X-ray pelvis 1-2 views 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

$148.86

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.

$496.20

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.

$15.04 with BCBS BLUE CARE (REGIONALS ONLY) vs $179.33 with UHC — 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 $15.04 ↓ -90%
BCBS TENNCARE SELECT 2424_BCBS TENNCARE SELECT (DEKALB) 20221001 $20.02 ↓ -87%
BCBS ACA EXCHANGE 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 $21.10 ↓ -86%
COMMUNITY PLAN 2495_SDTN MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN 20191001 $22.18 ↓ -85%
BCBS ACA EXCHANGE 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 $27.89 ↓ -81%
BCBS MISSIONPOINT 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001 $31.11 ↓ -79%
BCBS NETWORK E 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401 $32.01 ↓ -78%
BCBS SELECT 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701 $34.87 ↓ -77%
BCBS NETWORK L 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401 $34.87 ↓ -77%
AETNA (RUTHERFORD ONLY) 3160_MTTN AETNA 20250701 $37.71 ↓ -75%
BCBS PREFERRED 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701 $37.73 ↓ -75%
AETNA 3159_STTN AETNA 20250701 $38.47 ↓ -74%
CIGNA SUREFIT 2825_CIGNA SUREFIT (DEKALB) 20241001 $42.74 ↓ -71%
CIGNA LOCALPLUS 3192_RHTN CIGNA LOCALPLUS 20250601 $51.75 ↓ -65%
CIGNA LOCALPLUS 3187_STTN CIGNA LOCALPLUS 20250601 $51.75 ↓ -65%
CIGNA LOCALPLUS 3193_CIGNA LOCALPLUS (DEKALB) 20250601 $51.75 ↓ -65%
CIGNA HMO 3196_CIGNA HMO (DEKALB) 20250601 $60.13 ↓ -60%
CIGNA PPO 3199_CIGNA PPO (DEKALB) 20250601 $60.55 ↓ -59%
POINT COMFORT UNDERWRITERS 2946_MEDICARE ADVANTAGE POINT COMFORT UNDERWRITERS OUTPATIENT 20250101 $90.33 ↓ -39%
POINT COMFORT UNDERWRITERS 3224_MTTN RHTN RPTN SDTN STTN MEDICARE ADVANTAGE POINT COMFORT UNDERWRITERS INPATIENT 20251001 $90.33 ↓ -39%
ASCENSION COMPLETE 2940_ASCENSION COMPLETE MEDICARE ADVANTAGE OUTPATIENT 20250101 $100.37 ↓ -33%
HEALTHSPRING MCR REPLACEMENT 2944_MEDICARE ADVANTAGE HEALTHSPRING OUTPATIENT 20250101 $100.37 ↓ -33%
HEALTHSPRING MCR REPLACEMENT 3219_MTTN STTN RPTN SDTN RHTN MEDICARE ADVANTAGE HEALTHSPRING INPATIENT 20251001 $100.37 ↓ -33%
HUMANA MCR REPLACEMENT 2945_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101 $100.37 ↓ -33%
HUMANA MCR REPLACEMENT 3211_SDTN RHTN MEDICARE ADVANTAGE HUMANA INPATIENT 20251001 $100.37 ↓ -33%
UHC MCR REPLACEMENT 2951_MTTN STTN RPTN MEDICARE ADVANTAGE UHC OUTPATIENT 20250101 $100.37 ↓ -33%
UHC MCR REPLACEMENT 3226_MEDICARE ADVANTAGE UHC INPATIENT 20251001 $100.37 ↓ -33%
AMERICHOICE MEDICARE 2954_RHTN, SDTN, THTN AMERICHOICE MEDICARE OUTPATIENT 20250101 $100.37 ↓ -33%
AMERICHOICE MEDICARE 3206_RHTN, RPTN, SDTN, THTN AMERICHOICE MEDICARE INPATIENT 20251001 $100.37 ↓ -33%
AMERIGROUP MCR REPLACEMENT 2958_RPTN RHTN THTN SDTN MEDICARE ADVANTAGE AMERIGROUP OUTPATIENT 20250101 $100.37 ↓ -33%
AMERIGROUP MCR REPLACEMENT 3213_RPTN RHTN THTN SDTN MEDICARE ADVANTAGE AMERIGROUP INPATIENT 20251001 $100.37 ↓ -33%
ASCENSION COMPLETE 3229_ASCENSION COMPLETE MEDICARE ADVANTAGE INPATIENT 20251001 $100.37 ↓ -33%
BCBS BLUECARE PLUS 2953_RHTN RPTN SDTN THTN MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD BLUECARE PLUS OUTPATIENT 20250101 $100.37 ↓ -33%
BCBS BLUECARE PLUS 3216_RHTN RPTN SDTN THTN MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD BLUECARE PLUS INPATIENT 20251001 $100.37 ↓ -33%
CENTURION OF TN 2942_MEDICARE ADVANTAGE CENTURION OF TN OUTPATIENT 20250101 $100.37 ↓ -33%
CENTURION OF TN 3228_MEDICARE ADVANTAGE CENTURION OF TN INPATIENT 20251001 $100.37 ↓ -33%
CLOVER MEDICARE ADVANTAGE 2943_MEDICARE ADVANTAGE CLOVER OUTPATIENT 20250101 $100.37 ↓ -33%
CLOVER MEDICARE ADVANTAGE 3227_MEDICARE ADVANTAGE CLOVER INPATIENT 20251001 $100.37 ↓ -33%
COVID UNINSURED TEST FUND 3202_COVID UNINSURED TEST FUND INPATIENT 20251001 $100.37 ↓ -33%
NHC ADVANTAGE 2948_MTTN RHTN RPTN SDTN STTN MEDICARE ADVANTAGE NHC ADVANTAGE OUTPATIENT 20250101 $100.37 ↓ -33%
NHC ADVANTAGE 3225_MTTN RHTN RPTN SDTN STTN MEDICARE ADVANTAGE NHC ADVANTAGE INPATIENT 20251001 $100.37 ↓ -33%
OPTUM VA 2935_MEDICARE ADVANTAGE OPTUM VA OUTPATIENT 20250101 $100.37 ↓ -33%
OPTUM VA 3205_MEDICARE ADVANTAGE OPTUM VA INPATIENT 20251001 $100.37 ↓ -33%
AETNA MEDADVANTAGE 2956_RHTN RPTN SDTN THTN MTTN STTN MEDICARE ADVANTAGE AETNA OUTPATIENT 20250101 $102.38 ↓ -31%
AETNA MEDADVANTAGE 3214_RPTN RHTN SDTN THTN MTTN STTN MEDICARE ADVANTAGE AETNA INPATIENT 20251001 $102.38 ↓ -31%
BCBS MCR REPLACEMENT 3238_THTN MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 20251001 $105.39 ↓ -29%
BCBS MCR REPLACEMENT 2941_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD BLUE ADVANTAGE OUTPATIENT 20250101 $105.39 ↓ -29%
AETNA 3161_RPTN AETNA 20250701 $129.01 ↓ -13%
AMBETTER OF TN 2933_AMBETTER OF TN OUTPATIENT 20250101 $130.48 ↓ -12%
AMBETTER OF TN 3236_AMBETTER OF TN INPATIENT 20251001 $130.48 ↓ -12%
SMART HEALTH 2936_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH OUTPATIENT 20250101 $140.52 ↓ -6%
OSCAR HEALTH 506_OSCAR HEALTH (DEKALB) OP 20180101 $140.52 ↓ -6%
SMART HEALTH 3237_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH INPATIENT 20251001 $140.52 ↓ -6%
UHC 3174_SDTN UHC 20250715 $179.33 ↑ +20%
UHC 3176_UHC (STTN) 20250715 $179.33 ↑ +20%
UHC 3175_THTN UHC 20250715 $179.33 ↑ +20%
UHC 3171_MTTN UHC 20250715 $179.33 ↑ +20%
UHC 3172_RPTN UHC 20250715 $179.33 ↑ +20%
UHC 3173_RHTN UHC 20250715 $179.33 ↑ +20%

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X-ray pelvis 1-2 views at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Highlands Sparta $148.86 $15.04 – $179.33
Ascension Saint Thomas River Park McMinnville $141.77 $21.10 – $179.33
Ascension Saint Thomas Rutherford Murfreesboro $90.57 $15.04 – $179.33
Ascension Saint Thomas Midtown Nashville not published $15.04 – $179.33
Ascension Saint Thomas Hickman Centerville not published $21.10 – $179.33

All Tennessee hospitals for this procedure →