Artery x-rays lung 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.
$98.54 with BCBS vs $1,327.01 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 | $98.54 | — |
| Aetna | COMM | $189.13 | — |
| Aetna | NewBusiness | $189.13 | — |
| Humana | BroadNetwork | $206.48 | — |
| Humana | NarrowExchangeNetwork | $206.48 | — |
| Humana | HumanaChoice | $206.48 | — |
| Humana | HumanaChoiceCare | $206.48 | — |
| Cigna | NewBusiness | $265.81 | — |
| Cigna | OAP | $301.92 | — |
| BCBS | TENNCARE | $510.18 | — |
| BCBS | COVERKIDS | $552.99 | — |
| BCBS | BlueCare | $949.01 | — |
| United | HeritageSelect | $1,327.01 | — |
| United | CorePayer | $1,327.01 | — |
| United | AllPayerAppendix | $1,327.01 | — |
Visitor-reported prices
Comments
Artery x-rays lung at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $780.50 | $118.65 – $2,609.81 |
| CHI Memorial Hospital Hixson | Hixson | $1,657.31 | $176.97 – $3,919.30 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,368.38 | $176.97 – $3,919.30 |
| Johnson City Medical Center | JOHNSON CITY | $492.60 | $155.47 – $6,423.11 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $780.50 | $118.65 – $2,609.81 |
| Greeneville Community Hospital | GREENEVILLE | $492.60 | $155.47 – $6,423.11 |
| Bristol Regional Medical Center | BRISTOL | $492.60 | $155.47 – $6,529.86 |
| Franklin Woods Community Hospital | JOHNSON CITY | $492.60 | $155.47 – $6,249.69 |