Nr lnr acclrtr tx max 5 sessions 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.
$1,165.35 with BCBS BLUE CARE (REGIONALS ONLY) vs $3,696.77 with CIGNA PPO — 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 |
|---|---|---|---|
| BCBS BLUE CARE (REGIONALS ONLY) | 2428_BCBS BLUE CARE (DEKALB) 20221001 | $1,165.35 | — |
| BCBS TENNCARE SELECT | 2424_BCBS TENNCARE SELECT (DEKALB) 20221001 | $1,551.08 | — |
| BCBS MISSIONPOINT | 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001 | $1,671.00 | — |
| BCBS ACA EXCHANGE | 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 | $1,790.00 | — |
| BCBS ACA EXCHANGE | 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 | $1,968.00 | — |
| BCBS NETWORK E | 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401 | $2,010.24 | — |
| BCBS SELECT | 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701 | $2,189.93 | — |
| BCBS NETWORK L | 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401 | $2,189.93 | — |
| BCBS PREFERRED | 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701 | $2,369.61 | — |
| AETNA (RUTHERFORD ONLY) | 3160_MTTN AETNA 20250701 | $2,587.52 | — |
| CIGNA SUREFIT | 2825_CIGNA SUREFIT (DEKALB) 20241001 | $2,609.49 | — |
| AETNA | 3159_STTN AETNA 20250701 | $2,640.16 | — |
| CIGNA LOCALPLUS | 3187_STTN CIGNA LOCALPLUS 20250601 | $3,159.53 | — |
| CIGNA LOCALPLUS | 3192_RHTN CIGNA LOCALPLUS 20250601 | $3,159.53 | — |
| CIGNA LOCALPLUS | 3193_CIGNA LOCALPLUS (DEKALB) 20250601 | $3,159.53 | — |
| CIGNA HMO | 3196_CIGNA HMO (DEKALB) 20250601 | $3,671.19 | — |
| CIGNA PPO | 3199_CIGNA PPO (DEKALB) 20250601 | $3,696.77 | — |
| AETNA | 3161_RPTN AETNA 20250701 | not published by hospital | — |
Visitor-reported prices
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Nr lnr acclrtr tx max 5 sessions at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,646.52 | $1,165.35 – $3,696.77 |
| Ascension Saint Thomas Highlands | Sparta | not published | $1,165.35 – $3,696.77 |
| Ascension Saint Thomas River Park | McMinnville | not published | $1,741.15 – $3,696.77 |
| Ascension Saint Thomas Midtown | Nashville | not published | $1,165.35 – $3,338.61 |
| Ascension Saint Thomas Hickman | Centerville | not published | $2,010.24 – $3,696.77 |