Gamunex-c/gammaked 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.
$59.11 with BCBS vs $3,246.45 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 | $59.11 | — |
| Cigna | NewBusiness | $61.48 | — |
| Cigna | OAP | $69.91 | — |
| United | CorePayer | $130.06 | — |
| United | AllPayerAppendix | $130.06 | — |
| United | HeritageSelect | $130.06 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $679.17 | — |
| Ambetter | Select | $855.88 | — |
| Humana | TRICARE | $922.29 | — |
| United | OptionsPPO | $1,029.27 | — |
| Cigna | PPO | $1,202.66 | — |
| Centurion | PRISON | $1,519.93 | — |
| United | GlobalBenefitPlan | $1,660.12 | — |
| BGFH SingleSource | DIRECTNETWORK | $1,844.58 | — |
| Humana BH | COMM | $2,397.95 | — |
| Multiplan | COMM | $2,397.95 | — |
| Employers Health Network | COMM | $2,582.41 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $2,766.86 | — |
| Cigna Evernorth Behavioral Health | COMM | $2,951.32 | — |
| BGFH SingleSource | LEASEDNETWORK | $3,135.78 | — |
| Prime Health | COMMPPO | $3,246.45 | — |
| Beech Street | COMM | $3,246.45 | — |
Visitor-reported prices
Comments
Gamunex-c/gammaked at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $3,425.91 | $28.15 – $2,210.49 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $4,895.81 | $28.15 – $2,210.49 |
| Johnson City Medical Center | JOHNSON CITY | $5,339.28 | $33.22 – $1,577.79 |
| Bristol Regional Medical Center | BRISTOL | $10,673.55 | $22.15 – $1,605.58 |
| Holston Valley Medical Center | KINGSPORT | $10,673.55 | $22.15 – $1,605.58 |
| Indian Path Community Hospital | KINGSPORT | $10,673.55 | $33.22 – $1,506.59 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $5,339.28 | $18.46 – $1,765.18 |
| Parkwest Medical Center | Knoxville | $3,368.41 | $18.22 – $1,263.15 |