Cytopath smear oth prep screen & interp 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.
$8.71 with BCBS vs $116.07 with Cigna — 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 |
|---|---|---|---|
| BCBS | TENNCARE | $8.71 | — |
| BCBS | COVERKIDS | $9.44 | — |
| BCBS | BlueCare | $16.24 | — |
| United | CorePayer | $24.67 | — |
| United | AllPayerAppendix | $24.67 | — |
| United | HeritageSelect | $24.67 | — |
| BCBS | NetworkP | $29.78 | — |
| Aetna | NewBusiness | $52.25 | — |
| Aetna | COMM | $52.25 | — |
| Humana | NarrowExchangeNetwork | $97.04 | — |
| Humana | HumanaChoiceCare | $97.04 | — |
| Humana | BroadNetwork | $97.04 | — |
| Humana | HumanaChoice | $97.04 | — |
| Cigna | NewBusiness | $102.21 | — |
| Cigna | OAP | $116.07 | — |
Visitor-reported prices
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Cytopath smear oth prep screen & interp at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $26.81 | $5.62 – $128.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $14.49 | $5.62 – $44.72 |
| Johnson City Medical Center | JOHNSON CITY | $52.50 | $6.52 – $58.84 |
| Ascension Saint Thomas DeKalb | Smithville | $26.81 | $5.62 – $128.20 |
| Ascension Saint Thomas Highlands | Sparta | $26.81 | $5.62 – $128.20 |
| Ascension Saint Thomas River Park | McMinnville | $26.81 | $8.40 – $128.20 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $26.81 | $5.62 – $128.20 |
| Hancock County Hospital | SNEEDVILLE | $51.52 | $6.52 – $122.86 |