IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
not published by hospital
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.
not published by hospital
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.
$82.88 with BCBS vs $892.11 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 | TENNCARE | $82.88 | — |
| BCBS | COVERKIDS | $89.83 | — |
| BCBS | BlueCare | $154.53 | — |
| Bright Health | HIX | $172.34 | — |
| Oscar | HIX | $185.52 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $186.63 | — |
| NHC Advantage, Inc. | MCRHMO | $192.61 | — |
| Pruitt Health (AllyAlign) | MCR | $192.61 | — |
| Apex Health | MCR | $192.61 | — |
| Ambetter | CORE | $226.07 | — |
| BCBS | NetworkP | $233.16 | — |
| Ambetter | Select | $235.19 | — |
| Bright Health | SmallGroup | $243.30 | — |
| Humana | TRICARE | $253.44 | — |
| Cigna | NewBusiness | $255.47 | — |
| United | OptionsPPO | $282.84 | — |
| Aetna | NewBusiness | $283.85 | — |
| Cigna | OAP | $289.94 | — |
| Cigna | PPO | $330.49 | — |
| Aetna | COMM | $334.54 | — |
| Centurion | PRISON | $417.67 | — |
| United | GlobalBenefitPlan | $456.19 | — |
| Aetna | NAP | $506.88 | — |
| BGFH SingleSource | DIRECTNETWORK | $506.88 | — |
| Humana BH | COMM | $658.94 | — |
| Multiplan | COMM | $658.94 | — |
| Employers Health Network | COMM | $709.63 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $760.32 | — |
| Cigna Evernorth Behavioral Health | COMM | $811.01 | — |
| ComPsych | COMM | $811.01 | — |
| BGFH SingleSource | LEASEDNETWORK | $861.70 | — |
| Prime Health | COMMPPO | $892.11 | — |
| Beech Street | COMM | $892.11 | — |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $148.43 | $53.47 – $282.49 |
| CHI Memorial Hospital Hixson | Hixson | $278.84 | $79.58 – $659.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $184.00 | $53.47 – $384.78 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $398.47 | $79.58 – $659.40 |
| Johnson City Medical Center | JOHNSON CITY | $92.55 | $61.37 – $432.69 |
| Ascension Saint Thomas DeKalb | Smithville | $148.43 | $53.47 – $278.42 |
| Ascension Saint Thomas Highlands | Sparta | $148.43 | $53.47 – $278.42 |
| Ascension Saint Thomas River Park | McMinnville | $148.43 | $63.32 – $278.42 |