Lumbar diskogram s&i at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$6,053.18
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.
$6,053.18
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.
$49.99 with BCBS vs $5,326.80 with Prime Health — 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 | $49.99 | ↓ -99% |
| Aetna | NewBusiness | $152.10 | ↓ -97% |
| Aetna | COMM | $152.10 | ↓ -97% |
| Humana | HumanaChoiceCare | $156.56 | ↓ -97% |
| Humana | NarrowExchangeNetwork | $156.56 | ↓ -97% |
| Humana | BroadNetwork | $156.56 | ↓ -97% |
| Humana | HumanaChoice | $156.56 | ↓ -97% |
| Cigna | NewBusiness | $227.83 | ↓ -96% |
| Cigna | OAP | $258.78 | ↓ -96% |
| BCBS | TENNCARE | $318.12 | ↓ -95% |
| BCBS | COVERKIDS | $344.81 | ↓ -94% |
| BCBS | BlueCare | $591.74 | ↓ -90% |
| Kentucky Labor Cabinet | WORKERSCOMP | $1,114.39 | ↓ -82% |
| Apex Health | MCR | $1,150.10 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $1,150.10 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $1,150.10 | ↓ -81% |
| Humana | TRICARE | $1,513.30 | ↓ -75% |
| United | OptionsPPO | $1,688.84 | ↓ -72% |
| Cigna | PPO | $1,973.34 | ↓ -67% |
| United | AllPayerAppendix | $2,174.18 | ↓ -64% |
| United | HeritageSelect | $2,174.18 | ↓ -64% |
| United | CorePayer | $2,174.18 | ↓ -64% |
| Centurion | PRISON | $2,493.91 | ↓ -59% |
| United | GlobalBenefitPlan | $2,723.93 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $3,026.59 | ↓ -50% |
| Aetna | NAP | $3,026.59 | ↓ -50% |
| Humana BH | COMM | $3,934.57 | ↓ -35% |
| Multiplan | COMM | $3,934.57 | ↓ -35% |
| Employers Health Network | COMM | $4,237.23 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $4,539.89 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $4,842.54 | ↓ -20% |
| ComPsych | COMM | $4,842.54 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $5,145.20 | ↓ -15% |
| Beech Street | COMM | $5,326.80 | ↓ -12% |
| Prime Health | COMMPPO | $5,326.80 | ↓ -12% |
Visitor-reported prices
Comments
Lumbar diskogram s&i at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $787.17 | $60.19 – $2,750.96 |
| CHI Memorial Hospital Hixson | Hixson | $629.60 | $89.78 – $2,175.45 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $899.73 | $89.78 – $2,175.45 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $787.17 | $60.19 – $2,750.96 |
| Greeneville Community Hospital | GREENEVILLE | $1,040.40 | $129.57 – $3,972.33 |
| Bristol Regional Medical Center | BRISTOL | $1,040.40 | $135.67 – $4,445.89 |
| Holston Valley Medical Center | KINGSPORT | $1,040.40 | $135.67 – $4,445.89 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,040.40 | $135.67 – $3,862.21 |