Resect/debrid pancreas 48105 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

not published by hospital

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.

not published by hospital

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.

$2,118.00 with CIGNA LOCALPLUS vs $5,600.00 with CIGNA LOCALPLUS — 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
CIGNA LOCALPLUS 3193_CIGNA LOCALPLUS (DEKALB) 20250601 $2,118.00
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
CIGNA CONNECT 2780_RHTN CIGNA CONNECT 20240701 not published by hospital
CIGNA CONNECT 2784_SDTN CIGNA CONNECT 20240701 not published by hospital
CIGNA CONNECT 2779_RPTN CIGNA CONNECT 20240701 not published by hospital
CIGNA CONNECT 2772_MTTN CIGNA CONNECT 20240701 not published by hospital
CIGNA CONNECT 2769_STTN CIGNA CONNECT 20240701 not published by hospital
CIGNA CONNECT 3148_HKTN CIGNA CONNECT 20250101 not published by hospital

Visitor-reported prices

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Resect/debrid pancreas 48105 at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Highlands Sparta not published $2,118.00 – $2,225.50
Ascension Saint Thomas River Park McMinnville not published $2,118.00 – $2,225.50
Ascension Saint Thomas Rutherford Murfreesboro not published $2,118.00 – $2,225.50
Ascension Saint Thomas Midtown Nashville not published $2,800.00 – $3,082.50
Ascension Saint Thomas Hickman Centerville not published $2,118.00 – $2,225.50

All Tennessee hospitals for this procedure →