Electrophysiology evaluation at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$29,301.22
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.
$29,301.22
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.
$389.24 with BCBS vs $30,393.00 with Aetna — 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 | $389.24 | ↓ -99% |
| BCBS | COVERKIDS | $421.88 | ↓ -99% |
| BCBS | BlueCare | $725.74 | ↓ -98% |
| United | TENNCARE | $1,957.00 | ↓ -93% |
| Bright Health | HIX | $5,094.00 | ↓ -83% |
| Kentucky Labor Cabinet | WORKERSCOMP | $5,394.35 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $5,567.23 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $5,567.23 | ↓ -81% |
| BCBS | NetworkP | $6,739.28 | ↓ -77% |
| Bright Health | SmallGroup | $6,946.00 | ↓ -76% |
| Humana | TRICARE | $7,325.31 | ↓ -75% |
| Apex Health | MCR | $7,950.00 | ↓ -73% |
| Oscar | HIX | $8,071.00 | ↓ -72% |
| United | OptionsPPO | $8,175.04 | ↓ -72% |
| Cigna | PPO | $9,552.20 | ↓ -67% |
| Cigna | NewBusiness | $10,808.00 | ↓ -63% |
| Cigna | OAP | $12,282.00 | ↓ -58% |
| United | GlobalBenefitPlan | $13,185.55 | ↓ -55% |
| Aetna | NAP | $14,650.61 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $14,650.61 | ↓ -50% |
| Ambetter | Select | $15,600.00 | ↓ -47% |
| United | CorePayer | $15,860.00 | ↓ -46% |
| Ambetter | CORE | $16,224.00 | ↓ -45% |
| United | HeritageSelect | $16,917.00 | ↓ -42% |
| Multiplan | COMM | $19,045.79 | ↓ -35% |
| Humana BH | COMM | $19,045.79 | ↓ -35% |
| Employers Health Network | COMM | $20,510.85 | ↓ -30% |
| United | AllPayerAppendix | $21,146.00 | ↓ -28% |
| ComPsych | COMM | $23,440.98 | ↓ -20% |
| Cigna Evernorth Behavioral Health | COMM | $23,440.98 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $24,906.04 | ↓ -15% |
| Beech Street | COMM | $25,785.07 | ↓ -12% |
| Prime Health | COMMPPO | $25,785.07 | ↓ -12% |
| Aetna | NewBusiness | $25,919.00 | ↓ -12% |
| Aetna | COMM | $30,393.00 | ↑ +4% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Rutherford | Murfreesboro | $6,179.09 | $251.12 – $637.01 |
| Greeneville Community Hospital | GREENEVILLE | $1,142.25 | $291.30 – $15,866.48 |
| Bristol Regional Medical Center | BRISTOL | $1,142.25 | $291.30 – $16,130.18 |
| Holston Valley Medical Center | KINGSPORT | $1,142.25 | $291.30 – $16,130.18 |
| 62-0123940 BMH Collierville | Collierville | $2,489.76 | $251.12 – $13,896.84 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,142.25 | $291.30 – $15,426.63 |
| Parkwest Medical Center | Knoxville | $1,719.30 | $348.47 – $7,430.26 |
| Roane County Medical Center | Harriman | $1,891.23 | $348.47 – $7,430.26 |