Heparin assay at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$1,137.00
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.
$1,137.00
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.
$5.89 with Wellpoint vs $1,000.56 with Prime Health — 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 | $5.89 | ↓ -99% |
| Aetna | NewBusiness | $10.41 | ↓ -99% |
| Aetna | COMM | $10.41 | ↓ -99% |
| Devoted Health Plan | MCR | $13.09 | ↓ -99% |
| Bright Health | SmallGroup | $13.09 | ↓ -99% |
| Bright Health | HIX | $13.09 | ↓ -99% |
| Amerigroup | MGMCR | $13.09 | ↓ -99% |
| HealthSpring | DualEligible | $13.09 | ↓ -99% |
| HealthSpring | MCRHMO | $13.09 | ↓ -99% |
| HealthSpring | MCRPOS | $13.09 | ↓ -99% |
| HealthSpring | MCRPPO | $13.09 | ↓ -99% |
| Odyssey Healthcare | COMM | $13.09 | ↓ -99% |
| United | HeritageSelect | $13.09 | ↓ -99% |
| United | VACCN | $13.09 | ↓ -99% |
| Sarah Cannon Research | COMM | $13.09 | ↓ -99% |
| Humana | ChoicecareMGMCR | $13.09 | ↓ -99% |
| United | CorePayer | $13.09 | ↓ -99% |
| United | AllPayerAppendix | $13.09 | ↓ -99% |
| Aetna | MGMCRPPO | $13.22 | ↓ -99% |
| Aetna | MGMCRSNP | $13.22 | ↓ -99% |
| Aetna | MGMCRHMO | $13.22 | ↓ -99% |
| United | MGMCR | $13.35 | ↓ -99% |
| BCBS | MCR | $13.48 | ↓ -99% |
| WellCare | MCR | $13.48 | ↓ -99% |
| Zing | MGMCR | $13.48 | ↓ -99% |
| Ambetter | Select | $13.61 | ↓ -99% |
| American Health Advantage | MCRHMO | $13.74 | ↓ -99% |
| American Health Advantage | MCRSNP | $13.74 | ↓ -99% |
| Evergreen HMO | MCR | $13.74 | ↓ -99% |
| American Health Advantage | MCRPFFS | $13.74 | ↓ -99% |
| American Health Advantage | MCRPOS | $13.74 | ↓ -99% |
| American Health Advantage | MCRPPO | $13.74 | ↓ -99% |
| Signature Advantage | MCR | $13.88 | ↓ -99% |
| Ambetter | CORE | $14.14 | ↓ -99% |
| ATRIO Golden Times | MCR | $14.40 | ↓ -99% |
| Bright Health | MCRNarrow | $15.05 | ↓ -99% |
| BCBS | NetworkP | $17.86 | ↓ -98% |
| Prime Health | WORKERSCOMP | $18.85 | ↓ -98% |
| NovaNET | WORKERSCOMP | $19.24 | ↓ -98% |
| CorVel Corporation | WORKERSCOMP | $19.24 | ↓ -98% |
| Cigna | NewBusiness | $23.06 | ↓ -98% |
| Cigna | OAP | $26.19 | ↓ -98% |
| BCBS | TENNCARE | $39.26 | ↓ -97% |
| Oscar | HIX | $39.27 | ↓ -97% |
| BCBS | COVERKIDS | $42.55 | ↓ -96% |
| Humana | BroadNetwork | $52.36 | ↓ -95% |
| Humana | NarrowExchangeNetwork | $52.36 | ↓ -95% |
| Humana | HumanaChoiceCare | $52.36 | ↓ -95% |
| Humana | HumanaChoice | $52.36 | ↓ -95% |
| BCBS | BlueCare | $73.20 | ↓ -94% |
| Kentucky Labor Cabinet | WORKERSCOMP | $209.32 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $216.03 | ↓ -81% |
| Apex Health | MCR | $216.03 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $216.03 | ↓ -81% |
| Humana | TRICARE | $284.25 | ↓ -75% |
| United | OptionsPPO | $317.22 | ↓ -72% |
| Cigna | PPO | $370.66 | ↓ -67% |
| Centurion | PRISON | $468.44 | ↓ -59% |
| United | GlobalBenefitPlan | $511.65 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $568.50 | ↓ -50% |
| Aetna | NAP | $568.50 | ↓ -50% |
| Multiplan | COMM | $739.05 | ↓ -35% |
| Humana BH | COMM | $739.05 | ↓ -35% |
| Employers Health Network | COMM | $795.90 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $852.75 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $909.60 | ↓ -20% |
| ComPsych | COMM | $909.60 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $966.45 | ↓ -15% |
| Beech Street | COMM | $1,000.56 | ↓ -12% |
| Prime Health | COMMPPO | $1,000.56 | ↓ -12% |
Visitor-reported prices
Comments
Heparin assay at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $140.10 | $4.71 – $50.81 |
| CHI Memorial Hospital Hixson | Hixson | $54.76 | $11.63 – $129.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $224.71 | $11.39 – $26.18 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $78.26 | $11.63 – $129.50 |
| Johnson City Medical Center | JOHNSON CITY | $22.95 | $4.63 – $28.54 |
| Ascension Saint Thomas DeKalb | Smithville | $140.10 | $9.18 – $50.81 |
| Ascension Saint Thomas Highlands | Sparta | $140.10 | $9.18 – $50.81 |
| Ascension Saint Thomas River Park | McMinnville | $140.10 | $9.18 – $50.81 |