Amikacin 4 mg/ml intravitreal injection - cnr 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.
$0.53 with Aetna vs $3.09 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 |
|---|---|---|---|
| Aetna | MGMCRHMO | $0.53 | — |
| Aetna | MGMCRPPO | $0.53 | — |
| Aetna | MGMCRSNP | $0.53 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $0.65 | — |
| BCBS | NetworkP | $0.74 | — |
| Ambetter | Select | $0.81 | — |
| Humana | TRICARE | $0.88 | — |
| Cigna | NewBusiness | $0.98 | — |
| United | OptionsPPO | $0.98 | — |
| Cigna | OAP | $1.11 | — |
| Cigna | PPO | $1.14 | — |
| Centurion | PRISON | $1.45 | — |
| United | GlobalBenefitPlan | $1.58 | — |
| United | HeritageSelect | $1.64 | — |
| United | CorePayer | $1.64 | — |
| United | AllPayerAppendix | $1.64 | — |
| BGFH SingleSource | DIRECTNETWORK | $1.75 | — |
| Signature Advantage | MCR | $1.75 | — |
| Multiplan | COMM | $2.28 | — |
| Humana BH | COMM | $2.28 | — |
| Employers Health Network | COMM | $2.46 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $2.63 | — |
| Cigna Evernorth Behavioral Health | COMM | $2.81 | — |
| BGFH SingleSource | LEASEDNETWORK | $2.98 | — |
| Prime Health | COMMPPO | $3.09 | — |
| Beech Street | COMM | $3.09 | — |
Visitor-reported prices
Comments
Amikacin 4 mg/ml intravitreal injection - cnr at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $22.81 | $1.03 – $46.88 |
| 62-1166050 BMH Carroll County | Huntingdon | $37.17 | $0.76 – $1.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $32.59 | $1.03 – $46.88 |
| Johnson City Medical Center | JOHNSON CITY | $59.94 | $1.11 – $1.30 |
| Ascension Saint Thomas DeKalb | Smithville | $3.08 | $0.83 – $2.28 |
| Ascension Saint Thomas River Park | McMinnville | $3.08 | $0.83 – $1.72 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $3.08 | $0.83 – $1.72 |
| Hancock County Hospital | SNEEDVILLE | $28.19 | $1.11 – $1.30 |