Renal function panel 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.
$3.91 with Wellpoint vs $1,106.16 with Prime Health — 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 | $3.91 | — |
| Aetna | NewBusiness | $6.90 | — |
| Aetna | COMM | $6.90 | — |
| Devoted Health Plan | MCR | $8.68 | — |
| Bright Health | SmallGroup | $8.68 | — |
| Bright Health | HIX | $8.68 | — |
| Amerigroup | MGMCR | $8.68 | — |
| HealthSpring | DualEligible | $8.68 | — |
| HealthSpring | MCRHMO | $8.68 | — |
| HealthSpring | MCRPOS | $8.68 | — |
| HealthSpring | MCRPPO | $8.68 | — |
| Odyssey Healthcare | COMM | $8.68 | — |
| United | HeritageSelect | $8.68 | — |
| United | VACCN | $8.68 | — |
| Sarah Cannon Research | COMM | $8.68 | — |
| Humana | ChoicecareMGMCR | $8.68 | — |
| United | CorePayer | $8.68 | — |
| United | AllPayerAppendix | $8.68 | — |
| Aetna | MGMCRPPO | $8.77 | — |
| Aetna | MGMCRSNP | $8.77 | — |
| Aetna | MGMCRHMO | $8.77 | — |
| United | MGMCR | $8.85 | — |
| BCBS | MCR | $8.94 | — |
| WellCare | MCR | $8.94 | — |
| Zing | MGMCR | $8.94 | — |
| Ambetter | Select | $9.03 | — |
| American Health Advantage | MCRHMO | $9.11 | — |
| American Health Advantage | MCRSNP | $9.11 | — |
| Evergreen HMO | MCR | $9.11 | — |
| American Health Advantage | MCRPFFS | $9.11 | — |
| American Health Advantage | MCRPPO | $9.11 | — |
| American Health Advantage | MCRPOS | $9.11 | — |
| Signature Advantage | MCR | $9.20 | — |
| Ambetter | CORE | $9.38 | — |
| BCBS | NetworkP | $9.41 | — |
| ATRIO Golden Times | MCR | $9.55 | — |
| Bright Health | MCRNarrow | $9.98 | — |
| Prime Health | WORKERSCOMP | $12.50 | — |
| CorVel Corporation | WORKERSCOMP | $12.76 | — |
| NovaNET | WORKERSCOMP | $12.76 | — |
| BCBS | TENNCARE | $13.58 | — |
| BCBS | COVERKIDS | $14.72 | — |
| Cigna | NewBusiness | $15.58 | — |
| Cigna | OAP | $17.70 | — |
| BCBS | BlueCare | $25.32 | — |
| Oscar | HIX | $26.04 | — |
| Humana | BroadNetwork | $34.72 | — |
| Humana | NarrowExchangeNetwork | $34.72 | — |
| Humana | HumanaChoiceCare | $34.72 | — |
| Humana | HumanaChoice | $34.72 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $231.41 | — |
| Pruitt Health (AllyAlign) | MCR | $238.83 | — |
| Apex Health | MCR | $238.83 | — |
| NHC Advantage, Inc. | MCRHMO | $238.83 | — |
| Humana | TRICARE | $314.25 | — |
| United | OptionsPPO | $350.70 | — |
| Cigna | PPO | $409.78 | — |
| Centurion | PRISON | $517.88 | — |
| United | GlobalBenefitPlan | $565.65 | — |
| BGFH SingleSource | DIRECTNETWORK | $628.50 | — |
| Aetna | NAP | $628.50 | — |
| Multiplan | COMM | $817.05 | — |
| Humana BH | COMM | $817.05 | — |
| Employers Health Network | COMM | $879.90 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $942.75 | — |
| Cigna Evernorth Behavioral Health | COMM | $1,005.60 | — |
| ComPsych | COMM | $1,005.60 | — |
| BGFH SingleSource | LEASEDNETWORK | $1,068.45 | — |
| Beech Street | COMM | $1,106.16 | — |
| Prime Health | COMMPPO | $1,106.16 | — |
Visitor-reported prices
Comments
Renal function panel at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $72.72 | $3.12 – $33.86 |
| CHI Memorial Hospital Hixson | Hixson | $145.04 | $7.71 – $343.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $112.01 | $7.55 – $17.36 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $207.27 | $7.71 – $343.00 |
| Johnson City Medical Center | JOHNSON CITY | $14.70 | $4.34 – $18.92 |
| Ascension Saint Thomas DeKalb | Smithville | $72.72 | $6.09 – $33.86 |
| Ascension Saint Thomas Highlands | Sparta | $72.72 | $6.09 – $33.86 |
| Ascension Saint Thomas River Park | McMinnville | $72.72 | $6.09 – $33.86 |