Natriuretic peptide 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$17.67 with Wellpoint vs $251.68 with Prime Health — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $17.67 | — |
| Aetna | NewBusiness | $31.22 | — |
| Aetna | COMM | $31.22 | — |
| Devoted Health Plan | MCR | $39.26 | — |
| Bright Health | SmallGroup | $39.26 | — |
| Bright Health | HIX | $39.26 | — |
| Amerigroup | MGMCR | $39.26 | — |
| HealthSpring | DualEligible | $39.26 | — |
| HealthSpring | MCRHMO | $39.26 | — |
| HealthSpring | MCRPOS | $39.26 | — |
| HealthSpring | MCRPPO | $39.26 | — |
| Odyssey Healthcare | COMM | $39.26 | — |
| United | HeritageSelect | $39.26 | — |
| United | VACCN | $39.26 | — |
| Sarah Cannon Research | COMM | $39.26 | — |
| Humana | ChoicecareMGMCR | $39.26 | — |
| United | CorePayer | $39.26 | — |
| United | AllPayerAppendix | $39.26 | — |
| Aetna | MGMCRPPO | $39.65 | — |
| Aetna | MGMCRSNP | $39.65 | — |
| Aetna | MGMCRHMO | $39.65 | — |
| United | MGMCR | $40.05 | — |
| BCBS | MCR | $40.44 | — |
| WellCare | MCR | $40.44 | — |
| Zing | MGMCR | $40.44 | — |
| Ambetter | Select | $40.83 | — |
| American Health Advantage | MCRHMO | $41.22 | — |
| Evergreen HMO | MCR | $41.22 | — |
| American Health Advantage | MCRPFFS | $41.22 | — |
| American Health Advantage | MCRSNP | $41.22 | — |
| American Health Advantage | MCRPPO | $41.22 | — |
| American Health Advantage | MCRPOS | $41.22 | — |
| Signature Advantage | MCR | $41.62 | — |
| Ambetter | CORE | $42.40 | — |
| ATRIO Golden Times | MCR | $43.19 | — |
| Bright Health | MCRNarrow | $45.15 | — |
| BCBS | NetworkP | $46.31 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $52.65 | — |
| Apex Health | MCR | $54.34 | — |
| Pruitt Health (AllyAlign) | MCR | $54.34 | — |
| NHC Advantage, Inc. | MCRHMO | $54.34 | — |
| Prime Health | WORKERSCOMP | $56.53 | — |
| BCBS | TENNCARE | $57.12 | — |
| CorVel Corporation | WORKERSCOMP | $57.71 | — |
| NovaNET | WORKERSCOMP | $57.71 | — |
| BCBS | COVERKIDS | $61.91 | — |
| Cigna | NewBusiness | $69.79 | — |
| Humana | TRICARE | $71.50 | — |
| Cigna | OAP | $79.26 | — |
| United | OptionsPPO | $79.79 | — |
| Cigna | PPO | $93.24 | — |
| BCBS | BlueCare | $106.50 | — |
| Oscar | HIX | $117.78 | — |
| Centurion | PRISON | $117.83 | — |
| United | GlobalBenefitPlan | $128.70 | — |
| Aetna | NAP | $143.00 | — |
| BGFH SingleSource | DIRECTNETWORK | $143.00 | — |
| Humana | HumanaChoice | $157.04 | — |
| Humana | HumanaChoiceCare | $157.04 | — |
| Humana | NarrowExchangeNetwork | $157.04 | — |
| Humana | BroadNetwork | $157.04 | — |
| Humana BH | COMM | $185.90 | — |
| Multiplan | COMM | $185.90 | — |
| Employers Health Network | COMM | $200.20 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $214.50 | — |
| ComPsych | COMM | $228.80 | — |
| Cigna Evernorth Behavioral Health | COMM | $228.80 | — |
| BGFH SingleSource | LEASEDNETWORK | $243.10 | — |
| Beech Street | COMM | $251.68 | — |
| Prime Health | COMMPPO | $251.68 | — |
Visitor-reported prices
Comments
Natriuretic peptide at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $113.60 | $14.13 – $130.95 |
| CHI Memorial Hospital Hixson | Hixson | $102.72 | $30.15 – $221.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $69.46 | $34.16 – $78.52 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $146.79 | $30.15 – $221.20 |
| Johnson City Medical Center | JOHNSON CITY | $59.40 | $19.63 – $85.59 |
| Ascension Saint Thomas DeKalb | Smithville | $113.60 | $23.80 – $130.95 |
| Ascension Saint Thomas Highlands | Sparta | $113.60 | $23.80 – $130.95 |
| Ascension Saint Thomas River Park | McMinnville | $113.60 | $23.80 – $130.95 |