Drug assay caffeine at SUMMIT MEDICAL CENTER

100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$229.00

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$229.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$17.36 with Wellpoint vs $201.52 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 →

Payer
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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
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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 $17.36 ↓ -92%
BCBS NetworkP $19.30 ↓ -92%
BCBS TENNCARE $24.30 ↓ -89%
BCBS COVERKIDS $26.34 ↓ -88%
Aetna COMM $30.67 ↓ -87%
Aetna NewBusiness $30.67 ↓ -87%
HealthSpring DualEligible $38.57 ↓ -83%
HealthSpring MCRHMO $38.57 ↓ -83%
HealthSpring MCRPOS $38.57 ↓ -83%
HealthSpring MCRPPO $38.57 ↓ -83%
Odyssey Healthcare COMM $38.57 ↓ -83%
Bright Health HIX $38.57 ↓ -83%
Amerigroup MGMCR $38.57 ↓ -83%
United CorePayer $38.57 ↓ -83%
Sarah Cannon Research COMM $38.57 ↓ -83%
Humana ChoicecareMGMCR $38.57 ↓ -83%
Devoted Health Plan MCR $38.57 ↓ -83%
Bright Health SmallGroup $38.57 ↓ -83%
United VACCN $38.57 ↓ -83%
United AllPayerAppendix $38.57 ↓ -83%
United HeritageSelect $38.57 ↓ -83%
Aetna MGMCRPPO $38.96 ↓ -83%
Aetna MGMCRSNP $38.96 ↓ -83%
Aetna MGMCRHMO $38.96 ↓ -83%
United MGMCR $39.34 ↓ -83%
BCBS MCR $39.73 ↓ -83%
WellCare MCR $39.73 ↓ -83%
Zing MGMCR $39.73 ↓ -83%
Ambetter Select $40.11 ↓ -82%
American Health Advantage MCRPPO $40.50 ↓ -82%
American Health Advantage MCRPOS $40.50 ↓ -82%
American Health Advantage MCRPFFS $40.50 ↓ -82%
American Health Advantage MCRSNP $40.50 ↓ -82%
American Health Advantage MCRHMO $40.50 ↓ -82%
Evergreen HMO MCR $40.50 ↓ -82%
Signature Advantage MCR $40.88 ↓ -82%
Ambetter CORE $41.65 ↓ -82%
Kentucky Labor Cabinet WORKERSCOMP $42.16 ↓ -82%
ATRIO Golden Times MCR $42.43 ↓ -81%
Apex Health MCR $43.51 ↓ -81%
NHC Advantage, Inc. MCRHMO $43.51 ↓ -81%
Pruitt Health (AllyAlign) MCR $43.51 ↓ -81%
Bright Health MCRNarrow $44.36 ↓ -81%
BCBS BlueCare $45.32 ↓ -80%
Prime Health WORKERSCOMP $55.54 ↓ -76%
CorVel Corporation WORKERSCOMP $56.70 ↓ -75%
NovaNET WORKERSCOMP $56.70 ↓ -75%
Humana TRICARE $57.25 ↓ -75%
United OptionsPPO $63.89 ↓ -72%
Cigna NewBusiness $68.64 ↓ -70%
Cigna PPO $74.65 ↓ -67%
Cigna OAP $77.95 ↓ -66%
Centurion PRISON $94.35 ↓ -59%
United GlobalBenefitPlan $103.05 ↓ -55%
BGFH SingleSource DIRECTNETWORK $114.50 ↓ -50%
Aetna NAP $114.50 ↓ -50%
Oscar HIX $115.71 ↓ -49%
Humana BH COMM $148.85 ↓ -35%
Multiplan COMM $148.85 ↓ -35%
Humana NarrowExchangeNetwork $154.28 ↓ -33%
Humana BroadNetwork $154.28 ↓ -33%
Humana HumanaChoice $154.28 ↓ -33%
Humana HumanaChoiceCare $154.28 ↓ -33%
Employers Health Network COMM $160.30 ↓ -30%
Odom's TN Pride Sausage WORKERSCOMP $171.75 ↓ -25%
ComPsych COMM $183.20 ↓ -20%
Cigna Evernorth Behavioral Health COMM $183.20 ↓ -20%
BGFH SingleSource LEASEDNETWORK $194.65 ↓ -15%
Beech Street COMM $201.52 ↓ -12%
Prime Health COMMPPO $201.52 ↓ -12%

Visitor-reported prices

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Drug assay caffeine at other Tennessee hospitals

Hospital City Cash price Negotiated range
62-0123940 BMH Collierville Collierville $77.91 $15.68 – $77.14
Ascension Saint Thomas Midtown Nashville not published $13.89 – $120.79
Ascension Saint Thomas DeKalb Smithville not published $9.55 – $120.79
Ascension Saint Thomas Highlands Sparta not published $9.55 – $120.79
Ascension Saint Thomas River Park McMinnville not published $9.55 – $120.79
Ascension Saint Thomas Rutherford Murfreesboro not published $15.68 – $120.79
Ascension Saint Thomas Hickman Centerville not published $28.95 – $120.79
CENTENNIAL MEDICAL CENTER AT ASHLAND CITY Ashland City not published $15.68 – $115.71

All Tennessee hospitals for this procedure →