Encephalitis, st louis igg/igm at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$60.00
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.
$60.00
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.
$5.94 with Wellpoint vs $113.87 with BCBS — 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $5.94 | ↓ -90% |
| Aetna | COMM | $10.48 | ↓ -83% |
| Aetna | NewBusiness | $10.48 | ↓ -83% |
| Kentucky Labor Cabinet | WORKERSCOMP | $11.05 | ↓ -82% |
| Apex Health | MCR | $11.40 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $11.40 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $11.40 | ↓ -81% |
| HealthSpring | MCRPOS | $13.19 | ↓ -78% |
| HealthSpring | MCRPPO | $13.19 | ↓ -78% |
| Odyssey Healthcare | COMM | $13.19 | ↓ -78% |
| Bright Health | SmallGroup | $13.19 | ↓ -78% |
| Amerigroup | MGMCR | $13.19 | ↓ -78% |
| United | HeritageSelect | $13.19 | ↓ -78% |
| Sarah Cannon Research | COMM | $13.19 | ↓ -78% |
| Humana | ChoicecareMGMCR | $13.19 | ↓ -78% |
| Devoted Health Plan | MCR | $13.19 | ↓ -78% |
| HealthSpring | DualEligible | $13.19 | ↓ -78% |
| HealthSpring | MCRHMO | $13.19 | ↓ -78% |
| Bright Health | HIX | $13.19 | ↓ -78% |
| United | VACCN | $13.19 | ↓ -78% |
| United | AllPayerAppendix | $13.19 | ↓ -78% |
| United | CorePayer | $13.19 | ↓ -78% |
| Aetna | MGMCRPPO | $13.32 | ↓ -78% |
| Aetna | MGMCRSNP | $13.32 | ↓ -78% |
| Aetna | MGMCRHMO | $13.32 | ↓ -78% |
| United | MGMCR | $13.45 | ↓ -78% |
| BCBS | MCR | $13.59 | ↓ -77% |
| WellCare | MCR | $13.59 | ↓ -77% |
| Zing | MGMCR | $13.59 | ↓ -77% |
| Ambetter | Select | $13.71 | ↓ -77% |
| American Health Advantage | MCRHMO | $13.85 | ↓ -77% |
| Evergreen HMO | MCR | $13.85 | ↓ -77% |
| American Health Advantage | MCRPFFS | $13.85 | ↓ -77% |
| American Health Advantage | MCRSNP | $13.85 | ↓ -77% |
| American Health Advantage | MCRPPO | $13.85 | ↓ -77% |
| American Health Advantage | MCRPOS | $13.85 | ↓ -77% |
| Signature Advantage | MCR | $13.98 | ↓ -77% |
| Ambetter | CORE | $14.24 | ↓ -76% |
| ATRIO Golden Times | MCR | $14.51 | ↓ -76% |
| Humana | TRICARE | $15.00 | ↓ -75% |
| Bright Health | MCRNarrow | $15.17 | ↓ -75% |
| United | OptionsPPO | $16.74 | ↓ -72% |
| BCBS | NetworkP | $18.00 | ↓ -70% |
| Prime Health | WORKERSCOMP | $18.99 | ↓ -68% |
| NovaNET | WORKERSCOMP | $19.39 | ↓ -68% |
| CorVel Corporation | WORKERSCOMP | $19.39 | ↓ -68% |
| Cigna | PPO | $19.56 | ↓ -67% |
| Cigna | NewBusiness | $23.64 | ↓ -61% |
| Centurion | PRISON | $24.72 | ↓ -59% |
| Cigna | OAP | $26.85 | ↓ -55% |
| United | GlobalBenefitPlan | $27.00 | ↓ -55% |
| Aetna | NAP | $30.00 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $30.00 | ↓ -50% |
| Humana BH | COMM | $39.00 | ↓ -35% |
| Multiplan | COMM | $39.00 | ↓ -35% |
| Oscar | HIX | $39.57 | ↓ -34% |
| Employers Health Network | COMM | $42.00 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $45.00 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $48.00 | ↓ -20% |
| ComPsych | COMM | $48.00 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $51.00 | ↓ -15% |
| Humana | HumanaChoiceCare | $52.76 | ↓ -12% |
| Humana | NarrowExchangeNetwork | $52.76 | ↓ -12% |
| Humana | HumanaChoice | $52.76 | ↓ -12% |
| Humana | BroadNetwork | $52.76 | ↓ -12% |
| Prime Health | COMMPPO | $52.80 | ↓ -12% |
| Beech Street | COMM | $52.80 | ↓ -12% |
| BCBS | TENNCARE | $61.07 | ↑ +2% |
| BCBS | COVERKIDS | $66.19 | ↑ +10% |
| BCBS | BlueCare | $113.87 | ↑ +90% |
Visitor-reported prices
Comments
Encephalitis, st louis igg/igm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $46.77 | $11.72 – $110.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $66.84 | $11.72 – $110.60 |
| Johnson City Medical Center | JOHNSON CITY | $12.45 | $6.60 – $28.75 |
| Hancock County Hospital | SNEEDVILLE | $12.19 | $9.34 – $28.87 |
| Greeneville Community Hospital | GREENEVILLE | $12.45 | $5.94 – $28.75 |
| Bristol Regional Medical Center | BRISTOL | $12.45 | $6.60 – $31.66 |
| Franklin Woods Community Hospital | JOHNSON CITY | $12.45 | $6.60 – $28.75 |
| Holston Valley Medical Center | KINGSPORT | $12.45 | $6.60 – $31.66 |