Ihc/icc per specimen each additional single antibody stain at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$386.00
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.
?
What you pay up front if you don't use insurance.
$386.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$40.96 with BCBS vs $339.68 with Beech Street — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $40.96 | ↓ -89% |
| BCBS | TENNCARE | $51.58 | ↓ -87% |
| BCBS | COVERKIDS | $55.91 | ↓ -86% |
| Aetna | MGMCRSNP | $57.90 | ↓ -85% |
| Aetna | MGMCRPPO | $57.90 | ↓ -85% |
| Aetna | MGMCRHMO | $57.90 | ↓ -85% |
| United | CorePayer | $65.25 | ↓ -83% |
| United | HeritageSelect | $65.25 | ↓ -83% |
| United | AllPayerAppendix | $65.25 | ↓ -83% |
| Bright Health | HIX | $65.62 | ↓ -83% |
| Aetna | NewBusiness | $68.13 | ↓ -82% |
| Aetna | COMM | $68.13 | ↓ -82% |
| Oscar | HIX | $70.64 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $71.06 | ↓ -82% |
| Apex Health | MCR | $73.34 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $73.34 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $73.34 | ↓ -81% |
| Ambetter | CORE | $86.08 | ↓ -78% |
| Ambetter | Select | $89.55 | ↓ -77% |
| Bright Health | SmallGroup | $92.64 | ↓ -76% |
| BCBS | BlueCare | $96.18 | ↓ -75% |
| Humana | TRICARE | $96.50 | ↓ -75% |
| United | OptionsPPO | $107.69 | ↓ -72% |
| Humana | HumanaChoiceCare | $107.84 | ↓ -72% |
| Humana | NarrowExchangeNetwork | $107.84 | ↓ -72% |
| Humana | BroadNetwork | $107.84 | ↓ -72% |
| Humana | HumanaChoice | $107.84 | ↓ -72% |
| Cigna | NewBusiness | $119.38 | ↓ -69% |
| Cigna | PPO | $125.84 | ↓ -67% |
| Cigna | OAP | $135.58 | ↓ -65% |
| Centurion | PRISON | $159.03 | ↓ -59% |
| United | GlobalBenefitPlan | $173.70 | ↓ -55% |
| Aetna | NAP | $193.00 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $193.00 | ↓ -50% |
| Signature Advantage | MCR | $193.00 | ↓ -50% |
| Humana BH | COMM | $250.90 | ↓ -35% |
| Multiplan | COMM | $250.90 | ↓ -35% |
| Employers Health Network | COMM | $270.20 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $289.50 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $308.80 | ↓ -20% |
| ComPsych | COMM | $308.80 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $328.10 | ↓ -15% |
| Prime Health | COMMPPO | $339.68 | ↓ -12% |
| Beech Street | COMM | $339.68 | ↓ -12% |
Visitor-reported prices
Comments
Ihc/icc per specimen each additional single antibody stain at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $79.29 | $33.28 – $203.16 |
| CHI Memorial Hospital Hixson | Hixson | $130.24 | $29.88 – $308.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $32.20 | $33.28 – $67.70 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $186.12 | $29.88 – $308.00 |
| Johnson City Medical Center | JOHNSON CITY | $60.45 | $38.60 – $137.86 |
| Ascension Saint Thomas DeKalb | Smithville | $79.29 | $22.51 – $203.16 |
| Ascension Saint Thomas Highlands | Sparta | $79.29 | $22.51 – $203.16 |
| Ascension Saint Thomas River Park | McMinnville | $79.29 | $22.51 – $203.16 |