Butorphanol tartrate 1 mg 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.
$4.74 with Cigna vs $322.82 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 |
|---|---|---|---|
| Cigna | NewBusiness | $4.74 | — |
| Cigna | OAP | $5.39 | — |
| BCBS | NetworkP | $5.74 | — |
| United | AllPayerAppendix | $14.68 | — |
| United | HeritageSelect | $14.68 | — |
| United | CorePayer | $14.68 | — |
| Aetna | MGMCRHMO | $55.03 | — |
| Aetna | MGMCRPPO | $55.03 | — |
| Aetna | MGMCRSNP | $55.03 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $67.54 | — |
| Ambetter | Select | $85.11 | — |
| Humana | TRICARE | $91.71 | — |
| United | OptionsPPO | $102.35 | — |
| Cigna | PPO | $119.59 | — |
| Centurion | PRISON | $151.14 | — |
| United | GlobalBenefitPlan | $165.08 | — |
| BGFH SingleSource | DIRECTNETWORK | $183.42 | — |
| Signature Advantage | MCR | $183.42 | — |
| Multiplan | COMM | $238.45 | — |
| Humana BH | COMM | $238.45 | — |
| Employers Health Network | COMM | $256.79 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $275.13 | — |
| Cigna Evernorth Behavioral Health | COMM | $293.47 | — |
| BGFH SingleSource | LEASEDNETWORK | $311.81 | — |
| Prime Health | COMMPPO | $322.82 | — |
| Beech Street | COMM | $322.82 | — |
Visitor-reported prices
Comments
Butorphanol tartrate 1 mg at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $9.75 | $4.66 – $8.75 |
| 62-1166050 BMH Carroll County | Huntingdon | $35.43 | $3.39 – $5.94 |
| Johnson City Medical Center | JOHNSON CITY | $15.16 | $4.14 – $11.32 |
| Ascension Saint Thomas DeKalb | Smithville | $15.95 | $4.66 – $8.75 |
| Ascension Saint Thomas Highlands | Sparta | $9.75 | $4.66 – $8.75 |
| Ascension Saint Thomas River Park | McMinnville | $15.95 | $4.66 – $8.75 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $15.95 | $3.16 – $8.75 |
| Greeneville Community Hospital | GREENEVILLE | $15.16 | $4.14 – $11.32 |