In situ hybridization per specimen initial single probe stain at Ascension Saint Thomas DeKalb

520 W Main St, Smithville, TN · Ascension · · NPI 1649659582

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

$264.15

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.

$880.50

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.

$10.69 with BCBS BLUE CARE (REGIONALS ONLY) vs $457.86 with AETNA — 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
BCBS BLUE CARE (REGIONALS ONLY) 2428_BCBS BLUE CARE (DEKALB) 20221001 $10.69 ↓ -96%
BCBS TENNCARE SELECT 2424_BCBS TENNCARE SELECT (DEKALB) 20221001 $14.23 ↓ -95%
COMMUNITY PLAN 2495_SDTN MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN 20191001 $28.54 ↓ -89%
UHC COMPASS/EXCHANGE 3166_UHC STTN EXCHANGE 20250715 $34.29 ↓ -87%
UHC COMPASS/EXCHANGE 3167_RPTN UHC EXCHANGE 20250715 $34.29 ↓ -87%
UHC 3174_SDTN UHC 20250715 $129.15 ↓ -51%
UHC 3176_UHC (STTN) 20250715 $129.15 ↓ -51%
UHC 3172_RPTN UHC 20250715 $129.15 ↓ -51%
UHC 3173_RHTN UHC 20250715 $129.15 ↓ -51%
UHC 3171_MTTN UHC 20250715 $129.15 ↓ -51%
UHC 3175_THTN UHC 20250715 $129.15 ↓ -51%
UHC COMPASS/EXCHANGE 3169_SDTN UHC COMPASS 20250715 $130.26 ↓ -51%
UHC COMPASS/EXCHANGE 3165_MTTN UHC EXCHANGE 20250715 $130.26 ↓ -51%
UHC COMPASS/EXCHANGE 3168_RHTN UHC EXCHANGE 20250715 $130.26 ↓ -51%
UHC COMPASS/EXCHANGE 3170_THTN UHC COMPASS 20250715 $130.26 ↓ -51%
POINT COMFORT UNDERWRITERS 3224_MTTN RHTN RPTN SDTN STTN MEDICARE ADVANTAGE POINT COMFORT UNDERWRITERS INPATIENT 20251001 $145.58 ↓ -45%
POINT COMFORT UNDERWRITERS 2946_MEDICARE ADVANTAGE POINT COMFORT UNDERWRITERS OUTPATIENT 20250101 $145.58 ↓ -45%
BCBS ACA EXCHANGE 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 $157.59 ↓ -40%
HUMANA MCR REPLACEMENT 2945_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101 $161.75 ↓ -39%
HEALTHSPRING MCR REPLACEMENT 2944_MEDICARE ADVANTAGE HEALTHSPRING OUTPATIENT 20250101 $161.75 ↓ -39%
HEALTHSPRING MCR REPLACEMENT 3219_MTTN STTN RPTN SDTN RHTN MEDICARE ADVANTAGE HEALTHSPRING INPATIENT 20251001 $161.75 ↓ -39%
HUMANA MCR REPLACEMENT 3211_SDTN RHTN MEDICARE ADVANTAGE HUMANA INPATIENT 20251001 $161.75 ↓ -39%
UHC MCR REPLACEMENT 2951_MTTN STTN RPTN MEDICARE ADVANTAGE UHC OUTPATIENT 20250101 $161.75 ↓ -39%
UHC MCR REPLACEMENT 3226_MEDICARE ADVANTAGE UHC INPATIENT 20251001 $161.75 ↓ -39%
AMERICHOICE MEDICARE 2954_RHTN, SDTN, THTN AMERICHOICE MEDICARE OUTPATIENT 20250101 $161.75 ↓ -39%
AMERICHOICE MEDICARE 3206_RHTN, RPTN, SDTN, THTN AMERICHOICE MEDICARE INPATIENT 20251001 $161.75 ↓ -39%
AMERIGROUP MCR REPLACEMENT 2958_RPTN RHTN THTN SDTN MEDICARE ADVANTAGE AMERIGROUP OUTPATIENT 20250101 $161.75 ↓ -39%
AMERIGROUP MCR REPLACEMENT 3213_RPTN RHTN THTN SDTN MEDICARE ADVANTAGE AMERIGROUP INPATIENT 20251001 $161.75 ↓ -39%
ASCENSION COMPLETE 2940_ASCENSION COMPLETE MEDICARE ADVANTAGE OUTPATIENT 20250101 $161.75 ↓ -39%
ASCENSION COMPLETE 3229_ASCENSION COMPLETE MEDICARE ADVANTAGE INPATIENT 20251001 $161.75 ↓ -39%
BCBS BLUECARE PLUS 2953_RHTN RPTN SDTN THTN MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD BLUECARE PLUS OUTPATIENT 20250101 $161.75 ↓ -39%
BCBS BLUECARE PLUS 3216_RHTN RPTN SDTN THTN MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD BLUECARE PLUS INPATIENT 20251001 $161.75 ↓ -39%
CENTURION OF TN 2942_MEDICARE ADVANTAGE CENTURION OF TN OUTPATIENT 20250101 $161.75 ↓ -39%
CENTURION OF TN 3228_MEDICARE ADVANTAGE CENTURION OF TN INPATIENT 20251001 $161.75 ↓ -39%
CLOVER MEDICARE ADVANTAGE 2943_MEDICARE ADVANTAGE CLOVER OUTPATIENT 20250101 $161.75 ↓ -39%
CLOVER MEDICARE ADVANTAGE 3227_MEDICARE ADVANTAGE CLOVER INPATIENT 20251001 $161.75 ↓ -39%
COVID UNINSURED TEST FUND 3202_COVID UNINSURED TEST FUND INPATIENT 20251001 $161.75 ↓ -39%
NHC ADVANTAGE 2948_MTTN RHTN RPTN SDTN STTN MEDICARE ADVANTAGE NHC ADVANTAGE OUTPATIENT 20250101 $161.75 ↓ -39%
NHC ADVANTAGE 3225_MTTN RHTN RPTN SDTN STTN MEDICARE ADVANTAGE NHC ADVANTAGE INPATIENT 20251001 $161.75 ↓ -39%
OPTUM VA 2935_MEDICARE ADVANTAGE OPTUM VA OUTPATIENT 20250101 $161.75 ↓ -39%
OPTUM VA 3205_MEDICARE ADVANTAGE OPTUM VA INPATIENT 20251001 $161.75 ↓ -39%
AETNA MEDADVANTAGE 2956_RHTN RPTN SDTN THTN MTTN STTN MEDICARE ADVANTAGE AETNA OUTPATIENT 20250101 $164.99 ↓ -38%
AETNA MEDADVANTAGE 3214_RPTN RHTN SDTN THTN MTTN STTN MEDICARE ADVANTAGE AETNA INPATIENT 20251001 $164.99 ↓ -38%
BCBS MCR REPLACEMENT 3238_THTN MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 20251001 $169.84 ↓ -36%
BCBS MCR REPLACEMENT 2941_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD BLUE ADVANTAGE OUTPATIENT 20250101 $169.84 ↓ -36%
AETNA (RUTHERFORD ONLY) 3160_MTTN AETNA 20250701 $179.17 ↓ -32%
AETNA 3159_STTN AETNA 20250701 $179.17 ↓ -32%
BCBS ACA EXCHANGE 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 $183.85 ↓ -30%
BCBS NETWORK E 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401 $188.06 ↓ -29%
BCBS SELECT 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701 $204.87 ↓ -22%
BCBS NETWORK L 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401 $204.87 ↓ -22%
AMBETTER OF TN 2933_AMBETTER OF TN OUTPATIENT 20250101 $210.28 ↓ -20%
AMBETTER OF TN 3236_AMBETTER OF TN INPATIENT 20251001 $210.28 ↓ -20%
BCBS PREFERRED 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701 $221.68 ↓ -16%
BCBS MISSIONPOINT 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001 $223.78 ↓ -15%
OSCAR HEALTH 506_OSCAR HEALTH (DEKALB) OP 20180101 $226.45 ↓ -14%
SMART HEALTH 3237_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH INPATIENT 20251001 $226.45 ↓ -14%
SMART HEALTH 2936_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH OUTPATIENT 20250101 $226.45 ↓ -14%
CIGNA SUREFIT 2825_CIGNA SUREFIT (DEKALB) 20241001 $275.27 ↑ +4%
CIGNA PPO 3199_CIGNA PPO (DEKALB) 20250601 $293.30 ↑ +11%
CIGNA LOCALPLUS 3192_RHTN CIGNA LOCALPLUS 20250601 $330.82 ↑ +25%
CIGNA LOCALPLUS 3193_CIGNA LOCALPLUS (DEKALB) 20250601 $330.82 ↑ +25%
CIGNA LOCALPLUS 3187_STTN CIGNA LOCALPLUS 20250601 $391.30 ↑ +48%
CIGNA HMO 3196_CIGNA HMO (DEKALB) 20250601 $429.57 ↑ +63%
AETNA 3161_RPTN AETNA 20250701 $457.86 ↑ +73%

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In situ hybridization per specimen initial single probe stain at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Highlands Sparta $251.55 $10.69 – $429.57
Ascension Saint Thomas River Park McMinnville $251.55 $15.97 – $429.57
Ascension Saint Thomas Rutherford Murfreesboro $251.55 $10.69 – $429.57
Ascension Saint Thomas Midtown Nashville not published $10.69 – $429.57
Ascension Saint Thomas Hickman Centerville not published $34.29 – $429.57

All Tennessee hospitals for this procedure →