Cath left heart transseptal punc 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.
$224.00 with United vs $16,577.00 with Aetna — 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 | TENNCARE | $224.00 | — |
| BCBS | TENNCARE | $268.26 | — |
| BCBS | COVERKIDS | $290.76 | — |
| BCBS | BlueCare | $500.17 | — |
| Pruitt Health (AllyAlign) | MCR | $3,850.00 | — |
| Apex Health | MCR | $3,850.00 | — |
| NHC Advantage, Inc. | MCRHMO | $3,850.00 | — |
| Bright Health | HIX | $5,140.00 | — |
| Bright Health | SmallGroup | $7,009.00 | — |
| United | CorePayer | $7,355.00 | — |
| Ambetter | Select | $7,800.00 | — |
| United | HeritageSelect | $7,846.00 | — |
| Oscar | HIX | $7,997.00 | — |
| Ambetter | CORE | $8,112.00 | — |
| United | AllPayerAppendix | $9,807.00 | — |
| Humana | HumanaChoice | $13,929.00 | — |
| Humana | NarrowExchangeNetwork | $13,929.00 | — |
| Humana | HumanaChoiceCare | $13,929.00 | — |
| Humana | BroadNetwork | $13,929.00 | — |
| Aetna | NewBusiness | $14,137.00 | — |
| Aetna | COMM | $16,577.00 | — |
| Aetna | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Cath left heart transseptal punc at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $5,921.76 | $173.07 – $6,687.00 |
| CHI Memorial Hospital Hixson | Hixson | $967.33 | $257.58 – $7,669.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,382.37 | $257.58 – $7,669.00 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $5,921.76 | $173.07 – $173.07 |
| Greeneville Community Hospital | GREENEVILLE | $1,818.15 | $200.76 – $3,407.72 |
| Bristol Regional Medical Center | BRISTOL | $1,818.15 | $200.76 – $3,254.60 |
| Holston Valley Medical Center | KINGSPORT | $1,818.15 | $200.76 – $3,254.60 |
| 62-0123940 BMH Collierville | Collierville | $1,429.89 | $209.55 – $293.28 |