Indigotindisulfonate 8 mg/ml soln 5 ml ampule at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$1,995.84
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.
$1,995.84
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.
$12.00 with BCBS vs $1,756.34 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 | $12.00 | ↓ -99% |
| United | AllPayerAppendix | $24.65 | ↓ -99% |
| United | HeritageSelect | $24.65 | ↓ -99% |
| United | CorePayer | $24.65 | ↓ -99% |
| Kentucky Labor Cabinet | WORKERSCOMP | $367.43 | ↓ -82% |
| Ambetter | Select | $463.03 | ↓ -77% |
| Humana | TRICARE | $498.96 | ↓ -75% |
| Cigna | NewBusiness | $502.95 | ↓ -75% |
| United | OptionsPPO | $556.84 | ↓ -72% |
| Cigna | OAP | $570.81 | ↓ -71% |
| Cigna | PPO | $650.64 | ↓ -67% |
| Centurion | PRISON | $822.29 | ↓ -59% |
| United | GlobalBenefitPlan | $898.13 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $997.92 | ↓ -50% |
| Humana BH | COMM | $1,297.30 | ↓ -35% |
| Multiplan | COMM | $1,297.30 | ↓ -35% |
| Employers Health Network | COMM | $1,397.09 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $1,496.88 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $1,596.67 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $1,696.46 | ↓ -15% |
| Prime Health | COMMPPO | $1,756.34 | ↓ -12% |
| Beech Street | COMM | $1,756.34 | ↓ -12% |
Visitor-reported prices
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Indigotindisulfonate 8 mg/ml soln 5 ml ampule at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bristol Regional Medical Center | BRISTOL | $355.08 | $5.98 – $22.32 |
| Franklin Woods Community Hospital | JOHNSON CITY | $355.08 | $8.96 – $20.28 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $355.08 | $4.98 – $20.28 |
| STONECREST MEDICAL CENTER | Smyrna | $933.12 | $12.00 – $24.65 |
| Parkwest Medical Center | Knoxville | $696.96 | $8.84 – $2,090.88 |
| Roane County Medical Center | Harriman | $766.66 | $8.84 – $2,090.88 |
| LeConte Medical Center | Sevierville | $673.73 | $9.47 – $10.90 |
| Fort Loudoun Medical Center | Lenoir City | $766.66 | $8.84 – $2,090.88 |