Onco (ovar) two proteins at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$643.71
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.
$643.71
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.
$117.23 with Wellpoint vs $1,042.00 with Humana — 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 | $117.23 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $118.51 | ↓ -82% |
| Apex Health | MCR | $122.30 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $122.30 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $122.30 | ↓ -81% |
| Humana | TRICARE | $160.93 | ↓ -75% |
| United | OptionsPPO | $179.60 | ↓ -72% |
| Aetna | COMM | $207.10 | ↓ -68% |
| Aetna | NewBusiness | $207.10 | ↓ -68% |
| Cigna | PPO | $209.85 | ↓ -67% |
| HealthSpring | MCRHMO | $260.50 | ↓ -60% |
| HealthSpring | MCRPOS | $260.50 | ↓ -60% |
| HealthSpring | MCRPPO | $260.50 | ↓ -60% |
| Sarah Cannon Research | COMM | $260.50 | ↓ -60% |
| Humana | ChoicecareMGMCR | $260.50 | ↓ -60% |
| Amerigroup | MGMCR | $260.50 | ↓ -60% |
| HealthSpring | DualEligible | $260.50 | ↓ -60% |
| Devoted Health Plan | MCR | $260.50 | ↓ -60% |
| United | CorePayer | $260.50 | ↓ -60% |
| United | HeritageSelect | $260.50 | ↓ -60% |
| Bright Health | SmallGroup | $260.50 | ↓ -60% |
| Bright Health | HIX | $260.50 | ↓ -60% |
| BCBS | NetworkP | $260.50 | ↓ -60% |
| United | VACCN | $260.50 | ↓ -60% |
| United | AllPayerAppendix | $260.50 | ↓ -60% |
| Odyssey Healthcare | COMM | $260.50 | ↓ -60% |
| Aetna | MGMCRHMO | $263.11 | ↓ -59% |
| Aetna | MGMCRPPO | $263.11 | ↓ -59% |
| Aetna | MGMCRSNP | $263.11 | ↓ -59% |
| Centurion | PRISON | $265.21 | ↓ -59% |
| United | MGMCR | $265.71 | ↓ -59% |
| BCBS | MCR | $268.31 | ↓ -58% |
| WellCare | MCR | $268.31 | ↓ -58% |
| Zing | MGMCR | $268.31 | ↓ -58% |
| Ambetter | Select | $270.92 | ↓ -58% |
| American Health Advantage | MCRPFFS | $273.53 | ↓ -58% |
| Evergreen HMO | MCR | $273.53 | ↓ -58% |
| American Health Advantage | MCRHMO | $273.53 | ↓ -58% |
| American Health Advantage | MCRPOS | $273.53 | ↓ -58% |
| American Health Advantage | MCRPPO | $273.53 | ↓ -58% |
| American Health Advantage | MCRSNP | $273.53 | ↓ -58% |
| Signature Advantage | MCR | $276.13 | ↓ -57% |
| Ambetter | CORE | $281.34 | ↓ -56% |
| ATRIO Golden Times | MCR | $286.55 | ↓ -55% |
| United | GlobalBenefitPlan | $289.67 | ↓ -55% |
| Bright Health | MCRNarrow | $299.57 | ↓ -53% |
| Aetna | NAP | $321.86 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $321.86 | ↓ -50% |
| BCBS | TENNCARE | $328.04 | ↓ -49% |
| BCBS | COVERKIDS | $355.56 | ↓ -45% |
| Prime Health | WORKERSCOMP | $375.12 | ↓ -42% |
| NovaNET | WORKERSCOMP | $382.94 | ↓ -41% |
| CorVel Corporation | WORKERSCOMP | $382.94 | ↓ -41% |
| Humana BH | COMM | $418.41 | ↓ -35% |
| Multiplan | COMM | $418.41 | ↓ -35% |
| Employers Health Network | COMM | $450.60 | ↓ -30% |
| Cigna | NewBusiness | $464.29 | ↓ -28% |
| Odom's TN Pride Sausage | WORKERSCOMP | $482.78 | ↓ -25% |
| ComPsych | COMM | $514.97 | ↓ -20% |
| Cigna Evernorth Behavioral Health | COMM | $514.97 | ↓ -20% |
| Cigna | OAP | $527.28 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $547.15 | ↓ -15% |
| Beech Street | COMM | $566.46 | ↓ -12% |
| Prime Health | COMMPPO | $566.46 | ↓ -12% |
| BCBS | BlueCare | $611.64 | ↓ -5% |
| Oscar | HIX | $781.50 | ↑ +21% |
| Humana | HumanaChoice | $1,042.00 | ↑ +62% |
| Humana | HumanaChoiceCare | $1,042.00 | ↑ +62% |
| Humana | BroadNetwork | $1,042.00 | ↑ +62% |
| Humana | NarrowExchangeNetwork | $1,042.00 | ↑ +62% |
Visitor-reported prices
Comments
Onco (ovar) two proteins at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $211.64 – $537.00 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $211.64 – $554.87 |
| Ascension Saint Thomas Highlands | Sparta | not published | $211.64 – $554.87 |
| Ascension Saint Thomas River Park | McMinnville | not published | $234.45 – $554.87 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $211.64 – $554.87 |
| Ascension Saint Thomas Hickman | Centerville | not published | $234.45 – $554.87 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $117.23 – $781.50 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $117.23 – $781.50 |