Bone survey-lead poisoning at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$1,113.00
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.
$1,113.00
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.
$42.37 with BCBS vs $979.44 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 | $42.37 | ↓ -96% |
| BCBS | NetworkP | $43.06 | ↓ -96% |
| BCBS | COVERKIDS | $45.93 | ↓ -96% |
| BCBS | BlueCare | $78.82 | ↓ -93% |
| Humana | NarrowExchangeNetwork | $82.04 | ↓ -93% |
| Humana | HumanaChoiceCare | $82.04 | ↓ -93% |
| Humana | HumanaChoice | $82.04 | ↓ -93% |
| Humana | BroadNetwork | $82.04 | ↓ -93% |
| Aetna | NewBusiness | $87.73 | ↓ -92% |
| Aetna | COMM | $87.73 | ↓ -92% |
| Cigna | NewBusiness | $142.49 | ↓ -87% |
| United | HeritageSelect | $154.52 | ↓ -86% |
| United | AllPayerAppendix | $154.52 | ↓ -86% |
| United | CorePayer | $154.52 | ↓ -86% |
| Cigna | OAP | $161.85 | ↓ -85% |
| Kentucky Labor Cabinet | WORKERSCOMP | $204.90 | ↓ -82% |
| Apex Health | MCR | $211.47 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $211.47 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $211.47 | ↓ -81% |
| Humana | TRICARE | $278.25 | ↓ -75% |
| United | OptionsPPO | $310.53 | ↓ -72% |
| Cigna | PPO | $362.84 | ↓ -67% |
| Centurion | PRISON | $458.56 | ↓ -59% |
| United | GlobalBenefitPlan | $500.85 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $556.50 | ↓ -50% |
| Aetna | NAP | $556.50 | ↓ -50% |
| Multiplan | COMM | $723.45 | ↓ -35% |
| Humana BH | COMM | $723.45 | ↓ -35% |
| Employers Health Network | COMM | $779.10 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $834.75 | ↓ -25% |
| ComPsych | COMM | $890.40 | ↓ -20% |
| Cigna Evernorth Behavioral Health | COMM | $890.40 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $946.05 | ↓ -15% |
| Prime Health | COMMPPO | $979.44 | ↓ -12% |
| Beech Street | COMM | $979.44 | ↓ -12% |
Visitor-reported prices
Comments
Bone survey-lead poisoning at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $174.78 | $29.63 – $179.33 |
| Johnson City Medical Center | JOHNSON CITY | $69.30 | $34.37 – $212.67 |
| Hancock County Hospital | SNEEDVILLE | $67.85 | $34.37 – $161.01 |
| Greeneville Community Hospital | GREENEVILLE | $69.30 | $27.17 – $212.67 |
| Bristol Regional Medical Center | BRISTOL | $69.30 | $34.37 – $238.03 |
| Franklin Woods Community Hospital | JOHNSON CITY | $69.30 | $36.47 – $206.93 |
| Holston Valley Medical Center | KINGSPORT | $69.30 | $34.37 – $238.03 |
| 62-0123940 BMH Collierville | Collierville | $165.90 | $29.63 – $194.76 |