Ercp biliary & pancreas at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$4,456.22
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.
$4,456.22
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.
$112.00 with BCBS vs $3,921.47 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 |
|---|---|---|---|
| BCBS | NetworkP | $112.00 | ↓ -97% |
| Humana | HumanaChoice | $112.20 | ↓ -97% |
| Humana | HumanaChoiceCare | $112.20 | ↓ -97% |
| Humana | NarrowExchangeNetwork | $112.20 | ↓ -97% |
| Humana | BroadNetwork | $112.20 | ↓ -97% |
| BCBS | TENNCARE | $127.30 | ↓ -97% |
| BCBS | COVERKIDS | $137.98 | ↓ -97% |
| Aetna | COMM | $175.73 | ↓ -96% |
| Aetna | NewBusiness | $175.73 | ↓ -96% |
| BCBS | BlueCare | $236.79 | ↓ -95% |
| Aetna | MGMCRPPO | $668.43 | ↓ -85% |
| Aetna | MGMCRHMO | $668.43 | ↓ -85% |
| Aetna | MGMCRSNP | $668.43 | ↓ -85% |
| Kentucky Labor Cabinet | WORKERSCOMP | $820.39 | ↓ -82% |
| Apex Health | MCR | $846.68 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $846.68 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $846.68 | ↓ -81% |
| Humana | TRICARE | $1,114.06 | ↓ -75% |
| Cigna | NewBusiness | $1,122.97 | ↓ -75% |
| United | OptionsPPO | $1,243.29 | ↓ -72% |
| Cigna | OAP | $1,274.48 | ↓ -71% |
| Cigna | PPO | $1,452.73 | ↓ -67% |
| Centurion | PRISON | $1,835.96 | ↓ -59% |
| United | GlobalBenefitPlan | $2,005.30 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $2,228.11 | ↓ -50% |
| Signature Advantage | MCR | $2,228.11 | ↓ -50% |
| Aetna | NAP | $2,228.11 | ↓ -50% |
| Multiplan | COMM | $2,896.54 | ↓ -35% |
| Humana BH | COMM | $2,896.54 | ↓ -35% |
| Employers Health Network | COMM | $3,119.35 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $3,342.16 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $3,564.98 | ↓ -20% |
| ComPsych | COMM | $3,564.98 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $3,787.79 | ↓ -15% |
| Prime Health | COMMPPO | $3,921.47 | ↓ -12% |
| Beech Street | COMM | $3,921.47 | ↓ -12% |
Visitor-reported prices
Comments
Ercp biliary & pancreas at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $142.73 | $89.02 – $222.88 |
| CHI Memorial Hospital Hixson | Hixson | $195.96 | $132.40 – $463.40 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $280.03 | $132.49 – $463.40 |
| Johnson City Medical Center | JOHNSON CITY | $86.10 | $103.26 – $269.81 |
| Ascension Saint Thomas DeKalb | Smithville | $149.87 | $89.02 – $241.15 |
| Ascension Saint Thomas River Park | McMinnville | $142.73 | $123.70 – $241.15 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $142.73 | $89.02 – $222.88 |
| Greeneville Community Hospital | GREENEVILLE | $86.10 | $103.26 – $281.52 |