Debridement (>20 cm) charge pt 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.
$39.74 with Wellpoint vs $4,460.00 with United — 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 | $39.74 | — |
| Odyssey Healthcare | COMM | $44.16 | — |
| Humana | ChoicecareMGMCR | $44.16 | — |
| Sarah Cannon Research | COMM | $44.16 | — |
| HealthSpring | DualEligible | $44.16 | — |
| HealthSpring | MCRHMO | $44.16 | — |
| HealthSpring | MCRPOS | $44.16 | — |
| HealthSpring | MCRPPO | $44.16 | — |
| Devoted Health Plan | MCR | $44.16 | — |
| Amerigroup | MGMCR | $44.16 | — |
| United | VACCN | $44.16 | — |
| Aetna | MGMCRSNP | $44.60 | — |
| Aetna | MGMCRHMO | $44.60 | — |
| Aetna | MGMCRPPO | $44.60 | — |
| United | MGMCR | $45.04 | — |
| WellCare | MCR | $45.48 | — |
| Zing | MGMCR | $45.48 | — |
| BCBS | MCR | $45.48 | — |
| American Health Advantage | MCRPPO | $46.37 | — |
| American Health Advantage | MCRHMO | $46.37 | — |
| American Health Advantage | MCRPOS | $46.37 | — |
| American Health Advantage | MCRSNP | $46.37 | — |
| American Health Advantage | MCRPFFS | $46.37 | — |
| Evergreen HMO | MCR | $46.37 | — |
| Signature Advantage | MCR | $46.81 | — |
| ATRIO Golden Times | MCR | $48.58 | — |
| Bright Health | MCRNarrow | $50.78 | — |
| Prime Health | WORKERSCOMP | $63.59 | — |
| NovaNET | WORKERSCOMP | $64.92 | — |
| CorVel Corporation | WORKERSCOMP | $64.92 | — |
| BCBS | TENNCARE | $70.95 | — |
| BCBS | COVERKIDS | $77.03 | — |
| BCBS | NetworkP | $87.09 | — |
| BCBS | BlueCare | $146.47 | — |
| Bright Health | HIX | $199.46 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $214.29 | — |
| Pruitt Health (AllyAlign) | MCR | $221.16 | — |
| NHC Advantage, Inc. | MCRHMO | $221.16 | — |
| Apex Health | MCR | $222.93 | — |
| United | TENNCARE | $254.00 | — |
| Ambetter | CORE | $261.65 | — |
| Ambetter | Select | $272.21 | — |
| Bright Health | SmallGroup | $281.59 | — |
| Humana | TRICARE | $291.00 | — |
| Cigna | NewBusiness | $295.67 | — |
| Aetna | NewBusiness | $325.92 | — |
| Cigna | OAP | $335.56 | — |
| Cigna | PPO | $379.46 | — |
| Aetna | COMM | $384.12 | — |
| United | OptionsPPO | $421.37 | — |
| United | GlobalBenefitPlan | $523.80 | — |
| Aetna | NAP | $582.00 | — |
| BGFH SingleSource | DIRECTNETWORK | $582.00 | — |
| Employers Health Network | COMM | $814.80 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $873.00 | — |
| BGFH SingleSource | LEASEDNETWORK | $989.40 | — |
| Oscar | HIX | $990.00 | — |
| Multiplan | COMM | $1,047.60 | — |
| Beech Street | COMM | $1,070.88 | — |
| United | CorePayer | $3,345.00 | — |
| United | HeritageSelect | $3,568.00 | — |
| United | AllPayerAppendix | $4,460.00 | — |
Visitor-reported prices
Comments
Debridement (>20 cm) charge pt at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $96.11 | $42.89 – $53.61 |
| CHI Memorial Hospital Hixson | Hixson | $116.04 | $75.43 – $269.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $109.94 | $25.82 – $50.68 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $165.82 | $75.43 – $269.50 |
| Johnson City Medical Center | JOHNSON CITY | $76.95 | $44.00 – $1,297.23 |
| Ascension Saint Thomas DeKalb | Smithville | $198.27 | $42.89 – $67.46 |
| Ascension Saint Thomas Highlands | Sparta | $198.27 | $42.89 – $76.02 |
| Ascension Saint Thomas River Park | McMinnville | $188.82 | $42.89 – $96.29 |