Diagnostic digital breast tomosynthesis bil 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$82.62 with BCBS vs $955.51 with Beech Street — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $82.62 | — |
| BCBS | TENNCARE | $88.37 | — |
| BCBS | COVERKIDS | $95.90 | — |
| Aetna | MGMCRSNP | $155.79 | — |
| Aetna | MGMCRPPO | $155.79 | — |
| Aetna | MGMCRHMO | $155.79 | — |
| United | HeritageSelect | $162.50 | — |
| United | AllPayerAppendix | $162.50 | — |
| United | CorePayer | $162.50 | — |
| BCBS | BlueCare | $182.21 | — |
| Humana | HumanaChoiceCare | $186.28 | — |
| Humana | HumanaChoice | $186.28 | — |
| Humana | BroadNetwork | $186.28 | — |
| Humana | NarrowExchangeNetwork | $186.28 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $191.21 | — |
| Apex Health | MCR | $197.33 | — |
| Pruitt Health (AllyAlign) | MCR | $197.33 | — |
| NHC Advantage, Inc. | MCRHMO | $197.33 | — |
| Aetna | COMM | $219.50 | — |
| Aetna | NewBusiness | $219.50 | — |
| Humana | TRICARE | $259.65 | — |
| Cigna | PPO | $338.58 | — |
| Cigna | NewBusiness | $356.44 | — |
| United | OptionsPPO | $375.97 | — |
| Cigna | OAP | $404.87 | — |
| United | GlobalBenefitPlan | $467.37 | — |
| Signature Advantage | MCR | $519.30 | — |
| Aetna | NAP | $519.30 | — |
| BGFH SingleSource | DIRECTNETWORK | $519.30 | — |
| Employers Health Network | COMM | $727.02 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $778.95 | — |
| BGFH SingleSource | LEASEDNETWORK | $882.81 | — |
| Multiplan | COMM | $934.74 | — |
| Beech Street | COMM | $955.51 | — |
Visitor-reported prices
Comments
Diagnostic digital breast tomosynthesis bil at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $24.15 | $68.50 – $131.44 |
| Greeneville Community Hospital | GREENEVILLE | $156.15 | $33.90 – $209.96 |
| Bristol Regional Medical Center | BRISTOL | $156.15 | $56.50 – $209.96 |
| Holston Valley Medical Center | KINGSPORT | $156.15 | $56.50 – $209.96 |
| 62-0123940 BMH Collierville | Collierville | $22.05 | $68.50 – $297.30 |
| 62-1138045 BMH Union City | Union City | $20.20 | $131.44 – $132.37 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $156.15 | $47.08 – $209.96 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $1,022.43 | $82.62 – $356.44 |