Contrast x-ray of ankle at STONECREST MEDICAL CENTER
200 StoneCrest Blvd, Smyrna, TN · Tristarhealth · · NPI 1992776405
not published by hospital
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.
not published by hospital
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.
$66.70 with BCBS vs $1,478.52 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 | $66.70 | — |
| BCBS | TENNCARE | $76.72 | — |
| BCBS | COVERKIDS | $83.26 | — |
| Humana | NarrowExchangeNetwork | $106.56 | — |
| Humana | HumanaChoiceCare | $106.56 | — |
| Humana | BroadNetwork | $106.56 | — |
| Humana | HumanaChoice | $106.56 | — |
| BCBS | BlueCare | $158.19 | — |
| Aetna | NewBusiness | $183.53 | — |
| Aetna | COMM | $183.53 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $295.87 | — |
| NHC Advantage, Inc. | MCRHMO | $305.35 | — |
| Apex Health | MCR | $305.35 | — |
| Pruitt Health (AllyAlign) | MCR | $305.35 | — |
| Cigna | NewBusiness | $311.00 | — |
| Cigna | OAP | $353.25 | — |
| Humana | TRICARE | $401.77 | — |
| Cigna | PPO | $523.91 | — |
| United | OptionsPPO | $581.77 | — |
| United | AllPayerAppendix | $616.10 | — |
| United | HeritageSelect | $616.10 | — |
| United | CorePayer | $616.10 | — |
| United | GlobalBenefitPlan | $723.19 | — |
| Aetna | NAP | $803.54 | — |
| BGFH SingleSource | DIRECTNETWORK | $803.54 | — |
| Employers Health Network | COMM | $1,124.96 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $1,205.32 | — |
| BGFH SingleSource | LEASEDNETWORK | $1,366.03 | — |
| Multiplan | COMM | $1,446.38 | — |
| Beech Street | COMM | $1,478.52 | — |
Visitor-reported prices
Comments
Contrast x-ray of ankle at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $194.49 | $59.47 – $610.96 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $194.49 | $59.47 – $610.96 |
| Greeneville Community Hospital | GREENEVILLE | $69.30 | $68.99 – $709.70 |
| Bristol Regional Medical Center | BRISTOL | $69.30 | $68.99 – $721.49 |
| Holston Valley Medical Center | KINGSPORT | $69.30 | $68.99 – $721.49 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $69.30 | $68.99 – $690.02 |
| Parkwest Medical Center | Knoxville | $338.40 | $74.34 – $415.41 |
| Roane County Medical Center | Harriman | $372.24 | $74.34 – $415.41 |