Embolization s&i at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$13,029.50
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.
$13,029.50
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.
$261.88 with Humana vs $11,465.96 with Beech Street — 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 |
|---|---|---|---|
| Humana | HumanaChoice | $261.88 | ↓ -98% |
| Humana | HumanaChoiceCare | $261.88 | ↓ -98% |
| Humana | NarrowExchangeNetwork | $261.88 | ↓ -98% |
| Humana | BroadNetwork | $261.88 | ↓ -98% |
| BCBS | NetworkP | $857.26 | ↓ -93% |
| BCBS | TENNCARE | $977.69 | ↓ -92% |
| BCBS | COVERKIDS | $1,059.74 | ↓ -92% |
| Aetna | COMM | $1,299.66 | ↓ -90% |
| Aetna | NewBusiness | $1,299.66 | ↓ -90% |
| BCBS | BlueCare | $1,818.64 | ↓ -86% |
| Aetna | MGMCRPPO | $1,954.42 | ↓ -85% |
| Aetna | MGMCRHMO | $1,954.42 | ↓ -85% |
| Aetna | MGMCRSNP | $1,954.42 | ↓ -85% |
| Kentucky Labor Cabinet | WORKERSCOMP | $2,398.73 | ↓ -82% |
| Apex Health | MCR | $2,475.61 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $2,475.61 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $2,475.61 | ↓ -81% |
| Humana | TRICARE | $3,257.38 | ↓ -75% |
| Cigna | NewBusiness | $3,283.43 | ↓ -75% |
| United | OptionsPPO | $3,635.23 | ↓ -72% |
| Cigna | OAP | $3,726.44 | ↓ -71% |
| Cigna | PPO | $4,247.62 | ↓ -67% |
| Centurion | PRISON | $5,368.15 | ↓ -59% |
| United | GlobalBenefitPlan | $5,863.27 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $6,514.75 | ↓ -50% |
| Signature Advantage | MCR | $6,514.75 | ↓ -50% |
| Aetna | NAP | $6,514.75 | ↓ -50% |
| Multiplan | COMM | $8,469.17 | ↓ -35% |
| Humana BH | COMM | $8,469.17 | ↓ -35% |
| Employers Health Network | COMM | $9,120.65 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $9,772.13 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $10,423.60 | ↓ -20% |
| ComPsych | COMM | $10,423.60 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $11,075.08 | ↓ -15% |
| Prime Health | COMMPPO | $11,465.96 | ↓ -12% |
| Beech Street | COMM | $11,465.96 | ↓ -12% |
Visitor-reported prices
Comments
Embolization s&i at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,636.73 | $683.70 – $1,844.43 |
| CHI Memorial Hospital Hixson | Hixson | $2,109.00 | $1,017.55 – $4,987.50 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,013.88 | $1,017.55 – $4,987.50 |
| Johnson City Medical Center | JOHNSON CITY | $659.10 | $259.43 – $269.81 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,636.73 | $683.70 – $1,807.80 |
| Greeneville Community Hospital | GREENEVILLE | $659.10 | $224.00 – $281.52 |
| Bristol Regional Medical Center | BRISTOL | $659.10 | $224.00 – $268.86 |
| Franklin Woods Community Hospital | JOHNSON CITY | $659.10 | $281.52 – $320.00 |