Aqua therapy w/exercise/ea 15 min 97113 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.
$27.75 with Wellpoint vs $326.00 with Aetna — 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 | $27.75 | — |
| Humana | ChoicecareMGMCR | $30.84 | — |
| HealthSpring | DualEligible | $30.84 | — |
| HealthSpring | MCRHMO | $30.84 | — |
| HealthSpring | MCRPOS | $30.84 | — |
| HealthSpring | MCRPPO | $30.84 | — |
| Devoted Health Plan | MCR | $30.84 | — |
| United | VACCN | $30.84 | — |
| Amerigroup | MGMCR | $30.84 | — |
| Sarah Cannon Research | COMM | $30.84 | — |
| Odyssey Healthcare | COMM | $30.84 | — |
| Aetna | MGMCRSNP | $31.14 | — |
| Aetna | MGMCRHMO | $31.14 | — |
| Aetna | MGMCRPPO | $31.14 | — |
| United | MGMCR | $31.45 | — |
| WellCare | MCR | $31.76 | — |
| Zing | MGMCR | $31.76 | — |
| BCBS | MCR | $31.76 | — |
| BCBS | TENNCARE | $32.26 | — |
| American Health Advantage | MCRHMO | $32.38 | — |
| American Health Advantage | MCRPOS | $32.38 | — |
| Evergreen HMO | MCR | $32.38 | — |
| American Health Advantage | MCRPFFS | $32.38 | — |
| American Health Advantage | MCRSNP | $32.38 | — |
| American Health Advantage | MCRPPO | $32.38 | — |
| Signature Advantage | MCR | $32.69 | — |
| ATRIO Golden Times | MCR | $33.92 | — |
| BCBS | COVERKIDS | $34.96 | — |
| Bright Health | MCRNarrow | $35.46 | — |
| Prime Health | WORKERSCOMP | $44.40 | — |
| CorVel Corporation | WORKERSCOMP | $45.33 | — |
| NovaNET | WORKERSCOMP | $45.33 | — |
| BCBS | BlueCare | $60.14 | — |
| BCBS | NetworkP | $74.67 | — |
| Aetna | NewBusiness | $274.00 | — |
| Aetna | COMM | $326.00 | — |
Visitor-reported prices
Comments
Aqua therapy w/exercise/ea 15 min 97113 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $59.49 | $20.81 – $92.92 |
| CHI Memorial Hospital Hixson | Hixson | $86.14 | $30.97 – $203.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $25.30 | $20.81 – $23.96 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $123.10 | $30.97 – $203.70 |
| Johnson City Medical Center | JOHNSON CITY | $40.95 | $24.14 – $76.39 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $59.49 | $20.81 – $92.92 |
| Hancock County Hospital | SNEEDVILLE | $40.25 | $24.14 – $58.69 |
| Greeneville Community Hospital | GREENEVILLE | $40.95 | $24.14 – $76.39 |