Drain ostomy pouch w/flange at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$31.00
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.
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What you pay up front if you don't use insurance.
$31.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$3.47 with Wellpoint vs $27.28 with Prime Health — 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $3.47 | ↓ -89% |
| Amerigroup | MGMCR | $3.86 | ↓ -88% |
| Humana | ChoicecareMGMCR | $3.86 | ↓ -88% |
| HealthSpring | DualEligible | $3.86 | ↓ -88% |
| HealthSpring | MCRHMO | $3.86 | ↓ -88% |
| HealthSpring | MCRPOS | $3.86 | ↓ -88% |
| HealthSpring | MCRPPO | $3.86 | ↓ -88% |
| Odyssey Healthcare | COMM | $3.86 | ↓ -88% |
| Sarah Cannon Research | COMM | $3.86 | ↓ -88% |
| United | VACCN | $3.86 | ↓ -88% |
| Devoted Health Plan | MCR | $3.86 | ↓ -88% |
| Aetna | MGMCRPPO | $3.90 | ↓ -87% |
| Aetna | MGMCRSNP | $3.90 | ↓ -87% |
| Aetna | MGMCRHMO | $3.90 | ↓ -87% |
| United | MGMCR | $3.94 | ↓ -87% |
| BCBS | MCR | $3.98 | ↓ -87% |
| WellCare | MCR | $3.98 | ↓ -87% |
| Zing | MGMCR | $3.98 | ↓ -87% |
| American Health Advantage | MCRPFFS | $4.05 | ↓ -87% |
| Evergreen HMO | MCR | $4.05 | ↓ -87% |
| American Health Advantage | MCRPPO | $4.05 | ↓ -87% |
| American Health Advantage | MCRPOS | $4.05 | ↓ -87% |
| American Health Advantage | MCRHMO | $4.05 | ↓ -87% |
| American Health Advantage | MCRSNP | $4.05 | ↓ -87% |
| Signature Advantage | MCR | $4.09 | ↓ -87% |
| ATRIO Golden Times | MCR | $4.25 | ↓ -86% |
| Bright Health | MCRNarrow | $4.44 | ↓ -86% |
| Prime Health | WORKERSCOMP | $5.56 | ↓ -82% |
| NovaNET | WORKERSCOMP | $5.67 | ↓ -82% |
| CorVel Corporation | WORKERSCOMP | $5.67 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $5.71 | ↓ -82% |
| Ambetter | Select | $7.19 | ↓ -77% |
| Humana | TRICARE | $7.75 | ↓ -75% |
| United | OptionsPPO | $8.65 | ↓ -72% |
| Cigna | PPO | $10.11 | ↓ -67% |
| Centurion | PRISON | $12.77 | ↓ -59% |
| United | GlobalBenefitPlan | $13.95 | ↓ -55% |
| Aetna | NAP | $15.50 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $15.50 | ↓ -50% |
| Humana BH | COMM | $20.15 | ↓ -35% |
| Multiplan | COMM | $20.15 | ↓ -35% |
| Employers Health Network | COMM | $21.70 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $23.25 | ↓ -25% |
| ComPsych | COMM | $24.80 | ↓ -20% |
| Cigna Evernorth Behavioral Health | COMM | $24.80 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $26.35 | ↓ -15% |
| Beech Street | COMM | $27.28 | ↓ -12% |
| Prime Health | COMMPPO | $27.28 | ↓ -12% |
Visitor-reported prices
Comments
Drain ostomy pouch w/flange at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $3.86 – $5.67 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $3.74 – $5.67 |
| HORIZON MEDICAL CENTER | DICKSON | not published | $3.47 – $5.67 |
| SKYLINE MADISON CAMPUS | NASHVILLE | not published | $2.78 – $5.67 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH | not published | $2.78 – $5.67 |
| STONECREST MEDICAL CENTER | Smyrna | not published | $3.47 – $5.67 |
| Parkwest Medical Center | Knoxville | not published | $2.79 – $4.05 |
| Roane County Medical Center | Harriman | not published | $3.86 – $4.05 |