Knee MRI (without contrast) 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$254.04 with Humana vs $10,280.29 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 |
|---|---|---|---|
| Humana | NarrowExchangeNetwork | $254.04 | — |
| Humana | BroadNetwork | $254.04 | — |
| Humana | HumanaChoice | $254.04 | — |
| Humana | HumanaChoiceCare | $254.04 | — |
| United | CorePayer | $313.62 | — |
| United | AllPayerAppendix | $313.62 | — |
| United | HeritageSelect | $313.62 | — |
| BCBS | TENNCARE | $453.85 | — |
| BCBS | COVERKIDS | $491.94 | — |
| Aetna | NewBusiness | $557.98 | — |
| Aetna | COMM | $557.98 | — |
| BCBS | BlueCare | $844.23 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $2,150.68 | — |
| Apex Health | MCR | $2,219.61 | — |
| Pruitt Health (AllyAlign) | MCR | $2,219.61 | — |
| NHC Advantage, Inc. | MCRHMO | $2,219.61 | — |
| Humana | TRICARE | $2,920.54 | — |
| United | OptionsPPO | $3,259.32 | — |
| Cigna | PPO | $3,808.38 | — |
| United | GlobalBenefitPlan | $5,256.97 | — |
| Aetna | NAP | $5,841.07 | — |
| BGFH SingleSource | DIRECTNETWORK | $5,841.07 | — |
| Humana BH | COMM | $7,593.40 | — |
| Multiplan | COMM | $7,593.40 | — |
| Employers Health Network | COMM | $8,177.51 | — |
| Cigna Evernorth Behavioral Health | COMM | $9,345.72 | — |
| ComPsych | COMM | $9,345.72 | — |
| BGFH SingleSource | LEASEDNETWORK | $9,929.83 | — |
| Prime Health | COMMPPO | $10,280.29 | — |
| Beech Street | COMM | $10,280.29 | — |
Visitor-reported prices
Comments
Knee MRI (without contrast) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $735.74 | $198.37 – $629.71 |
| CHI Memorial Hospital Hixson | Hixson | $825.84 | $186.96 – $2,459.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $1,022.58 | $192.03 – $441.44 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,180.17 | $186.96 – $2,459.00 |
| Johnson City Medical Center | JOHNSON CITY | $614.85 | $220.67 – $485.38 |
| Ascension Saint Thomas DeKalb | Smithville | $974.03 | $167.52 – $629.71 |
| Ascension Saint Thomas Highlands | Sparta | $974.03 | $167.52 – $629.71 |
| Ascension Saint Thomas River Park | McMinnville | $927.65 | $167.52 – $629.71 |