Speech Therapy Session (one-on-one) at Ascension Saint Thomas Hickman

135 E Swan St, Centerville, TN · Ascension · · NPI 1245275254

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

not published by hospital

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.

not published by hospital

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.

$66.53 with COMMUNITY PLAN vs $175.24 with BCBS ACA EXCHANGE — 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
COMMUNITY PLAN 1743_MTTN MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20210101 $66.53 —
COMMUNITY PLAN 1744_STTN MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20210101 $66.53 —
CIGNA CONNECT 2769_STTN CIGNA CONNECT 20240701 $99.78 —
CIGNA CONNECT 2772_MTTN CIGNA CONNECT 20240701 $99.78 —
CIGNA CONNECT 2779_RPTN CIGNA CONNECT 20240701 $99.78 —
CIGNA CONNECT 2780_RHTN CIGNA CONNECT 20240701 $99.78 —
CIGNA CONNECT 2784_SDTN CIGNA CONNECT 20240701 $99.78 —
CIGNA CONNECT 3148_HKTN CIGNA CONNECT 20250101 $109.76 —
BCBS NETWORK E 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401 $140.19 —
BCBS SELECT 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701 $152.38 —
BCBS NETWORK L 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401 $152.38 —
BCBS MISSIONPOINT 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001 $160.76 —
BCBS PREFERRED 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701 $164.57 —
BCBS ACA EXCHANGE 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 $175.24 —
BCBS ACA EXCHANGE 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 $175.24 —

Visitor-reported prices

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Speech Therapy Session (one-on-one) at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $96.68 $28.05 – $175.24
CHI Memorial Hospital Hixson Hixson $184.12 $41.75 – $189.52
62-1166050 BMH Carroll County Huntingdon $133.86 $28.05 – $42.13
CHI Memorial Hospital Chattanooga Chattanooga $263.11 $41.75 – $189.52
Johnson City Medical Center JOHNSON CITY $77.40 $32.54 – $355.49
Ascension Saint Thomas DeKalb Smithville $76.77 $28.05 – $175.24
Ascension Saint Thomas Highlands Sparta $76.77 $28.05 – $175.24
Ascension Saint Thomas River Park McMinnville $73.11 $41.91 – $175.24

All Tennessee hospitals for this procedure →