Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$1,111.70
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.
$1,111.70
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.
$11.30 with Cigna vs $3,435.00 with Oscar — 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 |
|---|---|---|---|
| Cigna | NewBusiness | $11.30 | ↓ -99% |
| Cigna | OAP | $12.84 | ↓ -99% |
| Aetna | MGMCRHMO | $166.75 | ↓ -85% |
| Aetna | MGMCRPPO | $166.75 | ↓ -85% |
| Aetna | MGMCRSNP | $166.75 | ↓ -85% |
| Kentucky Labor Cabinet | WORKERSCOMP | $204.66 | ↓ -82% |
| BCBS | NetworkP | $255.69 | ↓ -77% |
| Humana | TRICARE | $277.93 | ↓ -75% |
| United | OptionsPPO | $310.16 | ↓ -72% |
| Aetna | NewBusiness | $311.28 | ↓ -72% |
| Cigna | PPO | $362.41 | ↓ -67% |
| Aetna | COMM | $366.86 | ↓ -67% |
| United | GlobalBenefitPlan | $500.26 | ↓ -55% |
| Aetna | NAP | $555.85 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $555.85 | ↓ -50% |
| Signature Advantage | MCR | $555.85 | ↓ -50% |
| Multiplan | COMM | $722.61 | ↓ -35% |
| Humana BH | COMM | $722.61 | ↓ -35% |
| Employers Health Network | COMM | $778.19 | ↓ -30% |
| ComPsych | COMM | $889.36 | ↓ -20% |
| Cigna Evernorth Behavioral Health | COMM | $889.36 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $944.95 | ↓ -15% |
| Prime Health | COMMPPO | $978.30 | ↓ -12% |
| Beech Street | COMM | $978.30 | ↓ -12% |
| United | TENNCARE | $1,257.00 | ↑ +13% |
| Apex Health | MCR | $2,550.00 | ↑ +129% |
| NHC Advantage, Inc. | MCRHMO | $2,550.00 | ↑ +129% |
| Pruitt Health (AllyAlign) | MCR | $2,550.00 | ↑ +129% |
| Humana | BroadNetwork | $2,569.00 | ↑ +131% |
| Humana | HumanaChoice | $2,569.00 | ↑ +131% |
| Humana | NarrowExchangeNetwork | $2,569.00 | ↑ +131% |
| Humana | HumanaChoiceCare | $2,569.00 | ↑ +131% |
| Oscar | HIX | $3,435.00 | ↑ +209% |
Visitor-reported prices
Comments
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,417.76 | $16.68 – $21.99 |
| 62-1166050 BMH Carroll County | Huntingdon | $188.83 | $9.56 – $17.81 |
| Johnson City Medical Center | JOHNSON CITY | $496.20 | $90.59 – $94.21 |
| Ascension Saint Thomas DeKalb | Smithville | $1,417.76 | $14.09 – $23.71 |
| Ascension Saint Thomas Highlands | Sparta | $1,417.76 | $16.94 – $26.71 |
| Ascension Saint Thomas River Park | McMinnville | $1,417.76 | $16.94 – $33.84 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,417.76 | $16.94 – $21.99 |
| Greeneville Community Hospital | GREENEVILLE | $496.20 | $98.30 – $98.30 |