Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$268.69
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.
$268.69
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.
$5.39 with Wellpoint vs $236.45 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $5.39 | ↓ -98% |
| Aetna | NewBusiness | $9.53 | ↓ -96% |
| Aetna | COMM | $9.53 | ↓ -96% |
| Devoted Health Plan | MCR | $11.98 | ↓ -96% |
| Bright Health | SmallGroup | $11.98 | ↓ -96% |
| Bright Health | HIX | $11.98 | ↓ -96% |
| Amerigroup | MGMCR | $11.98 | ↓ -96% |
| HealthSpring | DualEligible | $11.98 | ↓ -96% |
| HealthSpring | MCRHMO | $11.98 | ↓ -96% |
| HealthSpring | MCRPOS | $11.98 | ↓ -96% |
| HealthSpring | MCRPPO | $11.98 | ↓ -96% |
| Odyssey Healthcare | COMM | $11.98 | ↓ -96% |
| United | HeritageSelect | $11.98 | ↓ -96% |
| United | VACCN | $11.98 | ↓ -96% |
| Sarah Cannon Research | COMM | $11.98 | ↓ -96% |
| Humana | ChoicecareMGMCR | $11.98 | ↓ -96% |
| United | CorePayer | $11.98 | ↓ -96% |
| United | AllPayerAppendix | $11.98 | ↓ -96% |
| Aetna | MGMCRPPO | $12.10 | ↓ -95% |
| Aetna | MGMCRSNP | $12.10 | ↓ -95% |
| Aetna | MGMCRHMO | $12.10 | ↓ -95% |
| United | MGMCR | $12.22 | ↓ -95% |
| BCBS | MCR | $12.34 | ↓ -95% |
| WellCare | MCR | $12.34 | ↓ -95% |
| Zing | MGMCR | $12.34 | ↓ -95% |
| Ambetter | Select | $12.46 | ↓ -95% |
| American Health Advantage | MCRHMO | $12.58 | ↓ -95% |
| American Health Advantage | MCRSNP | $12.58 | ↓ -95% |
| Evergreen HMO | MCR | $12.58 | ↓ -95% |
| American Health Advantage | MCRPFFS | $12.58 | ↓ -95% |
| American Health Advantage | MCRPOS | $12.58 | ↓ -95% |
| American Health Advantage | MCRPPO | $12.58 | ↓ -95% |
| Signature Advantage | MCR | $12.70 | ↓ -95% |
| Ambetter | CORE | $12.94 | ↓ -95% |
| ATRIO Golden Times | MCR | $13.18 | ↓ -95% |
| Bright Health | MCRNarrow | $13.78 | ↓ -95% |
| BCBS | NetworkP | $15.62 | ↓ -94% |
| Prime Health | WORKERSCOMP | $17.25 | ↓ -94% |
| NovaNET | WORKERSCOMP | $17.61 | ↓ -93% |
| CorVel Corporation | WORKERSCOMP | $17.61 | ↓ -93% |
| Cigna | NewBusiness | $21.33 | ↓ -92% |
| Cigna | OAP | $24.23 | ↓ -91% |
| BCBS | TENNCARE | $30.95 | ↓ -88% |
| BCBS | COVERKIDS | $33.55 | ↓ -88% |
| Oscar | HIX | $35.94 | ↓ -87% |
| Humana | BroadNetwork | $47.92 | ↓ -82% |
| Humana | NarrowExchangeNetwork | $47.92 | ↓ -82% |
| Humana | HumanaChoiceCare | $47.92 | ↓ -82% |
| Humana | HumanaChoice | $47.92 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $49.47 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $51.05 | ↓ -81% |
| Apex Health | MCR | $51.05 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $51.05 | ↓ -81% |
| BCBS | BlueCare | $57.71 | ↓ -79% |
| Humana | TRICARE | $67.17 | ↓ -75% |
| United | OptionsPPO | $74.96 | ↓ -72% |
| Cigna | PPO | $87.59 | ↓ -67% |
| Centurion | PRISON | $110.70 | ↓ -59% |
| United | GlobalBenefitPlan | $120.91 | ↓ -55% |
| Aetna | NAP | $134.34 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $134.34 | ↓ -50% |
| Humana BH | COMM | $174.65 | ↓ -35% |
| Multiplan | COMM | $174.65 | ↓ -35% |
| Employers Health Network | COMM | $188.08 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $201.52 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $214.95 | ↓ -20% |
| ComPsych | COMM | $214.95 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $228.39 | ↓ -15% |
| Prime Health | COMMPPO | $236.45 | ↓ -12% |
| Beech Street | COMM | $236.45 | ↓ -12% |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $28.64 | $4.31 – $46.28 |
| CHI Memorial Hospital Hixson | Hixson | $33.45 | $10.65 – $79.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $44.39 | $10.42 – $23.96 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $47.80 | $10.65 – $79.10 |
| Johnson City Medical Center | JOHNSON CITY | $20.10 | $5.99 – $26.12 |
| Ascension Saint Thomas DeKalb | Smithville | $28.64 | $8.42 – $46.28 |
| Ascension Saint Thomas Highlands | Sparta | $28.64 | $8.42 – $46.28 |
| Ascension Saint Thomas River Park | McMinnville | $28.64 | $8.42 – $46.28 |