Formoterol fumarate, inh at SUMMIT MEDICAL CENTER

100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$102.15

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$102.15

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$3.90 with Cigna vs $89.89 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 →

Payer
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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
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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
Cigna NewBusiness $3.90 ↓ -96%
Cigna OAP $4.44 ↓ -96%
United HeritageSelect $5.83 ↓ -94%
United AllPayerAppendix $5.83 ↓ -94%
United CorePayer $5.83 ↓ -94%
Aetna MGMCRHMO $15.32 ↓ -85%
Aetna MGMCRPPO $15.32 ↓ -85%
Aetna MGMCRSNP $15.32 ↓ -85%
Kentucky Labor Cabinet WORKERSCOMP $18.81 ↓ -82%
BCBS NetworkP $23.49 ↓ -77%
Ambetter Select $23.70 ↓ -77%
Humana TRICARE $25.54 ↓ -75%
United OptionsPPO $28.50 ↓ -72%
Cigna PPO $33.30 ↓ -67%
Centurion PRISON $42.09 ↓ -59%
United GlobalBenefitPlan $45.97 ↓ -55%
BGFH SingleSource DIRECTNETWORK $51.08 ↓ -50%
Signature Advantage MCR $51.08 ↓ -50%
Multiplan COMM $66.40 ↓ -35%
Humana BH COMM $66.40 ↓ -35%
Employers Health Network COMM $71.50 ↓ -30%
Odom's TN Pride Sausage WORKERSCOMP $76.61 ↓ -25%
Cigna Evernorth Behavioral Health COMM $81.72 ↓ -20%
BGFH SingleSource LEASEDNETWORK $86.83 ↓ -15%
Prime Health COMMPPO $89.89 ↓ -12%
Beech Street COMM $89.89 ↓ -12%

Visitor-reported prices

visitor-reported
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Formoterol fumarate, inh at other Tennessee hospitals

Hospital City Cash price Negotiated range
Johnson City Medical Center JOHNSON CITY $20.70 $46.64 – $260.05
Greeneville Community Hospital GREENEVILLE $20.70 $42.37 – $300.88
Bristol Regional Medical Center BRISTOL $20.70 $2.20 – $300.88
Franklin Woods Community Hospital JOHNSON CITY $20.70 $17.50 – $102.55
Holston Valley Medical Center KINGSPORT $20.70 $2.20 – $300.88
Indian Path Community Hospital KINGSPORT $20.70 $2.20 – $300.88
Sycamore Shoals Hospital ELIZABETHTON $20.70 $51.34 – $300.88
CENTENNIAL MEDICAL CENTER AT ASHLAND CITY Ashland City $204.85 $3.90 – $5.83

All Tennessee hospitals for this procedure →