Capecitabine, oral, 50 mg at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$199.20
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.
$199.20
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.
$0.11 with United vs $175.30 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 |
|---|---|---|---|
| United | AllPayerAppendix | $0.11 | ↓ -100% |
| United | HeritageSelect | $0.11 | ↓ -100% |
| United | CorePayer | $0.11 | ↓ -100% |
| Kentucky Labor Cabinet | WORKERSCOMP | $36.67 | ↓ -82% |
| BCBS | NetworkP | $45.82 | ↓ -77% |
| Ambetter | Select | $46.21 | ↓ -77% |
| Humana | TRICARE | $49.80 | ↓ -75% |
| Cigna | NewBusiness | $50.20 | ↓ -75% |
| United | OptionsPPO | $55.58 | ↓ -72% |
| Cigna | OAP | $56.97 | ↓ -71% |
| Cigna | PPO | $64.94 | ↓ -67% |
| Centurion | PRISON | $82.07 | ↓ -59% |
| United | GlobalBenefitPlan | $89.64 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $99.60 | ↓ -50% |
| Humana BH | COMM | $129.48 | ↓ -35% |
| Multiplan | COMM | $129.48 | ↓ -35% |
| Employers Health Network | COMM | $139.44 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $149.40 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $159.36 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $169.32 | ↓ -15% |
| Prime Health | COMMPPO | $175.30 | ↓ -12% |
| Beech Street | COMM | $175.30 | ↓ -12% |
Visitor-reported prices
Comments
Capecitabine, oral, 50 mg at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $7.01 | $0.06 – $11.68 |
| CHI Memorial Hospital Hixson | Hixson | $159.19 | $107.56 – $376.46 |
| 62-1166050 BMH Carroll County | Huntingdon | $9.34 | $0.03 – $0.08 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $227.49 | $112.94 – $376.46 |
| 62-0123940 BMH Collierville | Collierville | $8.53 | $0.04 – $0.08 |
| 62-1138045 BMH Union City | Union City | $8.12 | $0.03 – $0.08 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $276.63 | $0.11 – $0.11 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH | $264.60 | $0.11 – $0.11 |