Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$12,532.80
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.
$12,532.80
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.
$325.44 with BCBS vs $11,028.86 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 |
|---|---|---|---|
| BCBS | TENNCARE | $325.44 | ↓ -97% |
| BCBS | COVERKIDS | $352.73 | ↓ -97% |
| BCBS | BlueCare | $606.78 | ↓ -95% |
| United | CorePayer | $1,319.00 | ↓ -89% |
| United | HeritageSelect | $1,407.00 | ↓ -89% |
| United | AllPayerAppendix | $1,759.00 | ↓ -86% |
| Bright Health | HIX | $2,130.58 | ↓ -83% |
| Oscar | HIX | $2,293.50 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $2,307.29 | ↓ -82% |
| Aetna | NewBusiness | $2,311.00 | ↓ -82% |
| Apex Health | MCR | $2,381.23 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $2,381.23 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $2,381.23 | ↓ -81% |
| Aetna | COMM | $2,710.00 | ↓ -78% |
| Ambetter | CORE | $2,794.81 | ↓ -78% |
| BCBS | NetworkP | $2,882.54 | ↓ -77% |
| Ambetter | Select | $2,907.61 | ↓ -77% |
| Bright Health | SmallGroup | $3,007.87 | ↓ -76% |
| Humana | TRICARE | $3,133.20 | ↓ -75% |
| Cigna | NewBusiness | $3,158.27 | ↓ -75% |
| United | OptionsPPO | $3,496.65 | ↓ -72% |
| Cigna | OAP | $3,584.38 | ↓ -71% |
| Cigna | PPO | $4,085.69 | ↓ -67% |
| Centurion | PRISON | $5,163.51 | ↓ -59% |
| United | GlobalBenefitPlan | $5,639.76 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $6,266.40 | ↓ -50% |
| Aetna | NAP | $6,266.40 | ↓ -50% |
| Humana BH | COMM | $8,146.32 | ↓ -35% |
| Multiplan | COMM | $8,146.32 | ↓ -35% |
| Employers Health Network | COMM | $8,772.96 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $9,399.60 | ↓ -25% |
| ComPsych | COMM | $10,026.24 | ↓ -20% |
| Cigna Evernorth Behavioral Health | COMM | $10,026.24 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $10,652.88 | ↓ -15% |
| Prime Health | COMMPPO | $11,028.86 | ↓ -12% |
| Beech Street | COMM | $11,028.86 | ↓ -12% |
Visitor-reported prices
Comments
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $2,195.14 | $312.48 – $2,335.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $1,417.95 | $209.96 – $1,858.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,136.97 | $312.48 – $2,335.90 |
| Johnson City Medical Center | JOHNSON CITY | $555.60 | $243.55 – $1,746.89 |
| Ascension Saint Thomas River Park | McMinnville | $1,569.15 | $313.70 – $1,344.43 |
| Greeneville Community Hospital | GREENEVILLE | $555.60 | $243.55 – $1,746.89 |
| Bristol Regional Medical Center | BRISTOL | $555.60 | $243.55 – $1,955.15 |
| Franklin Woods Community Hospital | JOHNSON CITY | $555.60 | $296.04 – $1,699.73 |