Svc venogram s&i at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$70.00
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.
$70.00
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.
$12.89 with Kentucky Labor Cabinet vs $949.01 with BCBS — 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 |
|---|---|---|---|
| Kentucky Labor Cabinet | WORKERSCOMP | $12.89 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $13.30 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $13.30 | ↓ -81% |
| Apex Health | MCR | $13.30 | ↓ -81% |
| Humana | TRICARE | $17.50 | ↓ -75% |
| United | OptionsPPO | $19.53 | ↓ -72% |
| Cigna | PPO | $22.82 | ↓ -67% |
| Centurion | PRISON | $28.84 | ↓ -59% |
| United | GlobalBenefitPlan | $31.50 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $35.00 | ↓ -50% |
| Aetna | NAP | $35.00 | ↓ -50% |
| Multiplan | COMM | $45.50 | ↓ -35% |
| Humana BH | COMM | $45.50 | ↓ -35% |
| Employers Health Network | COMM | $49.00 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $52.50 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $56.00 | ↓ -20% |
| ComPsych | COMM | $56.00 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $59.50 | ↓ -15% |
| Beech Street | COMM | $61.60 | ↓ -12% |
| Prime Health | COMMPPO | $61.60 | ↓ -12% |
| BCBS | NetworkP | $82.47 | ↑ +18% |
| Aetna | COMM | $170.97 | ↑ +144% |
| Aetna | NewBusiness | $170.97 | ↑ +144% |
| Humana | NarrowExchangeNetwork | $204.24 | ↑ +192% |
| Humana | BroadNetwork | $204.24 | ↑ +192% |
| Humana | HumanaChoice | $204.24 | ↑ +192% |
| Humana | HumanaChoiceCare | $204.24 | ↑ +192% |
| Cigna | NewBusiness | $206.48 | ↑ +195% |
| Cigna | OAP | $234.54 | ↑ +235% |
| BCBS | TENNCARE | $510.18 | ↑ +629% |
| BCBS | COVERKIDS | $552.99 | ↑ +690% |
| United | HeritageSelect | $826.97 | ↑ +1081% |
| United | CorePayer | $826.97 | ↑ +1081% |
| United | AllPayerAppendix | $826.97 | ↑ +1081% |
| BCBS | BlueCare | $949.01 | ↑ +1256% |
Visitor-reported prices
Comments
Svc venogram s&i at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,338.96 | $99.30 – $1,008.82 |
| CHI Memorial Hospital Hixson | Hixson | $1,287.31 | $148.10 – $3,044.30 |
| 62-1166050 BMH Carroll County | Huntingdon | $641.47 | $132.12 – $2,836.96 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,839.63 | $148.10 – $3,044.30 |
| Johnson City Medical Center | JOHNSON CITY | $429.15 | $123.77 – $3,202.23 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,419.30 | $99.30 – $1,008.82 |
| Greeneville Community Hospital | GREENEVILLE | $429.15 | $123.77 – $3,202.23 |
| Bristol Regional Medical Center | BRISTOL | $429.15 | $123.77 – $3,255.45 |