Fetal biophys profile w/nst 76818 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.
$61.35 with BCBS vs $2,040.58 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 | $61.35 | — |
| BCBS | TENNCARE | $65.54 | — |
| BCBS | COVERKIDS | $71.04 | — |
| BCBS | BlueCare | $121.91 | — |
| United | AllPayerAppendix | $154.52 | — |
| United | HeritageSelect | $154.52 | — |
| United | CorePayer | $154.52 | — |
| Aetna | COMM | $159.18 | — |
| Aetna | NewBusiness | $159.18 | — |
| Humana | NarrowExchangeNetwork | $197.48 | — |
| Humana | HumanaChoiceCare | $197.48 | — |
| Humana | HumanaChoice | $197.48 | — |
| Humana | BroadNetwork | $197.48 | — |
| Cigna | NewBusiness | $220.58 | — |
| Cigna | OAP | $250.55 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $426.90 | — |
| NHC Advantage, Inc. | MCRHMO | $440.58 | — |
| Pruitt Health (AllyAlign) | MCR | $440.58 | — |
| Apex Health | MCR | $440.58 | — |
| Humana | TRICARE | $579.71 | — |
| United | OptionsPPO | $646.96 | — |
| Cigna | PPO | $755.94 | — |
| Centurion | PRISON | $955.36 | — |
| United | GlobalBenefitPlan | $1,043.48 | — |
| BGFH SingleSource | DIRECTNETWORK | $1,159.42 | — |
| Aetna | NAP | $1,159.42 | — |
| Multiplan | COMM | $1,507.25 | — |
| Humana BH | COMM | $1,507.25 | — |
| Employers Health Network | COMM | $1,623.19 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $1,739.13 | — |
| ComPsych | COMM | $1,855.07 | — |
| Cigna Evernorth Behavioral Health | COMM | $1,855.07 | — |
| BGFH SingleSource | LEASEDNETWORK | $1,971.01 | — |
| Prime Health | COMMPPO | $2,040.58 | — |
| Beech Street | COMM | $2,040.58 | — |
Visitor-reported prices
Comments
Fetal biophys profile w/nst 76818 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $101.55 | $53.16 – $212.67 |
| Ascension Saint Thomas DeKalb | Smithville | $323.75 | $45.83 – $183.88 |
| Ascension Saint Thomas Highlands | Sparta | $323.75 | $45.83 – $183.88 |
| Ascension Saint Thomas River Park | McMinnville | $308.31 | $47.68 – $183.88 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $308.31 | $45.83 – $183.88 |
| Greeneville Community Hospital | GREENEVILLE | $101.55 | $34.67 – $212.67 |
| Bristol Regional Medical Center | BRISTOL | $101.55 | $53.16 – $238.03 |
| Franklin Woods Community Hospital | JOHNSON CITY | $101.55 | $64.62 – $206.93 |