Cladribine 10 mg/10 ml intravenous solution at STONECREST MEDICAL CENTER
200 StoneCrest Blvd, Smyrna, TN · Tristarhealth · · NPI 1992776405
$629.19
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.
$629.19
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.
$12.47 with BCBS vs $578.85 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 |
|---|---|---|---|
| BCBS | NetworkP | $12.47 | ↓ -98% |
| Cigna | NewBusiness | $16.46 | ↓ -97% |
| Cigna | OAP | $18.72 | ↓ -97% |
| United | HeritageSelect | $19.66 | ↓ -97% |
| United | AllPayerAppendix | $19.66 | ↓ -97% |
| United | CorePayer | $19.66 | ↓ -97% |
| Kentucky Labor Cabinet | WORKERSCOMP | $115.83 | ↓ -82% |
| Ambetter | Select | $145.97 | ↓ -77% |
| Humana | TRICARE | $157.30 | ↓ -75% |
| Cigna | PPO | $205.12 | ↓ -67% |
| United | OptionsPPO | $227.77 | ↓ -64% |
| United | GlobalBenefitPlan | $283.14 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $314.60 | ↓ -50% |
| Employers Health Network | COMM | $440.43 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $471.89 | ↓ -25% |
| BGFH SingleSource | LEASEDNETWORK | $534.81 | ↓ -15% |
| Multiplan | COMM | $566.27 | ↓ -10% |
| Beech Street | COMM | $578.85 | ↓ -8% |
Visitor-reported prices
Comments
Cladribine 10 mg/10 ml intravenous solution at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $75.23 | $13.52 – $61.69 |
| CHI Memorial Hospital Hixson | Hixson | $192.06 | $13.52 – $317.83 |
| 62-1166050 BMH Carroll County | Huntingdon | $223.42 | $9.80 – $22.54 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $274.46 | $13.52 – $317.83 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $75.23 | $13.52 – $61.69 |
| 62-0123940 BMH Collierville | Collierville | $203.99 | $10.71 – $22.54 |
| 62-1138045 BMH Union City | Union City | $194.27 | $9.80 – $22.54 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $781.75 | $7.42 – $159.65 |