Mgmt promoter methylation analysis at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$928.00
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.
$928.00
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.
$56.09 with Wellpoint vs $816.64 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $56.09 | ↓ -94% |
| BCBS | NetworkP | $83.09 | ↓ -91% |
| Aetna | COMM | $99.09 | ↓ -89% |
| Aetna | NewBusiness | $99.09 | ↓ -89% |
| Devoted Health Plan | MCR | $124.64 | ↓ -87% |
| Bright Health | SmallGroup | $124.64 | ↓ -87% |
| Bright Health | HIX | $124.64 | ↓ -87% |
| HealthSpring | DualEligible | $124.64 | ↓ -87% |
| HealthSpring | MCRHMO | $124.64 | ↓ -87% |
| HealthSpring | MCRPOS | $124.64 | ↓ -87% |
| HealthSpring | MCRPPO | $124.64 | ↓ -87% |
| Odyssey Healthcare | COMM | $124.64 | ↓ -87% |
| Amerigroup | MGMCR | $124.64 | ↓ -87% |
| United | AllPayerAppendix | $124.64 | ↓ -87% |
| United | CorePayer | $124.64 | ↓ -87% |
| Sarah Cannon Research | COMM | $124.64 | ↓ -87% |
| Humana | ChoicecareMGMCR | $124.64 | ↓ -87% |
| United | HeritageSelect | $124.64 | ↓ -87% |
| United | VACCN | $124.64 | ↓ -87% |
| Aetna | MGMCRSNP | $125.89 | ↓ -86% |
| Aetna | MGMCRHMO | $125.89 | ↓ -86% |
| Aetna | MGMCRPPO | $125.89 | ↓ -86% |
| United | MGMCR | $127.13 | ↓ -86% |
| BCBS | MCR | $128.38 | ↓ -86% |
| WellCare | MCR | $128.38 | ↓ -86% |
| Zing | MGMCR | $128.38 | ↓ -86% |
| Ambetter | Select | $129.63 | ↓ -86% |
| American Health Advantage | MCRPPO | $130.87 | ↓ -86% |
| Evergreen HMO | MCR | $130.87 | ↓ -86% |
| American Health Advantage | MCRPOS | $130.87 | ↓ -86% |
| American Health Advantage | MCRPFFS | $130.87 | ↓ -86% |
| American Health Advantage | MCRSNP | $130.87 | ↓ -86% |
| American Health Advantage | MCRHMO | $130.87 | ↓ -86% |
| Signature Advantage | MCR | $132.12 | ↓ -86% |
| Ambetter | CORE | $134.61 | ↓ -85% |
| ATRIO Golden Times | MCR | $137.10 | ↓ -85% |
| Bright Health | MCRNarrow | $143.34 | ↓ -85% |
| BCBS | TENNCARE | $156.95 | ↓ -83% |
| BCBS | COVERKIDS | $170.12 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $170.84 | ↓ -82% |
| Apex Health | MCR | $176.32 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $176.32 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $176.32 | ↓ -81% |
| Prime Health | WORKERSCOMP | $179.48 | ↓ -81% |
| CorVel Corporation | WORKERSCOMP | $183.22 | ↓ -80% |
| NovaNET | WORKERSCOMP | $183.22 | ↓ -80% |
| Cigna | NewBusiness | $222.04 | ↓ -76% |
| Humana | TRICARE | $232.00 | ↓ -75% |
| Cigna | OAP | $252.17 | ↓ -73% |
| United | OptionsPPO | $258.91 | ↓ -72% |
| BCBS | BlueCare | $292.64 | ↓ -68% |
| Cigna | PPO | $302.53 | ↓ -67% |
| Oscar | HIX | $373.92 | ↓ -60% |
| Centurion | PRISON | $382.34 | ↓ -59% |
| United | GlobalBenefitPlan | $417.60 | ↓ -55% |
| Aetna | NAP | $464.00 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $464.00 | ↓ -50% |
| Humana | HumanaChoice | $498.56 | ↓ -46% |
| Humana | HumanaChoiceCare | $498.56 | ↓ -46% |
| Humana | NarrowExchangeNetwork | $498.56 | ↓ -46% |
| Humana | BroadNetwork | $498.56 | ↓ -46% |
| Humana BH | COMM | $603.20 | ↓ -35% |
| Multiplan | COMM | $603.20 | ↓ -35% |
| Employers Health Network | COMM | $649.60 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $696.00 | ↓ -25% |
| ComPsych | COMM | $742.40 | ↓ -20% |
| Cigna Evernorth Behavioral Health | COMM | $742.40 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $788.80 | ↓ -15% |
| Beech Street | COMM | $816.64 | ↓ -12% |
| Prime Health | COMMPPO | $816.64 | ↓ -12% |
Visitor-reported prices
Comments
Mgmt promoter methylation analysis at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,005.75 | $44.87 – $256.94 |
| Ascension Saint Thomas DeKalb | Smithville | $1,005.75 | $41.09 – $176.98 |
| Ascension Saint Thomas Highlands | Sparta | $1,005.75 | $41.09 – $176.98 |
| Ascension Saint Thomas River Park | McMinnville | $1,005.75 | $41.09 – $192.39 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,005.75 | $101.26 – $256.94 |
| 62-0123940 BMH Collierville | Collierville | $99.54 | $101.26 – $249.28 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $692.05 | $56.09 – $373.92 |
| Ascension Saint Thomas Hickman | Centerville | not published | $112.18 – $176.98 |