Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$985.15
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.
$985.15
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.
$61.36 with BCBS vs $2,823.00 with United — 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 |
|---|---|---|---|
| BCBS | TENNCARE | $61.36 | ↓ -94% |
| BCBS | COVERKIDS | $66.51 | ↓ -93% |
| Wellpoint | MGMCD | $84.56 | ↓ -91% |
| Sarah Cannon Research | COMM | $93.96 | ↓ -90% |
| Amerigroup | MGMCR | $93.96 | ↓ -90% |
| United | VACCN | $93.96 | ↓ -90% |
| HealthSpring | DualEligible | $93.96 | ↓ -90% |
| HealthSpring | MCRHMO | $93.96 | ↓ -90% |
| HealthSpring | MCRPOS | $93.96 | ↓ -90% |
| HealthSpring | MCRPPO | $93.96 | ↓ -90% |
| Devoted Health Plan | MCR | $93.96 | ↓ -90% |
| Odyssey Healthcare | COMM | $93.96 | ↓ -90% |
| Humana | ChoicecareMGMCR | $93.96 | ↓ -90% |
| Aetna | MGMCRPPO | $94.90 | ↓ -90% |
| Aetna | MGMCRHMO | $94.90 | ↓ -90% |
| Aetna | MGMCRSNP | $94.90 | ↓ -90% |
| United | MGMCR | $95.84 | ↓ -90% |
| WellCare | MCR | $96.78 | ↓ -90% |
| BCBS | MCR | $96.78 | ↓ -90% |
| Zing | MGMCR | $96.78 | ↓ -90% |
| American Health Advantage | MCRHMO | $98.66 | ↓ -90% |
| American Health Advantage | MCRPPO | $98.66 | ↓ -90% |
| Evergreen HMO | MCR | $98.66 | ↓ -90% |
| American Health Advantage | MCRPOS | $98.66 | ↓ -90% |
| American Health Advantage | MCRSNP | $98.66 | ↓ -90% |
| American Health Advantage | MCRPFFS | $98.66 | ↓ -90% |
| Signature Advantage | MCR | $99.60 | ↓ -90% |
| ATRIO Golden Times | MCR | $103.36 | ↓ -90% |
| Bright Health | MCRNarrow | $108.05 | ↓ -89% |
| BCBS | BlueCare | $114.42 | ↓ -88% |
| Prime Health | WORKERSCOMP | $135.30 | ↓ -86% |
| NovaNET | WORKERSCOMP | $138.12 | ↓ -86% |
| CorVel Corporation | WORKERSCOMP | $138.12 | ↓ -86% |
| Kentucky Labor Cabinet | WORKERSCOMP | $181.37 | ↓ -82% |
| NHC Advantage, Inc. | MCRHMO | $187.18 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $187.18 | ↓ -81% |
| BCBS | NetworkP | $193.32 | ↓ -80% |
| United | TENNCARE | $224.00 | ↓ -77% |
| Humana | TRICARE | $246.29 | ↓ -75% |
| United | OptionsPPO | $274.86 | ↓ -72% |
| Aetna | NewBusiness | $275.84 | ↓ -72% |
| Cigna | PPO | $321.16 | ↓ -67% |
| Aetna | COMM | $325.10 | ↓ -67% |
| United | GlobalBenefitPlan | $443.32 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $492.57 | ↓ -50% |
| Aetna | NAP | $492.57 | ↓ -50% |
| Bright Health | HIX | $607.00 | ↓ -38% |
| Humana BH | COMM | $640.35 | ↓ -35% |
| Multiplan | COMM | $640.35 | ↓ -35% |
| Employers Health Network | COMM | $689.61 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $738.86 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $788.12 | ↓ -20% |
| ComPsych | COMM | $788.12 | ↓ -20% |
| Bright Health | SmallGroup | $827.00 | ↓ -16% |
| BGFH SingleSource | LEASEDNETWORK | $837.38 | ↓ -15% |
| Prime Health | COMMPPO | $866.93 | ↓ -12% |
| Beech Street | COMM | $866.93 | ↓ -12% |
| Oscar | HIX | $990.00 | ↑ +0% |
| United | CorePayer | $2,117.00 | ↑ +115% |
| United | HeritageSelect | $2,258.00 | ↑ +129% |
| Humana | HumanaChoice | $2,569.00 | ↑ +161% |
| Humana | BroadNetwork | $2,569.00 | ↑ +161% |
| Humana | HumanaChoiceCare | $2,569.00 | ↑ +161% |
| Humana | NarrowExchangeNetwork | $2,569.00 | ↑ +161% |
| United | AllPayerAppendix | $2,823.00 | ↑ +187% |
Visitor-reported prices
Comments
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $76.89 | $39.59 – $266.41 |
| CHI Memorial Hospital Hixson | Hixson | $215.20 | $58.92 – $508.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $180.09 | $39.59 – $362.88 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $307.53 | $58.92 – $508.90 |
| Johnson City Medical Center | JOHNSON CITY | $76.95 | $44.00 – $241.08 |
| Ascension Saint Thomas DeKalb | Smithville | $61.97 | $39.59 – $262.57 |
| Ascension Saint Thomas Highlands | Sparta | $61.97 | $39.59 – $262.57 |
| Ascension Saint Thomas River Park | McMinnville | $59.03 | $59.15 – $262.57 |