Calculi urinary-sendout at STONECREST MEDICAL CENTER
200 StoneCrest Blvd, Smyrna, TN · Tristarhealth · · NPI 1992776405
$1,081.43
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.
$1,081.43
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.
$5.79 with Wellpoint vs $994.92 with Beech Street — 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $5.79 | ↓ -99% |
| Aetna | NewBusiness | $10.23 | ↓ -99% |
| Aetna | COMM | $10.23 | ↓ -99% |
| Humana | ChoicecareMGMCR | $12.87 | ↓ -99% |
| Devoted Health Plan | MCR | $12.87 | ↓ -99% |
| Bright Health | SmallGroup | $12.87 | ↓ -99% |
| Bright Health | HIX | $12.87 | ↓ -99% |
| HealthSpring | DualEligible | $12.87 | ↓ -99% |
| HealthSpring | MCRHMO | $12.87 | ↓ -99% |
| HealthSpring | MCRPOS | $12.87 | ↓ -99% |
| HealthSpring | MCRPPO | $12.87 | ↓ -99% |
| United | CorePayer | $12.87 | ↓ -99% |
| Odyssey Healthcare | COMM | $12.87 | ↓ -99% |
| Sarah Cannon Research | COMM | $12.87 | ↓ -99% |
| United | VACCN | $12.87 | ↓ -99% |
| United | AllPayerAppendix | $12.87 | ↓ -99% |
| Amerigroup | MGMCR | $12.87 | ↓ -99% |
| United | HeritageSelect | $12.87 | ↓ -99% |
| Aetna | MGMCRSNP | $13.00 | ↓ -99% |
| Aetna | MGMCRHMO | $13.00 | ↓ -99% |
| Aetna | MGMCRPPO | $13.00 | ↓ -99% |
| United | MGMCR | $13.13 | ↓ -99% |
| WellCare | MCR | $13.26 | ↓ -99% |
| BCBS | MCR | $13.26 | ↓ -99% |
| Zing | MGMCR | $13.26 | ↓ -99% |
| Ambetter | Select | $13.38 | ↓ -99% |
| Evergreen HMO | MCR | $13.51 | ↓ -99% |
| American Health Advantage | MCRHMO | $13.51 | ↓ -99% |
| American Health Advantage | MCRPOS | $13.51 | ↓ -99% |
| American Health Advantage | MCRPPO | $13.51 | ↓ -99% |
| American Health Advantage | MCRSNP | $13.51 | ↓ -99% |
| American Health Advantage | MCRPFFS | $13.51 | ↓ -99% |
| Signature Advantage | MCR | $13.64 | ↓ -99% |
| Ambetter | CORE | $13.90 | ↓ -99% |
| ATRIO Golden Times | MCR | $14.16 | ↓ -99% |
| Bright Health | MCRNarrow | $14.80 | ↓ -99% |
| BCBS | NetworkP | $17.56 | ↓ -98% |
| Prime Health | WORKERSCOMP | $18.53 | ↓ -98% |
| CorVel Corporation | WORKERSCOMP | $18.92 | ↓ -98% |
| NovaNET | WORKERSCOMP | $18.92 | ↓ -98% |
| Cigna | NewBusiness | $23.06 | ↓ -98% |
| Cigna | OAP | $26.19 | ↓ -98% |
| BCBS | TENNCARE | $35.39 | ↓ -97% |
| BCBS | COVERKIDS | $38.43 | ↓ -96% |
| Oscar | HIX | $38.61 | ↓ -96% |
| Humana | NarrowExchangeNetwork | $51.48 | ↓ -95% |
| Humana | HumanaChoiceCare | $51.48 | ↓ -95% |
| Humana | BroadNetwork | $51.48 | ↓ -95% |
| Humana | HumanaChoice | $51.48 | ↓ -95% |
| BCBS | BlueCare | $73.06 | ↓ -93% |
| Kentucky Labor Cabinet | WORKERSCOMP | $199.09 | ↓ -82% |
| NHC Advantage, Inc. | MCRHMO | $205.47 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $205.47 | ↓ -81% |
| Apex Health | MCR | $205.47 | ↓ -81% |
| Humana | TRICARE | $270.36 | ↓ -75% |
| Cigna | PPO | $352.55 | ↓ -67% |
| United | OptionsPPO | $391.48 | ↓ -64% |
| United | GlobalBenefitPlan | $486.64 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $540.72 | ↓ -50% |
| Aetna | NAP | $540.72 | ↓ -50% |
| Employers Health Network | COMM | $757.00 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $811.07 | ↓ -25% |
| BGFH SingleSource | LEASEDNETWORK | $919.22 | ↓ -15% |
| Multiplan | COMM | $973.29 | ↓ -10% |
| Beech Street | COMM | $994.92 | ↓ -8% |
Visitor-reported prices
Comments
Calculi urinary-sendout at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $22.50 | $6.44 – $28.06 |
| Franklin Woods Community Hospital | JOHNSON CITY | $22.50 | $6.44 – $28.06 |
| Indian Path Community Hospital | KINGSPORT | $22.50 | $6.44 – $30.89 |
| Sycamore Shoals Hospital | ELIZABETHTON | $22.50 | $6.44 – $28.06 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $430.90 | $5.79 – $38.61 |
| Ascension Saint Thomas Midtown | Nashville | not published | $4.63 – $49.66 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $9.03 – $49.66 |
| Ascension Saint Thomas Highlands | Sparta | not published | $9.03 – $49.66 |