MRI breast c- unilateral 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$186.96 with BCBS vs $7,211.10 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 | $186.96 | — |
| BCBS | COVERKIDS | $202.65 | — |
| Humana | BroadNetwork | $270.36 | — |
| Humana | HumanaChoice | $270.36 | — |
| Humana | HumanaChoiceCare | $270.36 | — |
| Humana | NarrowExchangeNetwork | $270.36 | — |
| United | CorePayer | $311.26 | — |
| United | AllPayerAppendix | $311.26 | — |
| United | HeritageSelect | $311.26 | — |
| Aetna | NewBusiness | $321.51 | — |
| Aetna | COMM | $321.51 | — |
| BCBS | BlueCare | $347.77 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $1,508.59 | — |
| Apex Health | MCR | $1,556.94 | — |
| Pruitt Health (AllyAlign) | MCR | $1,556.94 | — |
| NHC Advantage, Inc. | MCRHMO | $1,556.94 | — |
| Humana | TRICARE | $2,048.61 | — |
| United | OptionsPPO | $2,286.25 | — |
| Cigna | PPO | $2,671.38 | — |
| United | GlobalBenefitPlan | $3,687.49 | — |
| Aetna | NAP | $4,097.22 | — |
| BGFH SingleSource | DIRECTNETWORK | $4,097.22 | — |
| Humana BH | COMM | $5,326.38 | — |
| Multiplan | COMM | $5,326.38 | — |
| Employers Health Network | COMM | $5,736.10 | — |
| Cigna Evernorth Behavioral Health | COMM | $6,555.54 | — |
| ComPsych | COMM | $6,555.54 | — |
| BGFH SingleSource | LEASEDNETWORK | $6,965.27 | — |
| Prime Health | COMMPPO | $7,211.10 | — |
| Beech Street | COMM | $7,211.10 | — |
Visitor-reported prices
Comments
MRI breast c- unilateral at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $636.75 | $151.66 – $485.38 |
| Greeneville Community Hospital | GREENEVILLE | $636.75 | $83.00 – $485.38 |
| Bristol Regional Medical Center | BRISTOL | $636.75 | $138.34 – $543.24 |
| Franklin Woods Community Hospital | JOHNSON CITY | $636.75 | $184.34 – $472.27 |
| Holston Valley Medical Center | KINGSPORT | $636.75 | $138.34 – $543.24 |
| 62-0123940 BMH Collierville | Collierville | $723.87 | $130.74 – $442.68 |
| Indian Path Community Hospital | KINGSPORT | $636.75 | $151.66 – $519.55 |
| 62-1138045 BMH Union City | Union City | $662.80 | $192.03 – $441.44 |