Analysis gene f5 leiden variant at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$271.53
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.
$271.53
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.
$33.02 with Wellpoint vs $293.48 with Humana — 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 | $33.02 | ↓ -88% |
| Kentucky Labor Cabinet | WORKERSCOMP | $49.99 | ↓ -82% |
| Apex Health | MCR | $51.59 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $51.59 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $51.59 | ↓ -81% |
| Aetna | NewBusiness | $58.33 | ↓ -79% |
| Aetna | COMM | $58.33 | ↓ -79% |
| BCBS | TENNCARE | $62.96 | ↓ -77% |
| Humana | TRICARE | $67.88 | ↓ -75% |
| BCBS | COVERKIDS | $68.24 | ↓ -75% |
| HealthSpring | MCRHMO | $73.37 | ↓ -73% |
| HealthSpring | MCRPOS | $73.37 | ↓ -73% |
| HealthSpring | MCRPPO | $73.37 | ↓ -73% |
| Humana | ChoicecareMGMCR | $73.37 | ↓ -73% |
| Odyssey Healthcare | COMM | $73.37 | ↓ -73% |
| Amerigroup | MGMCR | $73.37 | ↓ -73% |
| Sarah Cannon Research | COMM | $73.37 | ↓ -73% |
| HealthSpring | DualEligible | $73.37 | ↓ -73% |
| Bright Health | SmallGroup | $73.37 | ↓ -73% |
| United | CorePayer | $73.37 | ↓ -73% |
| United | HeritageSelect | $73.37 | ↓ -73% |
| Bright Health | HIX | $73.37 | ↓ -73% |
| United | VACCN | $73.37 | ↓ -73% |
| United | AllPayerAppendix | $73.37 | ↓ -73% |
| Devoted Health Plan | MCR | $73.37 | ↓ -73% |
| Aetna | MGMCRPPO | $74.10 | ↓ -73% |
| Aetna | MGMCRSNP | $74.10 | ↓ -73% |
| Aetna | MGMCRHMO | $74.10 | ↓ -73% |
| United | MGMCR | $74.84 | ↓ -72% |
| BCBS | MCR | $75.57 | ↓ -72% |
| WellCare | MCR | $75.57 | ↓ -72% |
| Zing | MGMCR | $75.57 | ↓ -72% |
| United | OptionsPPO | $75.76 | ↓ -72% |
| Ambetter | Select | $76.30 | ↓ -72% |
| American Health Advantage | MCRPFFS | $77.04 | ↓ -72% |
| American Health Advantage | MCRSNP | $77.04 | ↓ -72% |
| American Health Advantage | MCRPPO | $77.04 | ↓ -72% |
| American Health Advantage | MCRHMO | $77.04 | ↓ -72% |
| American Health Advantage | MCRPOS | $77.04 | ↓ -72% |
| Evergreen HMO | MCR | $77.04 | ↓ -72% |
| Signature Advantage | MCR | $77.77 | ↓ -71% |
| Ambetter | CORE | $79.24 | ↓ -71% |
| ATRIO Golden Times | MCR | $80.71 | ↓ -70% |
| BCBS | NetworkP | $83.37 | ↓ -69% |
| Bright Health | MCRNarrow | $84.38 | ↓ -69% |
| Cigna | PPO | $88.52 | ↓ -67% |
| Prime Health | WORKERSCOMP | $105.65 | ↓ -61% |
| NovaNET | WORKERSCOMP | $107.85 | ↓ -60% |
| CorVel Corporation | WORKERSCOMP | $107.85 | ↓ -60% |
| Centurion | PRISON | $111.87 | ↓ -59% |
| BCBS | BlueCare | $117.39 | ↓ -57% |
| United | GlobalBenefitPlan | $122.19 | ↓ -55% |
| Cigna | NewBusiness | $130.92 | ↓ -52% |
| BGFH SingleSource | DIRECTNETWORK | $135.76 | ↓ -50% |
| Aetna | NAP | $135.76 | ↓ -50% |
| Cigna | OAP | $148.69 | ↓ -45% |
| Humana BH | COMM | $176.49 | ↓ -35% |
| Multiplan | COMM | $176.49 | ↓ -35% |
| Employers Health Network | COMM | $190.07 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $203.65 | ↓ -25% |
| ComPsych | COMM | $217.22 | ↓ -20% |
| Cigna Evernorth Behavioral Health | COMM | $217.22 | ↓ -20% |
| Oscar | HIX | $220.11 | ↓ -19% |
| BGFH SingleSource | LEASEDNETWORK | $230.80 | ↓ -15% |
| Prime Health | COMMPPO | $238.95 | ↓ -12% |
| Beech Street | COMM | $238.95 | ↓ -12% |
| Humana | HumanaChoiceCare | $293.48 | ↑ +8% |
| Humana | NarrowExchangeNetwork | $293.48 | ↑ +8% |
| Humana | BroadNetwork | $293.48 | ↑ +8% |
| Humana | HumanaChoice | $293.48 | ↑ +8% |
Visitor-reported prices
Comments
Analysis gene f5 leiden variant at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $52.58 | $26.41 – $237.02 |
| CHI Memorial Hospital Hixson | Hixson | $69.86 | $40.00 – $165.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $319.70 | $40.62 – $146.74 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $99.83 | $40.00 – $165.20 |
| Johnson City Medical Center | JOHNSON CITY | $106.95 | $36.69 – $159.95 |
| Ascension Saint Thomas DeKalb | Smithville | $52.58 | $40.62 – $237.02 |
| Ascension Saint Thomas Highlands | Sparta | $52.58 | $40.62 – $237.02 |
| Ascension Saint Thomas River Park | McMinnville | $52.58 | $41.27 – $237.02 |