Surgical pathology level 1 gross examination only at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$71.38
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.
$71.38
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.
$4.37 with BCBS vs $62.81 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 |
|---|---|---|---|
| BCBS | TENNCARE | $4.37 | ↓ -94% |
| BCBS | COVERKIDS | $4.74 | ↓ -93% |
| BCBS | BlueCare | $8.15 | ↓ -89% |
| BCBS | NetworkP | $8.87 | ↓ -88% |
| Aetna | COMM | $11.15 | ↓ -84% |
| Aetna | NewBusiness | $11.15 | ↓ -84% |
| Bright Health | HIX | $12.13 | ↓ -83% |
| Oscar | HIX | $13.06 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $13.14 | ↓ -82% |
| Apex Health | MCR | $13.56 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $13.56 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $13.56 | ↓ -81% |
| Ambetter | CORE | $15.92 | ↓ -78% |
| Ambetter | Select | $16.56 | ↓ -77% |
| Humana | HumanaChoiceCare | $16.68 | ↓ -77% |
| Humana | BroadNetwork | $16.68 | ↓ -77% |
| Humana | NarrowExchangeNetwork | $16.68 | ↓ -77% |
| Humana | HumanaChoice | $16.68 | ↓ -77% |
| Bright Health | SmallGroup | $17.13 | ↓ -76% |
| Humana | TRICARE | $17.84 | ↓ -75% |
| United | OptionsPPO | $19.92 | ↓ -72% |
| Cigna | NewBusiness | $21.11 | ↓ -70% |
| Cigna | PPO | $23.27 | ↓ -67% |
| Cigna | OAP | $23.98 | ↓ -66% |
| United | AllPayerAppendix | $24.67 | ↓ -65% |
| United | HeritageSelect | $24.67 | ↓ -65% |
| United | CorePayer | $24.67 | ↓ -65% |
| Centurion | PRISON | $29.41 | ↓ -59% |
| United | GlobalBenefitPlan | $32.12 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $35.69 | ↓ -50% |
| Aetna | NAP | $35.69 | ↓ -50% |
| Multiplan | COMM | $46.40 | ↓ -35% |
| Humana BH | COMM | $46.40 | ↓ -35% |
| Employers Health Network | COMM | $49.97 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $53.53 | ↓ -25% |
| ComPsych | COMM | $57.10 | ↓ -20% |
| Cigna Evernorth Behavioral Health | COMM | $57.10 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $60.67 | ↓ -15% |
| Prime Health | COMMPPO | $62.81 | ↓ -12% |
| Beech Street | COMM | $62.81 | ↓ -12% |
Visitor-reported prices
Comments
Surgical pathology level 1 gross examination only at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $30.20 | $2.82 – $37.90 |
| CHI Memorial Hospital Hixson | Hixson | $44.70 | $4.20 – $105.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $8.74 | $2.82 – $44.72 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $63.88 | $4.20 – $105.70 |
| Johnson City Medical Center | JOHNSON CITY | $19.20 | $7.98 – $58.84 |
| Ascension Saint Thomas DeKalb | Smithville | $30.20 | $2.82 – $37.90 |
| Ascension Saint Thomas Highlands | Sparta | $30.20 | $2.82 – $37.90 |
| Ascension Saint Thomas River Park | McMinnville | $30.20 | $4.21 – $37.90 |