Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm 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.
$154.95 with Aetna vs $909.04 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 |
|---|---|---|---|
| Aetna | MGMCRHMO | $154.95 | — |
| Aetna | MGMCRSNP | $154.95 | — |
| Aetna | MGMCRPPO | $154.95 | — |
| Cigna | NewBusiness | $175.66 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $190.18 | — |
| Cigna | OAP | $199.74 | — |
| BCBS | NetworkP | $237.59 | — |
| Ambetter | Select | $239.66 | — |
| Humana | TRICARE | $258.25 | — |
| United | OptionsPPO | $288.21 | — |
| Cigna | PPO | $336.76 | — |
| United | HeritageSelect | $336.92 | — |
| United | AllPayerAppendix | $336.92 | — |
| United | CorePayer | $336.92 | — |
| Centurion | PRISON | $425.60 | — |
| United | GlobalBenefitPlan | $464.85 | — |
| Signature Advantage | MCR | $516.50 | — |
| Aetna | NAP | $516.50 | — |
| BGFH SingleSource | DIRECTNETWORK | $516.50 | — |
| Multiplan | COMM | $671.45 | — |
| Humana BH | COMM | $671.45 | — |
| Employers Health Network | COMM | $723.10 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $774.75 | — |
| Cigna Evernorth Behavioral Health | COMM | $826.40 | — |
| BGFH SingleSource | LEASEDNETWORK | $878.05 | — |
| Prime Health | COMMPPO | $909.04 | — |
| Beech Street | COMM | $909.04 | — |
Visitor-reported prices
Comments
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $440.90 | $172.83 – $290.74 |
| CHI Memorial Hospital Hixson | Hixson | $330.93 | $61.80 – $309.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $472.92 | $64.89 – $309.00 |
| Johnson City Medical Center | JOHNSON CITY | $1,520.10 | $1.00 – $253.15 |
| Ascension Saint Thomas DeKalb | Smithville | $433.50 | $61.98 – $290.74 |
| Ascension Saint Thomas Highlands | Sparta | $441.84 | $61.98 – $290.74 |
| Ascension Saint Thomas River Park | McMinnville | $543.99 | $61.98 – $290.74 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $635.07 | $172.83 – $290.74 |