Electrophysiology evaluation at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$8,351.18
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.
$8,351.18
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 | ↓ -97% |
| BCBS | TENNCARE | $355.80 | ↓ -96% |
| BCBS | COVERKIDS | $385.64 | ↓ -95% |
| BCBS | BlueCare | $663.40 | ↓ -92% |
| Oscar | HIX | $990.00 | ↓ -88% |
| Aetna | MGMCRSNP | $1,252.68 | ↓ -85% |
| Aetna | MGMCRHMO | $1,252.68 | ↓ -85% |
| Aetna | MGMCRPPO | $1,252.68 | ↓ -85% |
| Kentucky Labor Cabinet | WORKERSCOMP | $1,537.45 | ↓ -82% |
| NHC Advantage, Inc. | MCRHMO | $1,586.72 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $1,586.72 | ↓ -81% |
| BCBS | NetworkP | $1,920.77 | ↓ -77% |
| Humana | TRICARE | $2,087.80 | ↓ -75% |
| United | CorePayer | $2,117.00 | ↓ -75% |
| United | HeritageSelect | $2,258.00 | ↓ -73% |
| United | OptionsPPO | $2,329.98 | ↓ -72% |
| Cigna | PPO | $2,722.48 | ↓ -67% |
| United | AllPayerAppendix | $2,823.00 | ↓ -66% |
| Bright Health | HIX | $3,723.00 | ↓ -55% |
| United | GlobalBenefitPlan | $3,758.03 | ↓ -55% |
| Aetna | NAP | $4,175.59 | ↓ -50% |
| Signature Advantage | MCR | $4,175.59 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $4,175.59 | ↓ -50% |
| Bright Health | SmallGroup | $5,078.00 | ↓ -39% |
| Multiplan | COMM | $5,428.27 | ↓ -35% |
| Humana BH | COMM | $5,428.27 | ↓ -35% |
| Employers Health Network | COMM | $5,845.83 | ↓ -30% |
| ComPsych | COMM | $6,680.94 | ↓ -20% |
| Cigna Evernorth Behavioral Health | COMM | $6,680.94 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $7,098.50 | ↓ -15% |
| Prime Health | COMMPPO | $7,349.04 | ↓ -12% |
| Beech Street | COMM | $7,349.04 | ↓ -12% |
| Apex Health | MCR | $7,950.00 | ↓ -5% |
| Cigna | NewBusiness | $10,808.00 | ↑ +29% |
| Cigna | OAP | $12,282.00 | ↑ +47% |
| Aetna | NewBusiness | $25,919.00 | ↑ +210% |
| Aetna | COMM | $30,393.00 | ↑ +264% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $2,059.71 | $229.55 – $12,715.00 |
| CHI Memorial Hospital Hixson | Hixson | $3,495.47 | $341.64 – $8,266.30 |
| 62-1166050 BMH Carroll County | Huntingdon | $884.12 | $229.55 – $578.08 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $4,995.21 | $341.64 – $8,266.30 |
| Johnson City Medical Center | JOHNSON CITY | $513.90 | $266.28 – $8,996.29 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $2,059.71 | $229.55 – $12,715.00 |
| Greeneville Community Hospital | GREENEVILLE | $513.90 | $266.28 – $9,386.65 |
| Bristol Regional Medical Center | BRISTOL | $513.90 | $266.28 – $8,964.87 |