Scan duplex extremity veins unilateral/limited study 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$167.94 with BCBS vs $1,532.74 with Prime Health — 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 | $167.94 | — |
| BCBS | COVERKIDS | $182.03 | — |
| BCBS | NetworkP | $183.99 | — |
| Bright Health | HIX | $296.10 | — |
| Cigna | NewBusiness | $310.59 | — |
| BCBS | BlueCare | $313.13 | — |
| Oscar | HIX | $318.74 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $320.66 | — |
| NHC Advantage, Inc. | MCRHMO | $330.93 | — |
| Pruitt Health (AllyAlign) | MCR | $330.93 | — |
| Apex Health | MCR | $330.93 | — |
| Cigna | OAP | $352.79 | — |
| Ambetter | CORE | $388.41 | — |
| Ambetter | Select | $404.09 | — |
| Bright Health | SmallGroup | $418.02 | — |
| Humana | TRICARE | $435.44 | — |
| United | OptionsPPO | $485.95 | — |
| Cigna | PPO | $567.81 | — |
| Centurion | PRISON | $717.60 | — |
| United | GlobalBenefitPlan | $783.79 | — |
| BGFH SingleSource | DIRECTNETWORK | $870.88 | — |
| Aetna | NAP | $870.88 | — |
| Multiplan | COMM | $1,132.14 | — |
| Humana BH | COMM | $1,132.14 | — |
| Employers Health Network | COMM | $1,219.22 | — |
| Aetna | NewBusiness | $1,264.00 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $1,306.31 | — |
| Cigna Evernorth Behavioral Health | COMM | $1,393.40 | — |
| ComPsych | COMM | $1,393.40 | — |
| BGFH SingleSource | LEASEDNETWORK | $1,480.49 | — |
| Aetna | COMM | $1,482.00 | — |
| Beech Street | COMM | $1,532.74 | — |
| Prime Health | COMMPPO | $1,532.74 | — |
Visitor-reported prices
Comments
Scan duplex extremity veins unilateral/limited study at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $451.85 | $91.66 – $262.06 |
| CHI Memorial Hospital Hixson | Hixson | $259.60 | $94.40 – $613.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $285.43 | $84.48 – $194.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $370.98 | $94.40 – $613.90 |
| Johnson City Medical Center | JOHNSON CITY | $229.50 | $83.14 – $212.67 |
| Ascension Saint Thomas DeKalb | Smithville | $444.86 | $48.16 – $262.06 |
| Ascension Saint Thomas Highlands | Sparta | $444.86 | $48.16 – $262.06 |
| Ascension Saint Thomas River Park | McMinnville | $523.35 | $48.16 – $262.06 |