#covid19rsv-rsv at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$130.00
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.
$130.00
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.
$23.93 with Kentucky Labor Cabinet vs $280.80 with Humana — 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 |
|---|---|---|---|
| Kentucky Labor Cabinet | WORKERSCOMP | $23.93 | ↓ -82% |
| NHC Advantage, Inc. | MCRHMO | $24.70 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $24.70 | ↓ -81% |
| Apex Health | MCR | $24.70 | ↓ -81% |
| Wellpoint | MGMCD | $31.59 | ↓ -76% |
| Humana | TRICARE | $32.50 | ↓ -75% |
| United | OptionsPPO | $36.27 | ↓ -72% |
| Cigna | PPO | $42.38 | ↓ -67% |
| Centurion | PRISON | $53.56 | ↓ -59% |
| Aetna | COMM | $55.81 | ↓ -57% |
| Aetna | NewBusiness | $55.81 | ↓ -57% |
| United | GlobalBenefitPlan | $58.50 | ↓ -55% |
| Aetna | NAP | $65.00 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $65.00 | ↓ -50% |
| Odyssey Healthcare | COMM | $70.20 | ↓ -46% |
| Humana | ChoicecareMGMCR | $70.20 | ↓ -46% |
| Sarah Cannon Research | COMM | $70.20 | ↓ -46% |
| HealthSpring | DualEligible | $70.20 | ↓ -46% |
| HealthSpring | MCRHMO | $70.20 | ↓ -46% |
| HealthSpring | MCRPOS | $70.20 | ↓ -46% |
| HealthSpring | MCRPPO | $70.20 | ↓ -46% |
| United | VACCN | $70.20 | ↓ -46% |
| United | AllPayerAppendix | $70.20 | ↓ -46% |
| Devoted Health Plan | MCR | $70.20 | ↓ -46% |
| Amerigroup | MGMCR | $70.20 | ↓ -46% |
| Bright Health | SmallGroup | $70.20 | ↓ -46% |
| Bright Health | HIX | $70.20 | ↓ -46% |
| United | CorePayer | $70.20 | ↓ -46% |
| United | HeritageSelect | $70.20 | ↓ -46% |
| Aetna | MGMCRSNP | $70.90 | ↓ -45% |
| Aetna | MGMCRPPO | $70.90 | ↓ -45% |
| Aetna | MGMCRHMO | $70.90 | ↓ -45% |
| United | MGMCR | $71.60 | ↓ -45% |
| BCBS | MCR | $72.31 | ↓ -44% |
| WellCare | MCR | $72.31 | ↓ -44% |
| Zing | MGMCR | $72.31 | ↓ -44% |
| Ambetter | Select | $73.01 | ↓ -44% |
| American Health Advantage | MCRPFFS | $73.71 | ↓ -43% |
| Evergreen HMO | MCR | $73.71 | ↓ -43% |
| American Health Advantage | MCRHMO | $73.71 | ↓ -43% |
| American Health Advantage | MCRPOS | $73.71 | ↓ -43% |
| American Health Advantage | MCRPPO | $73.71 | ↓ -43% |
| American Health Advantage | MCRSNP | $73.71 | ↓ -43% |
| Signature Advantage | MCR | $74.41 | ↓ -43% |
| Ambetter | CORE | $75.81 | ↓ -42% |
| ATRIO Golden Times | MCR | $77.22 | ↓ -41% |
| Bright Health | MCRNarrow | $80.73 | ↓ -38% |
| Humana BH | COMM | $84.50 | ↓ -35% |
| Multiplan | COMM | $84.50 | ↓ -35% |
| BCBS | NetworkP | $86.66 | ↓ -33% |
| Employers Health Network | COMM | $91.00 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $97.50 | ↓ -25% |
| Prime Health | WORKERSCOMP | $101.09 | ↓ -22% |
| CorVel Corporation | WORKERSCOMP | $103.19 | ↓ -21% |
| NovaNET | WORKERSCOMP | $103.19 | ↓ -21% |
| ComPsych | COMM | $104.00 | ↓ -20% |
| Cigna Evernorth Behavioral Health | COMM | $104.00 | ↓ -20% |
| BCBS | TENNCARE | $109.12 | ↓ -16% |
| BGFH SingleSource | LEASEDNETWORK | $110.50 | ↓ -15% |
| Beech Street | COMM | $114.40 | ↓ -12% |
| Prime Health | COMMPPO | $114.40 | ↓ -12% |
| BCBS | COVERKIDS | $118.27 | ↓ -9% |
| Cigna | NewBusiness | $125.15 | ↓ -4% |
| Cigna | OAP | $142.13 | ↑ +9% |
| BCBS | BlueCare | $203.46 | ↑ +57% |
| Oscar | HIX | $210.60 | ↑ +62% |
| Humana | HumanaChoice | $280.80 | ↑ +116% |
| Humana | HumanaChoiceCare | $280.80 | ↑ +116% |
| Humana | NarrowExchangeNetwork | $280.80 | ↑ +116% |
| Humana | BroadNetwork | $280.80 | ↑ +116% |
Visitor-reported prices
Comments
#covid19rsv-rsv at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $36.36 | $25.27 – $272.03 |
| CHI Memorial Hospital Hixson | Hixson | $91.47 | $56.57 – $216.30 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $130.71 | $56.57 – $216.30 |
| Johnson City Medical Center | JOHNSON CITY | $111.15 | $35.10 – $153.04 |
| Ascension Saint Thomas DeKalb | Smithville | $36.36 | $63.02 – $272.03 |
| Ascension Saint Thomas Highlands | Sparta | $36.36 | $63.02 – $272.03 |
| Ascension Saint Thomas River Park | McMinnville | $36.36 | $63.02 – $272.03 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $36.36 | $63.02 – $272.03 |