App high cost ss t/a/l >100sq cm 1st 100sq 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.
$586.25 with BCBS vs $6,148.00 with United — 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 | $586.25 | — |
| Bright Health | HIX | $870.00 | — |
| Bright Health | SmallGroup | $1,187.00 | — |
| United | TENNCARE | $1,304.00 | — |
| BCBS | TENNCARE | $1,451.23 | — |
| BCBS | COVERKIDS | $1,572.55 | — |
| Aetna | NewBusiness | $1,804.00 | — |
| BCBS | BlueCare | $1,815.00 | — |
| Aetna | COMM | $2,303.00 | — |
| Pruitt Health (AllyAlign) | MCR | $2,550.00 | — |
| NHC Advantage, Inc. | MCRHMO | $2,550.00 | — |
| Apex Health | MCR | $2,550.00 | — |
| Cigna | NewBusiness | $3,040.00 | — |
| Oscar | HIX | $3,058.00 | — |
| Cigna | OAP | $3,454.00 | — |
| Humana | HumanaChoice | $3,514.00 | — |
| Humana | BroadNetwork | $3,514.00 | — |
| Humana | NarrowExchangeNetwork | $3,514.00 | — |
| Humana | HumanaChoiceCare | $3,514.00 | — |
| United | CorePayer | $4,611.00 | — |
| United | HeritageSelect | $4,918.00 | — |
| United | AllPayerAppendix | $6,148.00 | — |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm 1st 100sq cm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $4,144.89 | $2,800.60 – $9,802.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $1,604.94 | $2,364.00 – $6,685.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $5,923.27 | $2,940.63 – $9,802.10 |
| Johnson City Medical Center | JOHNSON CITY | $860.70 | $1,489.84 – $4,197.23 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,678.95 | $503.22 – $1,004.50 |
| Greeneville Community Hospital | GREENEVILLE | $860.70 | $828.55 – $4,197.23 |
| Bristol Regional Medical Center | BRISTOL | $860.70 | $1,380.92 – $4,697.60 |
| Franklin Woods Community Hospital | JOHNSON CITY | $860.70 | $1,310.23 – $4,083.91 |