Consultation pathology during surgery frozen section first tissue block at STONECREST MEDICAL CENTER
200 StoneCrest Blvd, Smyrna, TN · Tristarhealth · · NPI 1992776405
$404.58
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.
$404.58
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.
$22.82 with BCBS vs $372.21 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 | TENNCARE | $22.82 | ↓ -94% |
| BCBS | COVERKIDS | $24.78 | ↓ -94% |
| BCBS | NetworkP | $32.36 | ↓ -92% |
| BCBS | BlueCare | $47.11 | ↓ -88% |
| Bright Health | HIX | $68.78 | ↓ -83% |
| Cigna | NewBusiness | $70.13 | ↓ -83% |
| Oscar | HIX | $74.04 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $74.48 | ↓ -82% |
| NHC Advantage, Inc. | MCRHMO | $76.87 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $76.87 | ↓ -81% |
| Apex Health | MCR | $76.87 | ↓ -81% |
| Aetna | COMM | $77.46 | ↓ -81% |
| Aetna | NewBusiness | $77.46 | ↓ -81% |
| Cigna | OAP | $79.64 | ↓ -80% |
| Ambetter | CORE | $90.22 | ↓ -78% |
| Ambetter | Select | $93.86 | ↓ -77% |
| Bright Health | SmallGroup | $97.10 | ↓ -76% |
| Humana | TRICARE | $101.14 | ↓ -75% |
| Cigna | PPO | $131.89 | ↓ -67% |
| United | OptionsPPO | $146.46 | ↓ -64% |
| Humana | HumanaChoiceCare | $147.60 | ↓ -64% |
| Humana | BroadNetwork | $147.60 | ↓ -64% |
| Humana | HumanaChoice | $147.60 | ↓ -64% |
| Humana | NarrowExchangeNetwork | $147.60 | ↓ -64% |
| United | HeritageSelect | $149.16 | ↓ -63% |
| United | AllPayerAppendix | $149.16 | ↓ -63% |
| United | CorePayer | $149.16 | ↓ -63% |
| United | GlobalBenefitPlan | $182.06 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $202.29 | ↓ -50% |
| Aetna | NAP | $202.29 | ↓ -50% |
| Employers Health Network | COMM | $283.21 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $303.44 | ↓ -25% |
| BGFH SingleSource | LEASEDNETWORK | $343.89 | ↓ -15% |
| Multiplan | COMM | $364.12 | ↓ -10% |
| Beech Street | COMM | $372.21 | ↓ -8% |
Visitor-reported prices
Comments
Consultation pathology during surgery frozen section first tissue block at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $75.50 | $16.30 – $229.75 |
| CHI Memorial Hospital Hixson | Hixson | $137.94 | $24.26 – $326.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $65.55 | $16.30 – $312.94 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $197.12 | $24.26 – $326.20 |
| Johnson City Medical Center | JOHNSON CITY | $47.40 | $18.91 – $346.58 |
| Ascension Saint Thomas DeKalb | Smithville | $75.50 | $16.30 – $226.45 |
| Ascension Saint Thomas Highlands | Sparta | $75.50 | $16.30 – $226.45 |
| Ascension Saint Thomas River Park | McMinnville | $75.50 | $18.23 – $226.45 |