Consultation pathology during surgery cytological exam initial site at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$111.26
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.
$111.26
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.
$18.91 with Bright Health vs $656.15 with United — 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 |
|---|---|---|---|
| Bright Health | HIX | $18.91 | ↓ -83% |
| Oscar | HIX | $20.36 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $20.48 | ↓ -82% |
| Apex Health | MCR | $21.14 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $21.14 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $21.14 | ↓ -81% |
| BCBS | TENNCARE | $24.29 | ↓ -78% |
| Ambetter | CORE | $24.81 | ↓ -78% |
| Ambetter | Select | $25.81 | ↓ -77% |
| BCBS | COVERKIDS | $26.33 | ↓ -76% |
| Bright Health | SmallGroup | $26.70 | ↓ -76% |
| Humana | TRICARE | $27.82 | ↓ -75% |
| United | OptionsPPO | $31.04 | ↓ -72% |
| Cigna | PPO | $36.27 | ↓ -67% |
| BCBS | NetworkP | $36.54 | ↓ -67% |
| BCBS | BlueCare | $45.29 | ↓ -59% |
| Centurion | PRISON | $45.84 | ↓ -59% |
| United | GlobalBenefitPlan | $50.07 | ↓ -55% |
| Cigna | NewBusiness | $53.99 | ↓ -51% |
| Aetna | NAP | $55.63 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $55.63 | ↓ -50% |
| Cigna | OAP | $61.31 | ↓ -45% |
| Aetna | NewBusiness | $71.56 | ↓ -36% |
| Aetna | COMM | $71.56 | ↓ -36% |
| Multiplan | COMM | $72.32 | ↓ -35% |
| Humana BH | COMM | $72.32 | ↓ -35% |
| Employers Health Network | COMM | $77.88 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $83.44 | ↓ -25% |
| ComPsych | COMM | $89.01 | ↓ -20% |
| Cigna Evernorth Behavioral Health | COMM | $89.01 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $94.57 | ↓ -15% |
| Beech Street | COMM | $97.91 | ↓ -12% |
| Prime Health | COMMPPO | $97.91 | ↓ -12% |
| Humana | BroadNetwork | $116.76 | ↑ +5% |
| Humana | HumanaChoiceCare | $116.76 | ↑ +5% |
| Humana | HumanaChoice | $116.76 | ↑ +5% |
| Humana | NarrowExchangeNetwork | $116.76 | ↑ +5% |
| United | HeritageSelect | $656.15 | ↑ +490% |
| United | CorePayer | $656.15 | ↑ +490% |
| United | AllPayerAppendix | $656.15 | ↑ +490% |
Visitor-reported prices
Comments
Consultation pathology during surgery cytological exam initial site at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $368.46 | $15.67 – $1,095.29 |
| CHI Memorial Hospital Hixson | Hixson | $782.92 | $23.32 – $1,851.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $242.42 | $15.67 – $1,491.86 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,118.84 | $23.32 – $1,851.50 |
| Johnson City Medical Center | JOHNSON CITY | $207.75 | $15.37 – $1,638.95 |
| Ascension Saint Thomas Highlands | Sparta | $364.01 | $8.45 – $1,079.50 |
| Ascension Saint Thomas River Park | McMinnville | $364.01 | $8.45 – $1,079.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $368.46 | $15.67 – $1,095.29 |