO | $272.85 | — |
| Aetna | MGMCRSNP | $272.85 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $334.88 | — |
| United | HeritageSelect | $336.92 | — |
| United | AllPayerAppendix | $336.92 | — |
| United | CorePayer | $336.92 | — |
| BCBS | NetworkP | $418.37 | — |
| Ambetter | Select | $422.01 | — |
| Humana | TRICARE | $454.75 | — |
| United | OptionsPPO | $507.50 | — |
| Cigna | PPO | $592.99 | — |
| Centurion | PRISON | $749.43 | — |
| United | GlobalBenefitPlan | $818.55 | — |
| Aetna | NAP | $909.50 | — |
| BGFH SingleSource | DIRECTNETWORK | $909.50 | — |
| Signature Advantage | MCR | $909.50 | — |
| Multiplan | COMM | $1,182.35 | — |
| Humana BH | COMM | $1,182.35 | — |
| Employers Health Network | COMM | $1,273.30 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $1,364.25 | — |
| Cigna Evernorth Behavioral Health | COMM | $1,455.20 | — |
| BGFH SingleSource | LEASEDNETWORK | $1,546.15 | — |
| Prime Health | COMMPPO | $1,600.72 | — |
| Beech Street | COMM | $1,600.72 | — |
Visitor-reported prices
Comments
Allograft epieffect 2x3cm-q4186-cost per sq cm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $391.17 | $118.53 – $332.54 |
| Johnson City Medical Center | JOHNSON CITY | $304.95 | $1.00 – $253.15 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $386.03 | $118.53 – $332.54 |
| Hancock County Hospital | SNEEDVILLE | $342.47 | $191.00 – $191.00 |
| Greeneville Community Hospital | GREENEVILLE | $304.95 | $1.00 – $253.15 |
| Bristol Regional Medical Center | BRISTOL | $304.95 | $1.00 – $257.36 |
| Franklin Woods Community Hospital | JOHNSON CITY | $304.95 | $0.88 – $246.32 |
| Holston Valley Medical Center | KINGSPORT | $304.95 | $1.00 – $257.36 |