Tc-99m oxidronate at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$184.38
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.
$184.38
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.
$27.66 with Aetna vs $162.25 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 | MGMCRSNP | $27.66 | ↓ -85% |
| Aetna | MGMCRHMO | $27.66 | ↓ -85% |
| Aetna | MGMCRPPO | $27.66 | ↓ -85% |
| Oscar | HIX | $33.74 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $33.94 | ↓ -82% |
| Apex Health | MCR | $35.03 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $35.03 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $35.03 | ↓ -81% |
| BCBS | NetworkP | $42.41 | ↓ -77% |
| Ambetter | Select | $42.78 | ↓ -77% |
| Humana | TRICARE | $46.09 | ↓ -75% |
| United | OptionsPPO | $51.44 | ↓ -72% |
| Cigna | NewBusiness | $55.65 | ↓ -70% |
| Cigna | PPO | $60.11 | ↓ -67% |
| Cigna | OAP | $63.28 | ↓ -66% |
| Centurion | PRISON | $75.96 | ↓ -59% |
| United | GlobalBenefitPlan | $82.97 | ↓ -55% |
| Signature Advantage | MCR | $92.19 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $92.19 | ↓ -50% |
| Multiplan | COMM | $119.85 | ↓ -35% |
| Humana BH | COMM | $119.85 | ↓ -35% |
| Employers Health Network | COMM | $129.07 | ↓ -30% |
| United | CorePayer | $138.09 | ↓ -25% |
| United | HeritageSelect | $138.09 | ↓ -25% |
| United | AllPayerAppendix | $138.09 | ↓ -25% |
| Odom's TN Pride Sausage | WORKERSCOMP | $138.28 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $147.50 | ↓ -20% |
| ComPsych | COMM | $147.50 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $156.72 | ↓ -15% |
| Prime Health | COMMPPO | $162.25 | ↓ -12% |
| Beech Street | COMM | $162.25 | ↓ -12% |
Visitor-reported prices
Comments
Tc-99m oxidronate at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $23.58 | $38.51 – $69.12 |
| CHI Memorial Hospital Hixson | Hixson | $30.79 | $20.80 – $74.36 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $44.00 | $21.84 – $74.36 |
| Johnson City Medical Center | JOHNSON CITY | $19.05 | $26.46 – $78.99 |
| Hancock County Hospital | SNEEDVILLE | $18.86 | $26.46 – $78.99 |
| Greeneville Community Hospital | GREENEVILLE | $19.05 | $26.46 – $78.99 |
| Bristol Regional Medical Center | BRISTOL | $19.05 | $26.46 – $78.99 |
| Franklin Woods Community Hospital | JOHNSON CITY | $19.05 | $26.46 – $78.99 |