Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$525.93
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.
$525.93
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.
$1.69 with Cigna vs $462.82 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 |
|---|---|---|---|
| Cigna | NewBusiness | $1.69 | ↓ -100% |
| BCBS | NetworkP | $1.70 | ↓ -100% |
| Cigna | OAP | $1.92 | ↓ -100% |
| United | HeritageSelect | $5.57 | ↓ -99% |
| United | AllPayerAppendix | $5.57 | ↓ -99% |
| United | CorePayer | $5.57 | ↓ -99% |
| Aetna | MGMCRHMO | $78.89 | ↓ -85% |
| Aetna | MGMCRPPO | $78.89 | ↓ -85% |
| Aetna | MGMCRSNP | $78.89 | ↓ -85% |
| Bright Health | HIX | $89.41 | ↓ -83% |
| Oscar | HIX | $96.25 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $96.82 | ↓ -82% |
| Apex Health | MCR | $99.93 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $99.93 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $99.93 | ↓ -81% |
| Ambetter | CORE | $117.28 | ↓ -78% |
| Ambetter | Select | $122.02 | ↓ -77% |
| Bright Health | SmallGroup | $126.22 | ↓ -76% |
| Humana | TRICARE | $131.48 | ↓ -75% |
| United | OptionsPPO | $146.73 | ↓ -72% |
| Cigna | PPO | $171.45 | ↓ -67% |
| Centurion | PRISON | $216.68 | ↓ -59% |
| United | GlobalBenefitPlan | $236.67 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $262.96 | ↓ -50% |
| Signature Advantage | MCR | $262.96 | ↓ -50% |
| Multiplan | COMM | $341.85 | ↓ -35% |
| Humana BH | COMM | $341.85 | ↓ -35% |
| Employers Health Network | COMM | $368.15 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $394.45 | ↓ -25% |
| ComPsych | COMM | $420.74 | ↓ -20% |
| Cigna Evernorth Behavioral Health | COMM | $420.74 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $447.04 | ↓ -15% |
| Beech Street | COMM | $462.82 | ↓ -12% |
| Prime Health | COMMPPO | $462.82 | ↓ -12% |
Visitor-reported prices
Comments
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $198.95 | $0.84 – $102.79 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $284.31 | $0.84 – $102.79 |
| Johnson City Medical Center | JOHNSON CITY | $139.55 | $0.34 – $2.55 |
| Hancock County Hospital | SNEEDVILLE | $122.40 | $0.19 – $2.55 |
| Greeneville Community Hospital | GREENEVILLE | $139.55 | $0.14 – $2.55 |
| Bristol Regional Medical Center | BRISTOL | $139.55 | $0.23 – $3.02 |
| Franklin Woods Community Hospital | JOHNSON CITY | $139.55 | $0.34 – $2.55 |
| Holston Valley Medical Center | KINGSPORT | $139.55 | $0.23 – $2.55 |