Sleep study unattended at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$567.91
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.
$567.91
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.
$96.54 with Bright Health vs $2,710.00 with Aetna — 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 |
|---|---|---|---|
| Bright Health | HIX | $96.54 | ↓ -83% |
| Oscar | HIX | $103.93 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $104.55 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $107.90 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $107.90 | ↓ -81% |
| Apex Health | MCR | $107.90 | ↓ -81% |
| Ambetter | CORE | $126.64 | ↓ -78% |
| BCBS | NetworkP | $130.62 | ↓ -77% |
| Ambetter | Select | $131.76 | ↓ -77% |
| Bright Health | SmallGroup | $136.30 | ↓ -76% |
| Humana | TRICARE | $141.98 | ↓ -75% |
| Cigna | NewBusiness | $143.11 | ↓ -75% |
| United | OptionsPPO | $158.45 | ↓ -72% |
| Cigna | OAP | $162.42 | ↓ -71% |
| Cigna | PPO | $185.14 | ↓ -67% |
| BCBS | TENNCARE | $232.61 | ↓ -59% |
| Centurion | PRISON | $233.98 | ↓ -59% |
| BCBS | COVERKIDS | $252.12 | ↓ -56% |
| United | GlobalBenefitPlan | $255.56 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $283.95 | ↓ -50% |
| Aetna | NAP | $283.95 | ↓ -50% |
| Humana BH | COMM | $369.14 | ↓ -35% |
| Multiplan | COMM | $369.14 | ↓ -35% |
| Employers Health Network | COMM | $397.54 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $425.93 | ↓ -25% |
| BCBS | BlueCare | $433.70 | ↓ -24% |
| ComPsych | COMM | $454.33 | ↓ -20% |
| Cigna Evernorth Behavioral Health | COMM | $454.33 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $482.72 | ↓ -15% |
| Prime Health | COMMPPO | $499.76 | ↓ -12% |
| Beech Street | COMM | $499.76 | ↓ -12% |
| United | CorePayer | $1,319.00 | ↑ +132% |
| United | HeritageSelect | $1,407.00 | ↑ +148% |
| United | AllPayerAppendix | $1,759.00 | ↑ +210% |
| Aetna | NewBusiness | $2,311.00 | ↑ +307% |
| Aetna | COMM | $2,710.00 | ↑ +377% |
Visitor-reported prices
Comments
Sleep study unattended at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $354.93 | $134.86 – $227.70 |
| CHI Memorial Hospital Hixson | Hixson | $254.56 | $123.64 – $602.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $117.53 | $124.30 – $285.74 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $363.78 | $123.64 – $602.00 |
| Johnson City Medical Center | JOHNSON CITY | $260.70 | $153.06 – $439.24 |
| Hancock County Hospital | SNEEDVILLE | $255.76 | $85.04 – $350.02 |
| Greeneville Community Hospital | GREENEVILLE | $260.70 | $61.23 – $439.24 |
| Bristol Regional Medical Center | BRISTOL | $260.70 | $102.04 – $491.61 |