Exome sequence analysis at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5,400.00 with Wellpoint vs $48,000.00 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $5,400.00 | — |
| Aetna | COMM | $9,540.00 | — |
| Aetna | NewBusiness | $9,540.00 | — |
| Sarah Cannon Research | COMM | $12,000.00 | — |
| BCBS | NetworkP | $12,000.00 | — |
| Bright Health | SmallGroup | $12,000.00 | — |
| Bright Health | HIX | $12,000.00 | — |
| HealthSpring | DualEligible | $12,000.00 | — |
| HealthSpring | MCRHMO | $12,000.00 | — |
| HealthSpring | MCRPOS | $12,000.00 | — |
| HealthSpring | MCRPPO | $12,000.00 | — |
| Devoted Health Plan | MCR | $12,000.00 | — |
| Odyssey Healthcare | COMM | $12,000.00 | — |
| Amerigroup | MGMCR | $12,000.00 | — |
| Humana | ChoicecareMGMCR | $12,000.00 | — |
| United | VACCN | $12,000.00 | — |
| United | AllPayerAppendix | $12,000.00 | — |
| United | CorePayer | $12,000.00 | — |
| United | HeritageSelect | $12,000.00 | — |
| Aetna | MGMCRPPO | $12,120.00 | — |
| Aetna | MGMCRSNP | $12,120.00 | — |
| Aetna | MGMCRHMO | $12,120.00 | — |
| United | MGMCR | $12,240.00 | — |
| Zing | MGMCR | $12,360.00 | — |
| WellCare | MCR | $12,360.00 | — |
| BCBS | MCR | $12,360.00 | — |
| Ambetter | Select | $12,480.00 | — |
| American Health Advantage | MCRHMO | $12,600.00 | — |
| Evergreen HMO | MCR | $12,600.00 | — |
| American Health Advantage | MCRPFFS | $12,600.00 | — |
| American Health Advantage | MCRSNP | $12,600.00 | — |
| American Health Advantage | MCRPPO | $12,600.00 | — |
| American Health Advantage | MCRPOS | $12,600.00 | — |
| Signature Advantage | MCR | $12,720.00 | — |
| Ambetter | CORE | $12,960.00 | — |
| ATRIO Golden Times | MCR | $13,200.00 | — |
| Bright Health | MCRNarrow | $13,800.00 | — |
| BCBS | TENNCARE | $15,111.40 | — |
| BCBS | COVERKIDS | $16,378.81 | — |
| Prime Health | WORKERSCOMP | $17,280.00 | — |
| CorVel Corporation | WORKERSCOMP | $17,640.00 | — |
| NovaNET | WORKERSCOMP | $17,640.00 | — |
| Cigna | NewBusiness | $21,396.30 | — |
| Cigna | OAP | $24,299.32 | — |
| BCBS | BlueCare | $28,175.45 | — |
| Oscar | HIX | $36,000.00 | — |
| Humana | BroadNetwork | $48,000.00 | — |
| Humana | NarrowExchangeNetwork | $48,000.00 | — |
| Humana | HumanaChoice | $48,000.00 | — |
| Humana | HumanaChoiceCare | $48,000.00 | — |
Visitor-reported prices
Comments
Exome sequence analysis at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $15,112.38 | $2,744.51 – $26,451.78 |
| Greeneville Community Hospital | GREENEVILLE | $15,399.75 | $2,664.57 – $26,160.00 |
| Bristol Regional Medical Center | BRISTOL | $15,399.75 | $2,496.37 – $28,800.00 |
| Holston Valley Medical Center | KINGSPORT | $15,399.75 | $2,423.66 – $28,800.00 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $15,399.75 | $2,744.51 – $26,160.00 |
| Ascension Saint Thomas Midtown | Nashville | not published | $4,320.00 – $37,626.11 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $9,749.29 – $37,626.11 |
| Ascension Saint Thomas Highlands | Sparta | not published | $9,749.29 – $37,626.11 |