Electrophysiology evaluation at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$26,879.29
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.
$26,879.29
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.
$224.00 with United 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 |
|---|---|---|---|
| United | TENNCARE | $224.00 | ↓ -99% |
| BCBS | TENNCARE | $3,126.99 | ↓ -88% |
| BCBS | COVERKIDS | $3,389.25 | ↓ -87% |
| Aetna | MGMCRPPO | $4,031.89 | ↓ -85% |
| Aetna | MGMCRHMO | $4,031.89 | ↓ -85% |
| Aetna | MGMCRSNP | $4,031.89 | ↓ -85% |
| Kentucky Labor Cabinet | WORKERSCOMP | $4,948.48 | ↓ -82% |
| Bright Health | HIX | $5,094.00 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $5,107.07 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $5,107.07 | ↓ -81% |
| BCBS | BlueCare | $5,830.31 | ↓ -78% |
| BCBS | NetworkP | $6,182.24 | ↓ -77% |
| Humana | TRICARE | $6,719.82 | ↓ -75% |
| Cigna | NewBusiness | $6,773.58 | ↓ -75% |
| Bright Health | SmallGroup | $6,946.00 | ↓ -74% |
| United | OptionsPPO | $7,499.32 | ↓ -72% |
| Cigna | OAP | $7,687.48 | ↓ -71% |
| Apex Health | MCR | $7,950.00 | ↓ -70% |
| Oscar | HIX | $8,071.00 | ↓ -70% |
| Cigna | PPO | $8,762.65 | ↓ -67% |
| United | GlobalBenefitPlan | $12,095.68 | ↓ -55% |
| Signature Advantage | MCR | $13,439.65 | ↓ -50% |
| Aetna | NAP | $13,439.65 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $13,439.65 | ↓ -50% |
| Ambetter | Select | $15,600.00 | ↓ -42% |
| United | CorePayer | $15,860.00 | ↓ -41% |
| Ambetter | CORE | $16,224.00 | ↓ -40% |
| United | HeritageSelect | $16,917.00 | ↓ -37% |
| Humana BH | COMM | $17,471.54 | ↓ -35% |
| Multiplan | COMM | $17,471.54 | ↓ -35% |
| Employers Health Network | COMM | $18,815.50 | ↓ -30% |
| United | AllPayerAppendix | $21,146.00 | ↓ -21% |
| ComPsych | COMM | $21,503.43 | ↓ -20% |
| Cigna Evernorth Behavioral Health | COMM | $21,503.43 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $22,847.40 | ↓ -15% |
| Prime Health | COMMPPO | $23,653.78 | ↓ -12% |
| Beech Street | COMM | $23,653.78 | ↓ -12% |
| Aetna | NewBusiness | $25,919.00 | ↓ -4% |
| Aetna | COMM | $30,393.00 | ↑ +13% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $4,119.36 | $2,017.41 – $12,715.00 |
| CHI Memorial Hospital Hixson | Hixson | $2,890.74 | $1,953.20 – $6,836.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $4,131.02 | $2,050.86 – $6,836.20 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $4,119.36 | $2,017.41 – $12,715.00 |
| Greeneville Community Hospital | GREENEVILLE | $2,690.85 | $616.56 – $9,386.65 |
| Bristol Regional Medical Center | BRISTOL | $2,690.85 | $616.56 – $8,964.87 |
| Holston Valley Medical Center | KINGSPORT | $2,690.85 | $616.56 – $8,964.87 |
| 62-0123940 BMH Collierville | Collierville | $2,489.76 | $154.74 – $2,017.41 |