Assay of silica 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.
$11.34 with Wellpoint vs $133.58 with BCBS — 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 | $11.34 | — |
| Aetna | COMM | $20.04 | — |
| Aetna | NewBusiness | $20.04 | — |
| Sarah Cannon Research | COMM | $25.21 | — |
| Bright Health | SmallGroup | $25.21 | — |
| Bright Health | HIX | $25.21 | — |
| HealthSpring | DualEligible | $25.21 | — |
| HealthSpring | MCRHMO | $25.21 | — |
| HealthSpring | MCRPOS | $25.21 | — |
| HealthSpring | MCRPPO | $25.21 | — |
| Odyssey Healthcare | COMM | $25.21 | — |
| United | HeritageSelect | $25.21 | — |
| Amerigroup | MGMCR | $25.21 | — |
| Humana | ChoicecareMGMCR | $25.21 | — |
| United | VACCN | $25.21 | — |
| United | AllPayerAppendix | $25.21 | — |
| United | CorePayer | $25.21 | — |
| Devoted Health Plan | MCR | $25.21 | — |
| Aetna | MGMCRHMO | $25.46 | — |
| Aetna | MGMCRPPO | $25.46 | — |
| Aetna | MGMCRSNP | $25.46 | — |
| United | MGMCR | $25.71 | — |
| Zing | MGMCR | $25.97 | — |
| WellCare | MCR | $25.97 | — |
| BCBS | MCR | $25.97 | — |
| Ambetter | Select | $26.22 | — |
| American Health Advantage | MCRPOS | $26.47 | — |
| American Health Advantage | MCRHMO | $26.47 | — |
| Evergreen HMO | MCR | $26.47 | — |
| American Health Advantage | MCRPFFS | $26.47 | — |
| American Health Advantage | MCRSNP | $26.47 | — |
| American Health Advantage | MCRPPO | $26.47 | — |
| Signature Advantage | MCR | $26.72 | — |
| Ambetter | CORE | $27.22 | — |
| ATRIO Golden Times | MCR | $27.73 | — |
| Bright Health | MCRNarrow | $28.99 | — |
| BCBS | NetworkP | $32.12 | — |
| Prime Health | WORKERSCOMP | $36.30 | — |
| NovaNET | WORKERSCOMP | $37.06 | — |
| CorVel Corporation | WORKERSCOMP | $37.06 | — |
| Cigna | NewBusiness | $44.99 | — |
| Cigna | OAP | $51.10 | — |
| BCBS | TENNCARE | $71.64 | — |
| Oscar | HIX | $75.63 | — |
| BCBS | COVERKIDS | $77.65 | — |
| Humana | HumanaChoice | $100.84 | — |
| Humana | BroadNetwork | $100.84 | — |
| Humana | HumanaChoiceCare | $100.84 | — |
| Humana | NarrowExchangeNetwork | $100.84 | — |
| BCBS | BlueCare | $133.58 | — |
Visitor-reported prices
Comments
Assay of silica at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $9.08 – $91.42 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $16.51 – $91.42 |
| Ascension Saint Thomas Highlands | Sparta | not published | $16.51 – $91.42 |
| Ascension Saint Thomas River Park | McMinnville | not published | $16.51 – $91.42 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $22.69 – $91.42 |
| Ascension Saint Thomas Hickman | Centerville | not published | $22.69 – $91.42 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $11.34 – $75.63 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $11.34 – $75.63 |