Ot training self care/home management direct contact each 15 minutes 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.
$24.31 with Wellpoint vs $380.76 with Beech Street — 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 | $24.31 | — |
| BCBS | TENNCARE | $25.25 | — |
| Amerigroup | MGMCR | $27.01 | — |
| Devoted Health Plan | MCR | $27.01 | — |
| HealthSpring | MCRHMO | $27.01 | — |
| HealthSpring | MCRPOS | $27.01 | — |
| HealthSpring | MCRPPO | $27.01 | — |
| Sarah Cannon Research | COMM | $27.01 | — |
| HealthSpring | DualEligible | $27.01 | — |
| Odyssey Healthcare | COMM | $27.01 | — |
| United | VACCN | $27.01 | — |
| Humana | ChoicecareMGMCR | $27.01 | — |
| Aetna | MGMCRHMO | $27.28 | — |
| Aetna | MGMCRPPO | $27.28 | — |
| Aetna | MGMCRSNP | $27.28 | — |
| BCBS | COVERKIDS | $27.37 | — |
| United | MGMCR | $27.55 | — |
| BCBS | MCR | $27.82 | — |
| WellCare | MCR | $27.82 | — |
| Zing | MGMCR | $27.82 | — |
| American Health Advantage | MCRPFFS | $28.36 | — |
| Evergreen HMO | MCR | $28.36 | — |
| American Health Advantage | MCRSNP | $28.36 | — |
| American Health Advantage | MCRPPO | $28.36 | — |
| American Health Advantage | MCRPOS | $28.36 | — |
| American Health Advantage | MCRHMO | $28.36 | — |
| Signature Advantage | MCR | $28.63 | — |
| ATRIO Golden Times | MCR | $29.71 | — |
| Bright Health | MCRNarrow | $31.06 | — |
| Prime Health | WORKERSCOMP | $38.89 | — |
| NovaNET | WORKERSCOMP | $39.70 | — |
| CorVel Corporation | WORKERSCOMP | $39.70 | — |
| BCBS | BlueCare | $47.08 | — |
| BCBS | NetworkP | $65.60 | — |
| Bright Health | HIX | $73.56 | — |
| Oscar | HIX | $79.18 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $79.66 | — |
| NHC Advantage, Inc. | MCRHMO | $82.21 | — |
| Pruitt Health (AllyAlign) | MCR | $82.21 | — |
| Apex Health | MCR | $82.21 | — |
| Ambetter | CORE | $96.49 | — |
| Ambetter | Select | $100.38 | — |
| Bright Health | SmallGroup | $103.84 | — |
| Humana | TRICARE | $108.17 | — |
| Cigna | NewBusiness | $109.04 | — |
| United | OptionsPPO | $120.72 | — |
| Cigna | OAP | $123.75 | — |
| Cigna | PPO | $141.05 | — |
| United | GlobalBenefitPlan | $194.71 | — |
| Aetna | NAP | $216.34 | — |
| BGFH SingleSource | DIRECTNETWORK | $216.34 | — |
| Aetna | NewBusiness | $274.00 | — |
| Humana BH | COMM | $281.24 | — |
| Multiplan | COMM | $281.24 | — |
| Employers Health Network | COMM | $302.88 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $324.51 | — |
| Aetna | COMM | $326.00 | — |
| ComPsych | COMM | $346.14 | — |
| Cigna Evernorth Behavioral Health | COMM | $346.14 | — |
| BGFH SingleSource | LEASEDNETWORK | $367.78 | — |
| Prime Health | COMMPPO | $380.76 | — |
| Beech Street | COMM | $380.76 | — |
Visitor-reported prices
Comments
Ot training self care/home management direct contact each 15 minutes at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $42.78 | $16.29 – $75.99 |
| CHI Memorial Hospital Hixson | Hixson | $30.20 | $20.40 – $189.52 |
| 62-1166050 BMH Carroll County | Huntingdon | $51.52 | $16.29 – $21.18 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $43.15 | $21.42 – $189.52 |
| Johnson City Medical Center | JOHNSON CITY | $33.60 | $18.90 – $66.90 |
| Ascension Saint Thomas DeKalb | Smithville | $44.01 | $16.29 – $75.99 |
| Ascension Saint Thomas Highlands | Sparta | $44.01 | $16.29 – $75.99 |
| Ascension Saint Thomas River Park | McMinnville | $42.78 | $24.34 – $75.99 |