Skyla, 13.5 mg at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$4,943.39
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.
$4,943.39
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.
$741.51 with Aetna vs $4,350.18 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 |
|---|---|---|---|
| Aetna | MGMCRPPO | $741.51 | ↓ -85% |
| Aetna | MGMCRSNP | $741.51 | ↓ -85% |
| Aetna | MGMCRHMO | $741.51 | ↓ -85% |
| Kentucky Labor Cabinet | WORKERSCOMP | $910.08 | ↓ -82% |
| BCBS | NetworkP | $1,136.98 | ↓ -77% |
| Ambetter | Select | $1,146.87 | ↓ -77% |
| Cigna | NewBusiness | $1,218.28 | ↓ -75% |
| Humana | TRICARE | $1,235.85 | ↓ -75% |
| United | OptionsPPO | $1,379.21 | ↓ -72% |
| Cigna | OAP | $1,385.30 | ↓ -72% |
| Cigna | PPO | $1,611.55 | ↓ -67% |
| Centurion | PRISON | $2,036.68 | ↓ -59% |
| United | GlobalBenefitPlan | $2,224.53 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $2,471.70 | ↓ -50% |
| Signature Advantage | MCR | $2,471.70 | ↓ -50% |
| Humana BH | COMM | $3,213.20 | ↓ -35% |
| Multiplan | COMM | $3,213.20 | ↓ -35% |
| United | HeritageSelect | $3,369.26 | ↓ -32% |
| United | CorePayer | $3,369.26 | ↓ -32% |
| United | AllPayerAppendix | $3,369.26 | ↓ -32% |
| Employers Health Network | COMM | $3,460.37 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $3,707.54 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $3,954.71 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $4,201.88 | ↓ -15% |
| Prime Health | COMMPPO | $4,350.18 | ↓ -12% |
| Beech Street | COMM | $4,350.18 | ↓ -12% |
Visitor-reported prices
Comments
Skyla, 13.5 mg at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $1,218.28 – $3,369.26 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $1,218.28 – $3,369.26 |
| HORIZON MEDICAL CENTER | DICKSON | not published | $1,218.28 – $3,369.26 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD | not published | $1,218.28 – $3,369.26 |
| SKYLINE MADISON CAMPUS | NASHVILLE | not published | $1,218.28 – $3,369.26 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH | not published | $1,218.28 – $3,369.26 |
| STONECREST MEDICAL CENTER | Smyrna | not published | $1,218.28 – $3,369.26 |
| Parkwest Medical Center | Knoxville | not published | $428.82 – $1,221.20 |