CT uppr extremity w/o&w/dye 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.
$226.72 with Humana vs $3,947.12 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 |
|---|---|---|---|
| Humana | BroadNetwork | $226.72 | — |
| Humana | HumanaChoice | $226.72 | — |
| Humana | HumanaChoiceCare | $226.72 | — |
| Humana | NarrowExchangeNetwork | $226.72 | — |
| BCBS | TENNCARE | $271.35 | — |
| BCBS | COVERKIDS | $294.49 | — |
| United | HeritageSelect | $341.20 | — |
| United | AllPayerAppendix | $341.20 | — |
| United | CorePayer | $341.20 | — |
| Aetna | NewBusiness | $459.25 | — |
| Aetna | COMM | $459.25 | — |
| BCBS | BlueCare | $559.53 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $789.85 | — |
| Pruitt Health (AllyAlign) | MCR | $815.17 | — |
| Apex Health | MCR | $815.17 | — |
| NHC Advantage, Inc. | MCRHMO | $815.17 | — |
| Humana | TRICARE | $1,072.59 | — |
| Cigna | PPO | $1,398.65 | — |
| United | OptionsPPO | $1,553.11 | — |
| United | GlobalBenefitPlan | $1,930.66 | — |
| BGFH SingleSource | DIRECTNETWORK | $2,145.18 | — |
| Aetna | NAP | $2,145.18 | — |
| Employers Health Network | COMM | $3,003.24 | — |
| BGFH SingleSource | LEASEDNETWORK | $3,646.80 | — |
| Multiplan | COMM | $3,861.32 | — |
| Beech Street | COMM | $3,947.12 | — |
Visitor-reported prices
Comments
CT uppr extremity w/o&w/dye at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $811.20 | $153.44 – $805.38 |
| CHI Memorial Hospital Hixson | Hixson | $1,028.01 | $176.05 – $2,431.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $812.36 | $141.42 – $325.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,469.08 | $176.05 – $2,431.10 |
| Johnson City Medical Center | JOHNSON CITY | $587.70 | $163.67 – $406.92 |
| Ascension Saint Thomas Highlands | Sparta | $811.20 | $151.23 – $805.38 |
| Ascension Saint Thomas River Park | McMinnville | $811.20 | $151.23 – $805.38 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $811.20 | $153.44 – $833.16 |