Platelet pheresis each unit at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$1,155.00
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.
$1,155.00
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.
$196.35 with Bright Health vs $1,016.40 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 |
|---|---|---|---|
| Bright Health | HIX | $196.35 | ↓ -83% |
| Oscar | HIX | $211.37 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $212.64 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $219.45 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $219.45 | ↓ -81% |
| Apex Health | MCR | $219.45 | ↓ -81% |
| Ambetter | CORE | $257.56 | ↓ -78% |
| BCBS | NetworkP | $265.65 | ↓ -77% |
| Ambetter | Select | $267.96 | ↓ -77% |
| Bright Health | SmallGroup | $277.20 | ↓ -76% |
| Humana | TRICARE | $288.75 | ↓ -75% |
| Cigna | NewBusiness | $291.06 | ↓ -75% |
| United | OptionsPPO | $322.25 | ↓ -72% |
| Aetna | COMM | $327.24 | ↓ -72% |
| Aetna | NewBusiness | $327.24 | ↓ -72% |
| Cigna | OAP | $330.33 | ↓ -71% |
| Cigna | PPO | $376.53 | ↓ -67% |
| Centurion | PRISON | $475.86 | ↓ -59% |
| United | GlobalBenefitPlan | $519.75 | ↓ -55% |
| Aetna | NAP | $577.50 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $577.50 | ↓ -50% |
| Multiplan | COMM | $750.75 | ↓ -35% |
| Humana BH | COMM | $750.75 | ↓ -35% |
| Employers Health Network | COMM | $808.50 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $866.25 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $924.00 | ↓ -20% |
| ComPsych | COMM | $924.00 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $981.75 | ↓ -15% |
| Prime Health | COMMPPO | $1,016.40 | ↓ -12% |
| Beech Street | COMM | $1,016.40 | ↓ -12% |
Visitor-reported prices
Comments
Platelet pheresis each unit at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $1,027.72 | $293.69 – $2,430.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $718.06 | $315.49 – $725.26 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,468.66 | $293.69 – $2,430.40 |
| Johnson City Medical Center | JOHNSON CITY | $108.15 | $267.75 – $673.53 |
| Hancock County Hospital | SNEEDVILLE | $106.26 | $220.84 – $462.00 |
| Greeneville Community Hospital | GREENEVILLE | $108.15 | $159.00 – $673.53 |
| Bristol Regional Medical Center | BRISTOL | $108.15 | $265.00 – $721.00 |
| Franklin Woods Community Hospital | JOHNSON CITY | $108.15 | $267.75 – $673.53 |