Target gsa panel hmtlmph neop at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$4,983.00
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.
?
What you pay up front if you don't use insurance.
$4,983.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$341.79 with Wellpoint vs $4,385.04 with Prime Health — 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $341.79 | ↓ -93% |
| Aetna | COMM | $603.83 | ↓ -88% |
| Aetna | NewBusiness | $603.83 | ↓ -88% |
| BCBS | NetworkP | $648.40 | ↓ -87% |
| Devoted Health Plan | MCR | $759.53 | ↓ -85% |
| Bright Health | SmallGroup | $759.53 | ↓ -85% |
| Bright Health | HIX | $759.53 | ↓ -85% |
| HealthSpring | DualEligible | $759.53 | ↓ -85% |
| HealthSpring | MCRHMO | $759.53 | ↓ -85% |
| HealthSpring | MCRPOS | $759.53 | ↓ -85% |
| HealthSpring | MCRPPO | $759.53 | ↓ -85% |
| Odyssey Healthcare | COMM | $759.53 | ↓ -85% |
| Amerigroup | MGMCR | $759.53 | ↓ -85% |
| United | AllPayerAppendix | $759.53 | ↓ -85% |
| United | CorePayer | $759.53 | ↓ -85% |
| Sarah Cannon Research | COMM | $759.53 | ↓ -85% |
| Humana | ChoicecareMGMCR | $759.53 | ↓ -85% |
| United | HeritageSelect | $759.53 | ↓ -85% |
| United | VACCN | $759.53 | ↓ -85% |
| Aetna | MGMCRSNP | $767.13 | ↓ -85% |
| Aetna | MGMCRHMO | $767.13 | ↓ -85% |
| Aetna | MGMCRPPO | $767.13 | ↓ -85% |
| United | MGMCR | $774.72 | ↓ -84% |
| BCBS | MCR | $782.32 | ↓ -84% |
| WellCare | MCR | $782.32 | ↓ -84% |
| Zing | MGMCR | $782.32 | ↓ -84% |
| Ambetter | Select | $789.91 | ↓ -84% |
| American Health Advantage | MCRSNP | $797.51 | ↓ -84% |
| Evergreen HMO | MCR | $797.51 | ↓ -84% |
| American Health Advantage | MCRPFFS | $797.51 | ↓ -84% |
| American Health Advantage | MCRHMO | $797.51 | ↓ -84% |
| American Health Advantage | MCRPOS | $797.51 | ↓ -84% |
| American Health Advantage | MCRPPO | $797.51 | ↓ -84% |
| Signature Advantage | MCR | $805.10 | ↓ -84% |
| Ambetter | CORE | $820.29 | ↓ -84% |
| ATRIO Golden Times | MCR | $835.48 | ↓ -83% |
| Bright Health | MCRNarrow | $873.46 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $917.37 | ↓ -82% |
| Apex Health | MCR | $946.77 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $946.77 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $946.77 | ↓ -81% |
| BCBS | TENNCARE | $956.46 | ↓ -81% |
| BCBS | COVERKIDS | $1,036.68 | ↓ -79% |
| Prime Health | WORKERSCOMP | $1,093.72 | ↓ -78% |
| CorVel Corporation | WORKERSCOMP | $1,116.51 | ↓ -78% |
| NovaNET | WORKERSCOMP | $1,116.51 | ↓ -78% |
| Humana | TRICARE | $1,245.75 | ↓ -75% |
| Cigna | NewBusiness | $1,354.21 | ↓ -73% |
| United | OptionsPPO | $1,390.26 | ↓ -72% |
| Cigna | OAP | $1,537.95 | ↓ -69% |
| Cigna | PPO | $1,624.46 | ↓ -67% |
| BCBS | BlueCare | $1,783.33 | ↓ -64% |
| Centurion | PRISON | $2,053.00 | ↓ -59% |
| United | GlobalBenefitPlan | $2,242.35 | ↓ -55% |
| Oscar | HIX | $2,278.59 | ↓ -54% |
| Aetna | NAP | $2,491.50 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $2,491.50 | ↓ -50% |
| Humana | HumanaChoice | $3,038.12 | ↓ -39% |
| Humana | HumanaChoiceCare | $3,038.12 | ↓ -39% |
| Humana | NarrowExchangeNetwork | $3,038.12 | ↓ -39% |
| Humana | BroadNetwork | $3,038.12 | ↓ -39% |
| Humana BH | COMM | $3,238.95 | ↓ -35% |
| Multiplan | COMM | $3,238.95 | ↓ -35% |
| Employers Health Network | COMM | $3,488.10 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $3,737.25 | ↓ -25% |
| ComPsych | COMM | $3,986.40 | ↓ -20% |
| Cigna Evernorth Behavioral Health | COMM | $3,986.40 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $4,235.55 | ↓ -15% |
| Beech Street | COMM | $4,385.04 | ↓ -12% |
| Prime Health | COMMPPO | $4,385.04 | ↓ -12% |
Visitor-reported prices
Comments
Target gsa panel hmtlmph neop at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $4,117.83 | $273.43 – $2,381.68 |
| Johnson City Medical Center | JOHNSON CITY | $832.20 | $80.85 – $1,655.78 |
| Ascension Saint Thomas DeKalb | Smithville | $4,117.83 | $44.47 – $2,381.68 |
| Ascension Saint Thomas Highlands | Sparta | $4,117.83 | $44.47 – $2,381.68 |
| Ascension Saint Thomas River Park | McMinnville | $4,117.83 | $44.47 – $2,381.68 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $4,117.83 | $617.07 – $2,381.68 |
| Hancock County Hospital | SNEEDVILLE | $816.50 | $44.92 – $1,674.53 |
| Greeneville Community Hospital | GREENEVILLE | $832.20 | $32.34 – $1,655.78 |