Attn at delivery+ 1 stabilization of newborn 99464 at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$3,688.49
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.
$3,688.49
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.
$92.15 with BCBS vs $3,245.87 with Beech Street — 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 | TENNCARE | $92.15 | ↓ -98% |
| BCBS | COVERKIDS | $99.88 | ↓ -97% |
| BCBS | BlueCare | $171.81 | ↓ -95% |
| Aetna | MGMCRHMO | $553.27 | ↓ -85% |
| Aetna | MGMCRSNP | $553.27 | ↓ -85% |
| Aetna | MGMCRPPO | $553.27 | ↓ -85% |
| Bright Health | HIX | $627.04 | ↓ -83% |
| Oscar | HIX | $674.99 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $679.05 | ↓ -82% |
| NHC Advantage, Inc. | MCRHMO | $700.81 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $700.81 | ↓ -81% |
| Apex Health | MCR | $700.81 | ↓ -81% |
| Ambetter | CORE | $822.53 | ↓ -78% |
| BCBS | NetworkP | $848.35 | ↓ -77% |
| Ambetter | Select | $855.73 | ↓ -77% |
| Bright Health | SmallGroup | $885.24 | ↓ -76% |
| Humana | TRICARE | $922.12 | ↓ -75% |
| Cigna | NewBusiness | $929.50 | ↓ -75% |
| United | OptionsPPO | $1,029.09 | ↓ -72% |
| Aetna | NewBusiness | $1,032.78 | ↓ -72% |
| Cigna | OAP | $1,054.91 | ↓ -71% |
| Cigna | PPO | $1,202.45 | ↓ -67% |
| Aetna | COMM | $1,217.20 | ↓ -67% |
| Centurion | PRISON | $1,519.66 | ↓ -59% |
| United | GlobalBenefitPlan | $1,659.82 | ↓ -55% |
| Aetna | NAP | $1,844.24 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $1,844.24 | ↓ -50% |
| Signature Advantage | MCR | $1,844.24 | ↓ -50% |
| Multiplan | COMM | $2,397.52 | ↓ -35% |
| Humana BH | COMM | $2,397.52 | ↓ -35% |
| Employers Health Network | COMM | $2,581.94 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $2,766.37 | ↓ -25% |
| ComPsych | COMM | $2,950.79 | ↓ -20% |
| Cigna Evernorth Behavioral Health | COMM | $2,950.79 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $3,135.22 | ↓ -15% |
| Prime Health | COMMPPO | $3,245.87 | ↓ -12% |
| Beech Street | COMM | $3,245.87 | ↓ -12% |
Visitor-reported prices
Comments
Attn at delivery+ 1 stabilization of newborn 99464 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas River Park | McMinnville | $133.32 | $88.82 – $112.95 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $126.99 | $59.45 – $59.45 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | $1,496.38 | $101.06 – $101.06 |
| HORIZON MEDICAL CENTER | DICKSON | $1,425.45 | $95.12 – $95.12 |
| STONECREST MEDICAL CENTER | Smyrna | $1,552.66 | $83.23 – $83.23 |
| Ascension Saint Thomas Midtown | Nashville | not published | $59.45 – $59.45 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $59.45 – $79.13 |
| Ascension Saint Thomas Highlands | Sparta | not published | $59.45 – $89.17 |