Lung function test (mbc/mvv) at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$247.10
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.
$247.10
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.
$11.69 with BCBS vs $217.45 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 | $11.69 | ↓ -95% |
| BCBS | COVERKIDS | $12.67 | ↓ -95% |
| BCBS | BlueCare | $21.79 | ↓ -91% |
| Bright Health | HIX | $42.01 | ↓ -83% |
| Oscar | HIX | $45.22 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $45.49 | ↓ -82% |
| NHC Advantage, Inc. | MCRHMO | $46.95 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $46.95 | ↓ -81% |
| Apex Health | MCR | $46.95 | ↓ -81% |
| Ambetter | CORE | $55.10 | ↓ -78% |
| BCBS | NetworkP | $56.83 | ↓ -77% |
| Ambetter | Select | $57.33 | ↓ -77% |
| Bright Health | SmallGroup | $59.30 | ↓ -76% |
| Humana | TRICARE | $61.77 | ↓ -75% |
| Cigna | NewBusiness | $62.27 | ↓ -75% |
| United | OptionsPPO | $68.94 | ↓ -72% |
| Aetna | NewBusiness | $69.19 | ↓ -72% |
| Cigna | OAP | $70.67 | ↓ -71% |
| Cigna | PPO | $80.55 | ↓ -67% |
| Aetna | COMM | $81.54 | ↓ -67% |
| Centurion | PRISON | $101.81 | ↓ -59% |
| United | GlobalBenefitPlan | $111.19 | ↓ -55% |
| Aetna | NAP | $123.55 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $123.55 | ↓ -50% |
| Humana BH | COMM | $160.62 | ↓ -35% |
| Multiplan | COMM | $160.62 | ↓ -35% |
| Employers Health Network | COMM | $172.97 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $185.32 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $197.68 | ↓ -20% |
| ComPsych | COMM | $197.68 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $210.03 | ↓ -15% |
| Prime Health | COMMPPO | $217.45 | ↓ -12% |
| Beech Street | COMM | $217.45 | ↓ -12% |
Visitor-reported prices
Comments
Lung function test (mbc/mvv) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $28.95 | $8.75 – $120.01 |
| Ascension Saint Thomas DeKalb | Smithville | $147.30 | $7.54 – $78.50 |
| Ascension Saint Thomas Highlands | Sparta | $147.30 | $7.54 – $78.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $147.30 | $7.54 – $79.65 |
| Hancock County Hospital | SNEEDVILLE | $28.52 | $8.75 – $83.90 |
| Greeneville Community Hospital | GREENEVILLE | $28.95 | $8.75 – $120.01 |
| Bristol Regional Medical Center | BRISTOL | $28.95 | $8.75 – $134.31 |
| Franklin Woods Community Hospital | JOHNSON CITY | $28.95 | $10.63 – $116.76 |