Edu/train/pt/nonmd/in person/30 min98960 at Ascension Saint Thomas DeKalb
520 W Main St, Smithville, TN · Ascension · · NPI 1649659582
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.
$13.62 with COMMUNITY PLAN vs $57.80 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 →
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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 | 2495_SDTN MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN 20191001 | $13.62 | — |
| BCBS BLUE CARE (REGIONALS ONLY) | 2428_BCBS BLUE CARE (DEKALB) 20221001 | $20.87 | — |
| BCBS TENNCARE SELECT | 2424_BCBS TENNCARE SELECT (DEKALB) 20221001 | $27.78 | — |
| BCBS NETWORK E | 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401 | $46.24 | — |
| BCBS NETWORK L | 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401 | $50.26 | — |
| BCBS SELECT | 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701 | $50.26 | — |
| BCBS MISSIONPOINT | 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001 | $53.02 | — |
| BCBS PREFERRED | 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701 | $54.28 | — |
| BCBS ACA EXCHANGE | 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 | $57.80 | — |
| BCBS ACA EXCHANGE | 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 | $57.80 | — |
Visitor-reported prices
Comments
Edu/train/pt/nonmd/in person/30 min98960 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Highlands | Sparta | not published | $13.62 – $57.80 |
| Ascension Saint Thomas River Park | McMinnville | not published | $13.62 – $57.80 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $20.87 – $57.80 |
| Ascension Saint Thomas Midtown | Nashville | not published | $20.87 – $67.85 |
| Ascension Saint Thomas Hickman | Centerville | not published | $46.24 – $57.80 |