Close tear duct opening at Ascension Saint Thomas River Park
1559 Sparta Rd, McMinnville, TN · Ascension · · NPI 1518346469
not published by hospital
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.
not published by hospital
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.
$45.00 with CIGNA LOCALPLUS vs $5,600.00 with CIGNA LOCALPLUS — 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 |
|---|---|---|---|
| CIGNA LOCALPLUS | 3193_CIGNA LOCALPLUS (DEKALB) 20250601 | $45.00 | — |
| COMMUNITY PLAN | 1351_RPTN MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN 20191001 | $149.18 | — |
| POINT COMFORT UNDERWRITERS | 2946_MEDICARE ADVANTAGE POINT COMFORT UNDERWRITERS OUTPATIENT 20250101 | $253.94 | — |
| POINT COMFORT UNDERWRITERS | 3224_MTTN RHTN RPTN SDTN STTN MEDICARE ADVANTAGE POINT COMFORT UNDERWRITERS INPATIENT 20251001 | $253.94 | — |
| AMERIGROUP MCAID REPLACEMENT | 2938_RPTN MEDICAID REPLACEMENT AMERIGROUP OUTPATIENT 20250101 | $262.41 | — |
| OPTUM VA | 2935_MEDICARE ADVANTAGE OPTUM VA OUTPATIENT 20250101 | $282.16 | — |
| HEALTHSPRING MCR REPLACEMENT | 2944_MEDICARE ADVANTAGE HEALTHSPRING OUTPATIENT 20250101 | $282.16 | — |
| HEALTHSPRING MCR REPLACEMENT | 3219_MTTN STTN RPTN SDTN RHTN MEDICARE ADVANTAGE HEALTHSPRING INPATIENT 20251001 | $282.16 | — |
| ASCENSION COMPLETE | 2940_ASCENSION COMPLETE MEDICARE ADVANTAGE OUTPATIENT 20250101 | $282.16 | — |
| ASCENSION COMPLETE | 3229_ASCENSION COMPLETE MEDICARE ADVANTAGE INPATIENT 20251001 | $282.16 | — |
| BCBS BLUECARE PLUS | 2953_RHTN RPTN SDTN THTN MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD BLUECARE PLUS OUTPATIENT 20250101 | $282.16 | — |
| BCBS BLUECARE PLUS | 3216_RHTN RPTN SDTN THTN MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD BLUECARE PLUS INPATIENT 20251001 | $282.16 | — |
| CENTURION OF TN | 2942_MEDICARE ADVANTAGE CENTURION OF TN OUTPATIENT 20250101 | $282.16 | — |
| CENTURION OF TN | 3228_MEDICARE ADVANTAGE CENTURION OF TN INPATIENT 20251001 | $282.16 | — |
| CLOVER MEDICARE ADVANTAGE | 2943_MEDICARE ADVANTAGE CLOVER OUTPATIENT 20250101 | $282.16 | — |
| CLOVER MEDICARE ADVANTAGE | 3227_MEDICARE ADVANTAGE CLOVER INPATIENT 20251001 | $282.16 | — |
| COVID UNINSURED TEST FUND | 3202_COVID UNINSURED TEST FUND INPATIENT 20251001 | $282.16 | — |
| NHC ADVANTAGE | 2948_MTTN RHTN RPTN SDTN STTN MEDICARE ADVANTAGE NHC ADVANTAGE OUTPATIENT 20250101 | $282.16 | — |
| NHC ADVANTAGE | 3225_MTTN RHTN RPTN SDTN STTN MEDICARE ADVANTAGE NHC ADVANTAGE INPATIENT 20251001 | $282.16 | — |
| HUMANA MCR REPLACEMENT | 2957_RPTN MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101 | $282.16 | — |
| OPTUM VA | 3205_MEDICARE ADVANTAGE OPTUM VA INPATIENT 20251001 | $282.16 | — |
| HUMANA MCR REPLACEMENT | 3215_RPTN MEDICARE ADVANTAGE HUMANA INPATIENT 20251001 | $282.16 | — |
| UHC MCR REPLACEMENT | 2951_MTTN STTN RPTN MEDICARE ADVANTAGE UHC OUTPATIENT 20250101 | $282.16 | — |
| UHC MCR REPLACEMENT | 3226_MEDICARE ADVANTAGE UHC INPATIENT 20251001 | $282.16 | — |
| AMERICHOICE MEDICARE | 3206_RHTN, RPTN, SDTN, THTN AMERICHOICE MEDICARE INPATIENT 20251001 | $282.16 | — |
| AMERICHOICE MEDICARE | 2955_RPTN AMERICHOICE MEDICARE OUTPATIENT 20250101 | $282.16 | — |
| AMERIGROUP MCR REPLACEMENT | 2958_RPTN RHTN THTN SDTN MEDICARE ADVANTAGE AMERIGROUP OUTPATIENT 20250101 | $282.16 | — |
| AMERIGROUP MCR REPLACEMENT | 3213_RPTN RHTN THTN SDTN MEDICARE ADVANTAGE AMERIGROUP INPATIENT 20251001 | $282.16 | — |
| AETNA MEDADVANTAGE | 2956_RHTN RPTN SDTN THTN MTTN STTN MEDICARE ADVANTAGE AETNA OUTPATIENT 20250101 | $287.80 | — |
| AETNA MEDADVANTAGE | 3214_RPTN RHTN SDTN THTN MTTN STTN MEDICARE ADVANTAGE AETNA INPATIENT 20251001 | $287.80 | — |
| BCBS MCR REPLACEMENT | 3238_THTN MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 20251001 | $296.27 | — |
| BCBS MCR REPLACEMENT | 2941_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD BLUE ADVANTAGE OUTPATIENT 20250101 | $296.27 | — |
| AMBETTER OF TN | 2933_AMBETTER OF TN OUTPATIENT 20250101 | $366.81 | — |
| AMBETTER OF TN | 3236_AMBETTER OF TN INPATIENT 20251001 | $366.81 | — |
| SMART HEALTH | 3237_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH INPATIENT 20251001 | $395.02 | — |
| SMART HEALTH | 2936_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH OUTPATIENT 20250101 | $395.02 | — |
| OSCAR HEALTH | 500_OSCAR HEALTH (RIVER PARK) OP 20180101 | $395.02 | — |
| CIGNA LOCALPLUS | 3192_RHTN CIGNA LOCALPLUS 20250601 | $2,138.50 | — |
| CIGNA PPO | 3199_CIGNA PPO (DEKALB) 20250601 | $2,215.00 | — |
| CIGNA HMO | 3196_CIGNA HMO (DEKALB) 20250601 | $2,225.50 | — |
| CIGNA LOCALPLUS | 3187_STTN CIGNA LOCALPLUS 20250601 | $5,600.00 | — |
Visitor-reported prices
Comments
Close tear duct opening at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas DeKalb | Smithville | not published | $45.00 – $2,225.50 |
| Ascension Saint Thomas Highlands | Sparta | not published | $45.00 – $2,225.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $45.00 – $2,225.50 |
| Ascension Saint Thomas Midtown | Nashville | not published | $257.66 – $3,082.50 |
| Ascension Saint Thomas Hickman | Centerville | not published | $45.00 – $2,225.50 |