Apl(pml-rara) quant - sendout at Ascension Saint Thomas Midtown
2000 Church St, Nashville, TN · Ascension · · NPI 1629025648
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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$74.63 with COMMUNITY PLAN vs $802.56 with CIGNA HMO — 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 |
|---|---|---|---|
| COMMUNITY PLAN | 879_MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20210701 | $74.63 | — |
| BCBS BLUE CARE | 1015_BCBS BLUE CARE TENNCARE SELECT 20221001 | $99.93 | — |
| POINT COMFORT UNDERWRITERS | 1229_MEDICARE ADVANTAGE POINT COMFORT UNDERWRITERS OUTPATIENT 20250101 | $186.58 | — |
| UHC | 1310_UHC (MIDTOWN) 20250715 | $186.58 | — |
| POINT COMFORT UNDERWRITERS | 1327_MEDICARE ADVANTAGE POINT COMFORT UNDERWRITERS INPATIENT 20251001 | $186.58 | — |
| AMERIGROUP | 1217_MEDICAID REPLACEMENT AMERIGROUP OUTPATIENT 20250101 | $192.80 | — |
| AMERICHOICE MCR REPLACEMENT | 1323_AMERICHOICE MEDICARE INPATIENT 20251001 | $194.87 | — |
| TRICARE | 291_TRICARE OP 20160101 | $199.02 | — |
| TRICARE | 1319_TRICARE IP 20251001 | $199.02 | — |
| AMERICHOICE MCR REPLACEMENT | 1219_AMERICHOICE MEDICARE OUTPATIENT 20250101 | $205.24 | — |
| UHC MCR REPLACEMENT | 1230_MEDICARE ADVANTAGE UNITED HEALTH CARE OUTPATIENT 20250101 | $207.31 | — |
| HEALTHSPRING MCR REPLACEMENT | 1226_MEDICARE ADVANTAGE HEALTHSPRING OUTPATIENT 20250101 | $207.31 | — |
| HEALTHSPRING MCR REPLACEMENT | 1330_MEDICARE ADVANTAGE HEALTHSPRING INPATIENT 20251001 | $207.31 | — |
| HUMANA MCR REPLACEMENT | 1227_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101 | $207.31 | — |
| HUMANA MCR REPLACEMENT | 1329_MEDICARE ADVANTAGE HUMANA INPATIENT 20251001 | $207.31 | — |
| UHC MCR REPLACEMENT | 1324_UHC MEDICARE INPATIENT 20251001 | $207.31 | — |
| CENTURION OF TN | 1224_MEDICARE ADVANTAGE CENTURION OF TN OUTPATIENT 20250101 | $207.31 | — |
| CENTURION OF TN | 1332_MEDICARE ADVANTAGE CENTURION OF TN INPATIENT 20251001 | $207.31 | — |
| CLOVER MEDICARE ADVANTAGE | 1225_MEDICARE ADVANTAGE CLOVER OUTPATIENT 20250101 | $207.31 | — |
| CLOVER MEDICARE ADVANTAGE | 1331_MEDICARE ADVANTAGE CLOVER INPATIENT 20251001 | $207.31 | — |
| COVID UNINSURED TEST FUND | 1320_COVID UNINSURED TEST FUND INPATIENT 20251001 | $207.31 | — |
| NHC ADVANTAGE | 1228_MEDICARE ADVANTAGE NHC OUTPATIENT 20250101 | $207.31 | — |
| NHC ADVANTAGE | 1328_MEDICARE ADVANTAGE NHC INPATIENT 20251001 | $207.31 | — |
| OPTUM VA | 1215_MEDICARE ADVANTAGE OPTUM VA OUTPATIENT 20250101 | $207.31 | — |
| OPTUM VA | 1338_MEDICARE ADVANTAGE OPTUM VA INPATIENT 20251001 | $207.31 | — |
| MEDICARE OTHER | 1232_MEDICARE OTHER OUTPATIENT 20250101 | $207.31 | — |
| MEDICARE OTHER | 1322_MEDICARE OTHER INPATIENT 20251001 | $207.31 | — |
| TRIWEST VA PCCC | 1216_MEDICARE TRIWEST OUTPATIENT 20250101 | $207.31 | — |
| TRIWEST VA PCCC | 1339_MEDICARE TRIWEST INPATIENT 20251001 | $207.31 | — |
| ASCENSION COMPLETE MEDICARE ADVANTAGE | 1220_ASCENSION COMPLETE MEDICARE ADVANTAGE OUTPATIENT 20250101 | $207.31 | — |
| ASCENSION COMPLETE MEDICARE ADVANTAGE | 1335_ASCENSION COMPLETE MEDICARE ADVANTAGE INPATIENT 20251001 | $207.31 | — |
| UHC COMPASS/EXCHANGE | 1309_UHC COMPASS EXCHANGE (MIDTOWN) 20250715 | $207.32 | — |
| AETNA MEDADVANTAGE | 1231_MEDICARE AETNA OUTPATIENT 20250101 | $211.46 | — |
| AETNA MEDADVANTAGE | 1326_MEDICARE AETNA INPATIENT 20251001 | $211.46 | — |
| AMERIGROUP MCR REPLACEMENT | 1334_MEDICARE ADVANTAGE AMERIGROUP INPATIENT 20251001 | $213.53 | — |
| AMERIGROUP MCR REPLACEMENT | 1221_MEDICARE ADVANTAGE AMERIGROUP OUTPATIENT 20250101 | $213.53 | — |
| BCBS BLUCARE PLUS | 1333_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD BLUECARE PLUS INPATIENT 20251001 | $215.60 | — |
| BCBS BLUCARE PLUS | 1222_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD BLUECARE PLUS OUTPATIENT 20250101 | $215.60 | — |
| BCBS MEDICARE REPLACEMENT | 1340_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 20251001 | $217.68 | — |
| WINDSOR MEDICARE | 1233_MEDICARE WELLCARE (WINDSOR) OUTPATIENT 20250101 | $217.68 | — |
| WINDSOR MEDICARE | 1325_MEDICARE WELLCARE (WINDSOR) INPATIENT 20251001 | $217.68 | — |
| BCBS MEDICARE REPLACEMENT | 1223_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20250101 | $217.68 | — |
| AMBETTER OF TN | 1212_AMBETTER OF TN OUTPATIENT 20250101 | $269.50 | — |
| AMBETTER OF TN | 1337_AMBETTER OF TN INPATIENT 20251001 | $269.50 | — |
| OSCAR HEALTH PLAN | 1213_BHTN OSCAR HEALTH OUTPATIENT 20250101 | $290.23 | — |
| SMART HEALTH | 1214_BHTN ASCENSION SMARTHEALTH OUTPATIENT 20250101 | $290.23 | — |
| SMART HEALTH | 1321_BHTN ASCENSION SMARTHEALTH INPATIENT 20251001 | $290.23 | — |
| CIGNA CONNECT | 1154_BHTN CIGNA CONNECT 20240701 | $290.23 | — |
| AETNA WHOLE HEALTH | 1204_BHTN AETNA WHOLE HEALTH 20241001 | $293.85 | — |
| AETNA VHAN | 1203_BHTN AETNA VHAN 20241001 | $293.85 | — |
| AETNA | 1308_BHTN AETNA 20250701 | $293.86 | — |
| BCBS NETWORK L | 1307_BLUE CROSS BLUE SHIELD NETWORK L 20250401 | $424.22 | — |
| BCBS SELECT | 1312_BHTN BLUE CROSS BLUE SHIELD SELECT 20250701 | $424.22 | — |
| BCBS NETWORK E | 1306_BLUE CROSS BLUE SHIELD NETWORK E 20250401 | $424.25 | — |
| HUMANA +51 CPOS | 1186_BHTN HUMANA +51 CPOS 20241001 | $427.35 | — |
| BCBS PREFERRED | 1311_BHTN BLUE CROSS BLUE SHIELD PREFERRED 20250701 | $497.78 | — |
| BCBS MISSIONPOINT | 1012_BLUE CROSS BLUE SHIELD MISSIONPOINT 20221001 | $537.38 | — |
| CIGNA SUREFIT | 1185_BHTN CIGNA SUREFIT 20241001 V1 | $608.84 | — |
| CIGNA LOCALPLUS | 1315_BHTN CIGNA LOCALPLUS 20250601 | $731.07 | — |
| CIGNA HMO | 1314_BHTN CIGNA HMO 20250601 | $802.56 | — |
Visitor-reported prices
Comments
Apl(pml-rara) quant - sendout at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas DeKalb | Smithville | $429.53 | $99.93 – $802.56 |
| Ascension Saint Thomas Highlands | Sparta | $429.53 | $99.93 – $802.56 |
| Ascension Saint Thomas River Park | McMinnville | $429.53 | $140.01 – $802.56 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $429.53 | $99.93 – $802.56 |
| Ascension Saint Thomas Hickman | Centerville | not published | $186.58 – $802.56 |