Ho post-op hip abduction at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$3,881.00
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.
$3,881.00
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.
$714.49 with Kentucky Labor Cabinet vs $3,415.28 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 |
|---|---|---|---|
| Kentucky Labor Cabinet | WORKERSCOMP | $714.49 | ↓ -82% |
| Ambetter | Select | $900.39 | ↓ -77% |
| Humana | TRICARE | $970.25 | ↓ -75% |
| Wellpoint | MGMCD | $1,030.05 | ↓ -73% |
| United | OptionsPPO | $1,082.80 | ↓ -72% |
| HealthSpring | MCRPPO | $1,144.50 | ↓ -71% |
| Devoted Health Plan | MCR | $1,144.50 | ↓ -71% |
| Humana | ChoicecareMGMCR | $1,144.50 | ↓ -71% |
| HealthSpring | DualEligible | $1,144.50 | ↓ -71% |
| HealthSpring | MCRHMO | $1,144.50 | ↓ -71% |
| HealthSpring | MCRPOS | $1,144.50 | ↓ -71% |
| United | VACCN | $1,144.50 | ↓ -71% |
| Amerigroup | MGMCR | $1,144.50 | ↓ -71% |
| Sarah Cannon Research | COMM | $1,144.50 | ↓ -71% |
| Odyssey Healthcare | COMM | $1,144.50 | ↓ -71% |
| Aetna | MGMCRPPO | $1,155.94 | ↓ -70% |
| Aetna | MGMCRHMO | $1,155.94 | ↓ -70% |
| Aetna | MGMCRSNP | $1,155.94 | ↓ -70% |
| United | MGMCR | $1,167.39 | ↓ -70% |
| BCBS | MCR | $1,178.84 | ↓ -70% |
| Zing | MGMCR | $1,178.84 | ↓ -70% |
| WellCare | MCR | $1,178.84 | ↓ -70% |
| American Health Advantage | MCRPFFS | $1,201.73 | ↓ -69% |
| American Health Advantage | MCRSNP | $1,201.73 | ↓ -69% |
| American Health Advantage | MCRHMO | $1,201.73 | ↓ -69% |
| American Health Advantage | MCRPPO | $1,201.73 | ↓ -69% |
| Evergreen HMO | MCR | $1,201.73 | ↓ -69% |
| American Health Advantage | MCRPOS | $1,201.73 | ↓ -69% |
| Signature Advantage | MCR | $1,213.17 | ↓ -69% |
| ATRIO Golden Times | MCR | $1,258.95 | ↓ -68% |
| Cigna | PPO | $1,265.21 | ↓ -67% |
| Bright Health | MCRNarrow | $1,316.17 | ↓ -66% |
| Centurion | PRISON | $1,598.97 | ↓ -59% |
| Prime Health | WORKERSCOMP | $1,648.08 | ↓ -58% |
| NovaNET | WORKERSCOMP | $1,682.41 | ↓ -57% |
| CorVel Corporation | WORKERSCOMP | $1,682.41 | ↓ -57% |
| United | GlobalBenefitPlan | $1,746.45 | ↓ -55% |
| Aetna | NAP | $1,940.50 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $1,940.50 | ↓ -50% |
| Humana BH | COMM | $2,522.65 | ↓ -35% |
| Multiplan | COMM | $2,522.65 | ↓ -35% |
| Employers Health Network | COMM | $2,716.70 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $2,910.75 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $3,104.80 | ↓ -20% |
| ComPsych | COMM | $3,104.80 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $3,298.85 | ↓ -15% |
| Beech Street | COMM | $3,415.28 | ↓ -12% |
| Prime Health | COMMPPO | $3,415.28 | ↓ -12% |
Visitor-reported prices
Comments
Ho post-op hip abduction at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | $3,694.50 | $569.78 – $11,083.50 |
| LeConte Medical Center | Sevierville | $1,834.25 | $1,328.25 – $5,692.50 |
| Fort Loudoun Medical Center | Lenoir City | $1,947.86 | $1,144.50 – $5,312.34 |
| Fort Sanders Regional Medical Center | Knoxville | $4,063.95 | $1,144.50 – $11,083.50 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $2,087.25 | $1,144.50 – $5,692.50 |
| Morristown-Hamblen Hospital Association | Morristown | $1,897.50 | $1,144.50 – $5,692.50 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $1,144.50 – $1,682.41 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $1,110.16 – $1,682.41 |