Injection, caplacizumab-yhdp at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$41,185.22
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.
$41,185.22
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.
$947.69 with Cigna vs $36,242.99 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 |
|---|---|---|---|
| Cigna | NewBusiness | $947.69 | ↓ -98% |
| Cigna | OAP | $1,077.61 | ↓ -97% |
| United | HeritageSelect | $2,125.96 | ↓ -95% |
| United | AllPayerAppendix | $2,125.96 | ↓ -95% |
| United | CorePayer | $2,125.96 | ↓ -95% |
| Aetna | MGMCRHMO | $6,177.78 | ↓ -85% |
| Aetna | MGMCRPPO | $6,177.78 | ↓ -85% |
| Aetna | MGMCRSNP | $6,177.78 | ↓ -85% |
| Kentucky Labor Cabinet | WORKERSCOMP | $7,582.20 | ↓ -82% |
| BCBS | NetworkP | $9,472.60 | ↓ -77% |
| Ambetter | Select | $9,554.97 | ↓ -77% |
| Humana | TRICARE | $10,296.31 | ↓ -75% |
| United | OptionsPPO | $11,490.68 | ↓ -72% |
| Cigna | PPO | $13,426.38 | ↓ -67% |
| Centurion | PRISON | $16,968.31 | ↓ -59% |
| United | GlobalBenefitPlan | $18,533.35 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $20,592.61 | ↓ -50% |
| Signature Advantage | MCR | $20,592.61 | ↓ -50% |
| Multiplan | COMM | $26,770.39 | ↓ -35% |
| Humana BH | COMM | $26,770.39 | ↓ -35% |
| Employers Health Network | COMM | $28,829.65 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $30,888.92 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $32,948.18 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $35,007.44 | ↓ -15% |
| Prime Health | COMMPPO | $36,242.99 | ↓ -12% |
| Beech Street | COMM | $36,242.99 | ↓ -12% |
Visitor-reported prices
Comments
Injection, caplacizumab-yhdp at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $14,161.58 | $478.49 – $33,490.22 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $20,237.67 | $478.49 – $33,490.22 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,074.45 | $660.98 – $1,176.96 |
| Parkwest Medical Center | Knoxville | $8,763.69 | $341.78 – $26,291.06 |
| Roane County Medical Center | Harriman | $9,640.06 | $341.78 – $26,291.06 |
| LeConte Medical Center | Sevierville | $8,471.56 | $341.78 – $874.45 |
| Fort Loudoun Medical Center | Lenoir City | $9,640.06 | $341.78 – $26,291.06 |
| Fort Sanders Regional Medical Center | Knoxville | $9,640.06 | $341.78 – $874.45 |