Compatibility test incubate at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$95.04
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.
?
What you pay up front if you don't use insurance.
$95.04
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.
?
The hospital's undiscounted list price — almost no one pays this.
$16.16 with Bright Health vs $149.16 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Bright Health | HIX | $16.16 | ↓ -83% |
| Oscar | HIX | $17.39 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $17.50 | ↓ -82% |
| Apex Health | MCR | $18.06 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $18.06 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $18.06 | ↓ -81% |
| BCBS | NetworkP | $19.94 | ↓ -79% |
| Ambetter | CORE | $21.19 | ↓ -78% |
| Ambetter | Select | $22.05 | ↓ -77% |
| Bright Health | SmallGroup | $22.81 | ↓ -76% |
| Aetna | NewBusiness | $23.26 | ↓ -76% |
| Aetna | COMM | $23.26 | ↓ -76% |
| Humana | TRICARE | $23.76 | ↓ -75% |
| United | OptionsPPO | $26.52 | ↓ -72% |
| Cigna | PPO | $30.98 | ↓ -67% |
| Centurion | PRISON | $39.16 | ↓ -59% |
| Cigna | NewBusiness | $39.22 | ↓ -59% |
| United | GlobalBenefitPlan | $42.77 | ↓ -55% |
| Cigna | OAP | $44.54 | ↓ -53% |
| Aetna | NAP | $47.52 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $47.52 | ↓ -50% |
| Multiplan | COMM | $61.78 | ↓ -35% |
| Humana BH | COMM | $61.78 | ↓ -35% |
| Employers Health Network | COMM | $66.53 | ↓ -30% |
| BCBS | TENNCARE | $68.45 | ↓ -28% |
| Odom's TN Pride Sausage | WORKERSCOMP | $71.28 | ↓ -25% |
| BCBS | COVERKIDS | $74.19 | ↓ -22% |
| ComPsych | COMM | $76.03 | ↓ -20% |
| Cigna Evernorth Behavioral Health | COMM | $76.03 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $80.78 | ↓ -15% |
| Beech Street | COMM | $83.64 | ↓ -12% |
| Prime Health | COMMPPO | $83.64 | ↓ -12% |
| Humana | HumanaChoiceCare | $113.60 | ↑ +20% |
| Humana | NarrowExchangeNetwork | $113.60 | ↑ +20% |
| Humana | HumanaChoice | $113.60 | ↑ +20% |
| Humana | BroadNetwork | $113.60 | ↑ +20% |
| BCBS | BlueCare | $127.62 | ↑ +34% |
| United | CorePayer | $149.16 | ↑ +57% |
| United | AllPayerAppendix | $149.16 | ↑ +57% |
| United | HeritageSelect | $149.16 | ↑ +57% |
Visitor-reported prices
Comments
Compatibility test incubate at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $61.64 | $31.31 – $312.94 |
| 62-1138045 BMH Union City | Union City | $48.60 | $31.31 – $312.94 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | $1,257.54 | $19.94 – $149.16 |
| HORIZON MEDICAL CENTER | DICKSON | $302.12 | $19.94 – $149.16 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD | $556.20 | $19.94 – $149.16 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $873.30 | $19.94 – $149.16 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH | $521.84 | $19.94 – $149.16 |
| STONECREST MEDICAL CENTER | Smyrna | $651.68 | $19.94 – $149.16 |