Tc-99m exame autol wbc diag per dose at Ascension Saint Thomas DeKalb
520 W Main St, Smithville, TN · Ascension · · NPI 1649659582
$3,612.06
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.
$12,040.20
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.
$194.68 with AETNA (RUTHERFORD ONLY) vs $3,840.35 with UHC COMPASS/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 |
|---|---|---|---|
| AETNA (RUTHERFORD ONLY) | 3160_MTTN AETNA 20250701 | $194.68 | ↓ -95% |
| UHC | 3172_RPTN UHC 20250715 | $2,179.18 | ↓ -40% |
| UHC | 3176_UHC (STTN) 20250715 | $2,179.18 | ↓ -40% |
| UHC | 3171_MTTN UHC 20250715 | $2,179.18 | ↓ -40% |
| CIGNA PPO | 3200_THTN CIGNA PPO 20250601 | $2,692.31 | ↓ -25% |
| CIGNA LOCALPLUS | 3191_RPTN CIGNA LOCALPLUS 20250601 | $2,692.31 | ↓ -25% |
| CIGNA LOCALPLUS | 3192_RHTN CIGNA LOCALPLUS 20250601 | $2,692.31 | ↓ -25% |
| CIGNA LOCALPLUS | 3193_CIGNA LOCALPLUS (DEKALB) 20250601 | $2,692.31 | ↓ -25% |
| CIGNA LOCALPLUS | 3194_THTN CIGNA LOCALPLUS 20250601 | $2,692.31 | ↓ -25% |
| CIGNA LOCALPLUS | 3187_STTN CIGNA LOCALPLUS 20250601 | $2,692.31 | ↓ -25% |
| CIGNA HMO | 3196_CIGNA HMO (DEKALB) 20250601 | $2,692.31 | ↓ -25% |
| CIGNA HMO | 3197_THTN CIGNA HMO 20250601 | $2,692.31 | ↓ -25% |
| CIGNA PPO | 3199_CIGNA PPO (DEKALB) 20250601 | $2,692.31 | ↓ -25% |
| UHC COMPASS/EXCHANGE | 3165_MTTN UHC EXCHANGE 20250715 | $3,180.11 | ↓ -12% |
| UHC COMPASS/EXCHANGE | 3166_UHC STTN EXCHANGE 20250715 | $3,840.35 | ↑ +6% |
| UHC COMPASS/EXCHANGE | 3169_SDTN UHC COMPASS 20250715 | $3,840.35 | ↑ +6% |
| UHC COMPASS/EXCHANGE | 3170_THTN UHC COMPASS 20250715 | $3,840.35 | ↑ +6% |
Visitor-reported prices
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Tc-99m exame autol wbc diag per dose at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Highlands | Sparta | $3,612.06 | $194.68 – $3,180.11 |
| Ascension Saint Thomas River Park | McMinnville | $3,612.03 | $194.68 – $3,180.11 |