Theophylline therapeutic drug level at SUMMIT MEDICAL CENTER

100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$285.00

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$285.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$6.36 with Wellpoint vs $250.80 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 →

Payer
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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
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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 $6.36 ↓ -98%
Aetna NewBusiness $11.25 ↓ -96%
Aetna COMM $11.25 ↓ -96%
Devoted Health Plan MCR $14.14 ↓ -95%
Bright Health SmallGroup $14.14 ↓ -95%
Bright Health HIX $14.14 ↓ -95%
Amerigroup MGMCR $14.14 ↓ -95%
HealthSpring DualEligible $14.14 ↓ -95%
HealthSpring MCRHMO $14.14 ↓ -95%
HealthSpring MCRPOS $14.14 ↓ -95%
HealthSpring MCRPPO $14.14 ↓ -95%
Odyssey Healthcare COMM $14.14 ↓ -95%
United HeritageSelect $14.14 ↓ -95%
United VACCN $14.14 ↓ -95%
Sarah Cannon Research COMM $14.14 ↓ -95%
Humana ChoicecareMGMCR $14.14 ↓ -95%
United CorePayer $14.14 ↓ -95%
United AllPayerAppendix $14.14 ↓ -95%
Aetna MGMCRPPO $14.28 ↓ -95%
Aetna MGMCRSNP $14.28 ↓ -95%
Aetna MGMCRHMO $14.28 ↓ -95%
United MGMCR $14.42 ↓ -95%
BCBS MCR $14.56 ↓ -95%
WellCare MCR $14.56 ↓ -95%
Zing MGMCR $14.56 ↓ -95%
Ambetter Select $14.71 ↓ -95%
American Health Advantage MCRHMO $14.85 ↓ -95%
Evergreen HMO MCR $14.85 ↓ -95%
American Health Advantage MCRPFFS $14.85 ↓ -95%
American Health Advantage MCRSNP $14.85 ↓ -95%
American Health Advantage MCRPPO $14.85 ↓ -95%
American Health Advantage MCRPOS $14.85 ↓ -95%
Signature Advantage MCR $14.99 ↓ -95%
Ambetter CORE $15.27 ↓ -95%
ATRIO Golden Times MCR $15.55 ↓ -95%
Bright Health MCRNarrow $16.26 ↓ -94%
BCBS NetworkP $19.30 ↓ -93%
Prime Health WORKERSCOMP $20.36 ↓ -93%
NovaNET WORKERSCOMP $20.79 ↓ -93%
CorVel Corporation WORKERSCOMP $20.79 ↓ -93%
Cigna NewBusiness $25.37 ↓ -91%
BCBS TENNCARE $28.10 ↓ -90%
Cigna OAP $28.81 ↓ -90%
BCBS COVERKIDS $30.46 ↓ -89%
Oscar HIX $42.42 ↓ -85%
BCBS BlueCare $52.40 ↓ -82%
Kentucky Labor Cabinet WORKERSCOMP $52.47 ↓ -82%
Pruitt Health (AllyAlign) MCR $54.15 ↓ -81%
Apex Health MCR $54.15 ↓ -81%
NHC Advantage, Inc. MCRHMO $54.15 ↓ -81%
Humana BroadNetwork $56.56 ↓ -80%
Humana HumanaChoiceCare $56.56 ↓ -80%
Humana NarrowExchangeNetwork $56.56 ↓ -80%
Humana HumanaChoice $56.56 ↓ -80%
Humana TRICARE $71.25 ↓ -75%
United OptionsPPO $79.52 ↓ -72%
Cigna PPO $92.91 ↓ -67%
Centurion PRISON $117.42 ↓ -59%
United GlobalBenefitPlan $128.25 ↓ -55%
BGFH SingleSource DIRECTNETWORK $142.50 ↓ -50%
Aetna NAP $142.50 ↓ -50%
Humana BH COMM $185.25 ↓ -35%
Multiplan COMM $185.25 ↓ -35%
Employers Health Network COMM $199.50 ↓ -30%
Odom's TN Pride Sausage WORKERSCOMP $213.75 ↓ -25%
ComPsych COMM $228.00 ↓ -20%
Cigna Evernorth Behavioral Health COMM $228.00 ↓ -20%
BGFH SingleSource LEASEDNETWORK $242.25 ↓ -15%
Prime Health COMMPPO $250.80 ↓ -12%
Beech Street COMM $250.80 ↓ -12%

Visitor-reported prices

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Theophylline therapeutic drug level at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $107.94 $5.09 – $55.30
CHI Memorial Hospital Hixson Hixson $115.44 $12.57 – $273.00
62-1166050 BMH Carroll County Huntingdon $89.70 $12.30 – $28.28
CHI Memorial Hospital Chattanooga Chattanooga $164.97 $12.57 – $273.00
Johnson City Medical Center JOHNSON CITY $24.90 $7.07 – $30.83
Ascension Saint Thomas DeKalb Smithville $107.94 $9.92 – $55.30
Ascension Saint Thomas Highlands Sparta $107.94 $9.92 – $55.30
Ascension Saint Thomas River Park McMinnville $107.94 $9.92 – $55.30

All Tennessee hospitals for this procedure →