External tissue culture neoplastic disorders bone marrow/blood cells at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$1,320.00
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.
$1,320.00
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.
$64.69 with Wellpoint vs $1,161.60 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $64.69 | ↓ -95% |
| Aetna | NewBusiness | $114.28 | ↓ -91% |
| Aetna | COMM | $114.28 | ↓ -91% |
| Devoted Health Plan | MCR | $143.75 | ↓ -89% |
| Bright Health | SmallGroup | $143.75 | ↓ -89% |
| Bright Health | HIX | $143.75 | ↓ -89% |
| Amerigroup | MGMCR | $143.75 | ↓ -89% |
| HealthSpring | DualEligible | $143.75 | ↓ -89% |
| HealthSpring | MCRHMO | $143.75 | ↓ -89% |
| HealthSpring | MCRPOS | $143.75 | ↓ -89% |
| HealthSpring | MCRPPO | $143.75 | ↓ -89% |
| Odyssey Healthcare | COMM | $143.75 | ↓ -89% |
| United | HeritageSelect | $143.75 | ↓ -89% |
| United | VACCN | $143.75 | ↓ -89% |
| Sarah Cannon Research | COMM | $143.75 | ↓ -89% |
| Humana | ChoicecareMGMCR | $143.75 | ↓ -89% |
| United | CorePayer | $143.75 | ↓ -89% |
| United | AllPayerAppendix | $143.75 | ↓ -89% |
| Aetna | MGMCRPPO | $145.19 | ↓ -89% |
| Aetna | MGMCRSNP | $145.19 | ↓ -89% |
| Aetna | MGMCRHMO | $145.19 | ↓ -89% |
| United | MGMCR | $146.63 | ↓ -89% |
| BCBS | MCR | $148.06 | ↓ -89% |
| WellCare | MCR | $148.06 | ↓ -89% |
| Zing | MGMCR | $148.06 | ↓ -89% |
| Ambetter | Select | $149.50 | ↓ -89% |
| American Health Advantage | MCRPFFS | $150.94 | ↓ -89% |
| Evergreen HMO | MCR | $150.94 | ↓ -89% |
| American Health Advantage | MCRHMO | $150.94 | ↓ -89% |
| American Health Advantage | MCRPOS | $150.94 | ↓ -89% |
| American Health Advantage | MCRPPO | $150.94 | ↓ -89% |
| American Health Advantage | MCRSNP | $150.94 | ↓ -89% |
| Signature Advantage | MCR | $152.38 | ↓ -88% |
| Ambetter | CORE | $155.25 | ↓ -88% |
| ATRIO Golden Times | MCR | $158.13 | ↓ -88% |
| Bright Health | MCRNarrow | $165.31 | ↓ -87% |
| BCBS | NetworkP | $172.32 | ↓ -87% |
| Prime Health | WORKERSCOMP | $207.00 | ↓ -84% |
| CorVel Corporation | WORKERSCOMP | $211.31 | ↓ -84% |
| NovaNET | WORKERSCOMP | $211.31 | ↓ -84% |
| Kentucky Labor Cabinet | WORKERSCOMP | $243.01 | ↓ -82% |
| Apex Health | MCR | $250.80 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $250.80 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $250.80 | ↓ -81% |
| Cigna | NewBusiness | $256.07 | ↓ -81% |
| Cigna | OAP | $290.82 | ↓ -78% |
| Humana | TRICARE | $330.00 | ↓ -75% |
| United | OptionsPPO | $368.28 | ↓ -72% |
| BCBS | TENNCARE | $384.45 | ↓ -71% |
| BCBS | COVERKIDS | $416.69 | ↓ -68% |
| Cigna | PPO | $430.32 | ↓ -67% |
| Oscar | HIX | $431.25 | ↓ -67% |
| Centurion | PRISON | $543.84 | ↓ -59% |
| Humana | HumanaChoiceCare | $575.00 | ↓ -56% |
| Humana | HumanaChoice | $575.00 | ↓ -56% |
| Humana | BroadNetwork | $575.00 | ↓ -56% |
| Humana | NarrowExchangeNetwork | $575.00 | ↓ -56% |
| United | GlobalBenefitPlan | $594.00 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $660.00 | ↓ -50% |
| Aetna | NAP | $660.00 | ↓ -50% |
| BCBS | BlueCare | $716.81 | ↓ -46% |
| Multiplan | COMM | $858.00 | ↓ -35% |
| Humana BH | COMM | $858.00 | ↓ -35% |
| Employers Health Network | COMM | $924.00 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $990.00 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $1,056.00 | ↓ -20% |
| ComPsych | COMM | $1,056.00 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $1,122.00 | ↓ -15% |
| Prime Health | COMMPPO | $1,161.60 | ↓ -12% |
| Beech Street | COMM | $1,161.60 | ↓ -12% |
Visitor-reported prices
Comments
External tissue culture neoplastic disorders bone marrow/blood cells at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $471.15 | $51.75 – $488.77 |
| CHI Memorial Hospital Hixson | Hixson | $193.29 | $111.02 – $457.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $276.22 | $111.02 – $457.10 |
| Johnson City Medical Center | JOHNSON CITY | $221.10 | $71.88 – $313.38 |
| Ascension Saint Thomas DeKalb | Smithville | $471.15 | $88.56 – $488.77 |
| Ascension Saint Thomas Highlands | Sparta | $471.15 | $88.56 – $488.77 |
| Ascension Saint Thomas River Park | McMinnville | $471.15 | $88.56 – $488.77 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $471.15 | $129.38 – $488.77 |