External profiling gene expression oncology (breast) mrna 21 genes 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$1,742.85 with Wellpoint vs $15,492.00 with Humana — 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 | $1,742.85 | — |
| Aetna | COMM | $3,079.04 | — |
| Aetna | NewBusiness | $3,079.04 | — |
| BCBS | NetworkP | $3,419.42 | — |
| Bright Health | SmallGroup | $3,873.00 | — |
| Bright Health | HIX | $3,873.00 | — |
| HealthSpring | DualEligible | $3,873.00 | — |
| HealthSpring | MCRHMO | $3,873.00 | — |
| HealthSpring | MCRPOS | $3,873.00 | — |
| HealthSpring | MCRPPO | $3,873.00 | — |
| Devoted Health Plan | MCR | $3,873.00 | — |
| Odyssey Healthcare | COMM | $3,873.00 | — |
| Amerigroup | MGMCR | $3,873.00 | — |
| Humana | ChoicecareMGMCR | $3,873.00 | — |
| Sarah Cannon Research | COMM | $3,873.00 | — |
| United | VACCN | $3,873.00 | — |
| United | AllPayerAppendix | $3,873.00 | — |
| United | CorePayer | $3,873.00 | — |
| United | HeritageSelect | $3,873.00 | — |
| Aetna | MGMCRPPO | $3,911.73 | — |
| Aetna | MGMCRSNP | $3,911.73 | — |
| Aetna | MGMCRHMO | $3,911.73 | — |
| United | MGMCR | $3,950.46 | — |
| Zing | MGMCR | $3,989.19 | — |
| WellCare | MCR | $3,989.19 | — |
| BCBS | MCR | $3,989.19 | — |
| Ambetter | Select | $4,027.92 | — |
| American Health Advantage | MCRHMO | $4,066.65 | — |
| Evergreen HMO | MCR | $4,066.65 | — |
| American Health Advantage | MCRPFFS | $4,066.65 | — |
| American Health Advantage | MCRSNP | $4,066.65 | — |
| American Health Advantage | MCRPPO | $4,066.65 | — |
| American Health Advantage | MCRPOS | $4,066.65 | — |
| Signature Advantage | MCR | $4,105.38 | — |
| Ambetter | CORE | $4,182.84 | — |
| ATRIO Golden Times | MCR | $4,260.30 | — |
| Bright Health | MCRNarrow | $4,453.95 | — |
| BCBS | TENNCARE | $4,877.20 | — |
| BCBS | COVERKIDS | $5,286.25 | — |
| Prime Health | WORKERSCOMP | $5,577.12 | — |
| CorVel Corporation | WORKERSCOMP | $5,693.31 | — |
| NovaNET | WORKERSCOMP | $5,693.31 | — |
| Cigna | NewBusiness | $6,905.44 | — |
| Cigna | OAP | $7,842.36 | — |
| BCBS | BlueCare | $9,093.62 | — |
| Oscar | HIX | $11,619.00 | — |
| Humana | BroadNetwork | $15,492.00 | — |
| Humana | NarrowExchangeNetwork | $15,492.00 | — |
| Humana | HumanaChoice | $15,492.00 | — |
| Humana | HumanaChoiceCare | $15,492.00 | — |
Visitor-reported prices
Comments
External profiling gene expression oncology (breast) mrna 21 genes at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $2,779.32 | $3,146.58 – $7,746.00 |
| Hancock County Hospital | SNEEDVILLE | $4,306.29 | $1,707.92 – $8,537.21 |
| Greeneville Community Hospital | GREENEVILLE | $4,388.25 | $1,229.70 – $8,443.14 |
| Bristol Regional Medical Center | BRISTOL | $4,388.25 | $1,936.50 – $9,295.20 |
| Holston Valley Medical Center | KINGSPORT | $4,388.25 | $1,936.50 – $9,295.20 |
| 62-0123940 BMH Collierville | Collierville | $2,537.64 | $3,146.58 – $7,746.00 |
| 62-1138045 BMH Union City | Union City | $2,416.80 | $3,369.51 – $7,746.00 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $4,388.25 | $1,707.92 – $8,443.14 |