Diagnostic digital breast tomosynthesis unil 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.
$105.28 with BCBS vs $680.58 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 | $105.28 | — |
| Aetna | MGMCRSNP | $110.96 | — |
| Aetna | MGMCRHMO | $110.96 | — |
| Aetna | MGMCRPPO | $110.96 | — |
| BCBS | TENNCARE | $112.59 | — |
| BCBS | COVERKIDS | $122.19 | — |
| United | HeritageSelect | $126.98 | — |
| United | CorePayer | $126.98 | — |
| United | AllPayerAppendix | $126.98 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $136.19 | — |
| Apex Health | MCR | $140.55 | — |
| Pruitt Health (AllyAlign) | MCR | $140.55 | — |
| NHC Advantage, Inc. | MCRHMO | $140.55 | — |
| Humana | NarrowExchangeNetwork | $150.64 | — |
| Humana | BroadNetwork | $150.64 | — |
| Humana | HumanaChoiceCare | $150.64 | — |
| Humana | HumanaChoice | $150.64 | — |
| Aetna | NewBusiness | $173.45 | — |
| Aetna | COMM | $173.45 | — |
| Humana | TRICARE | $184.94 | — |
| BCBS | BlueCare | $232.16 | — |
| Cigna | PPO | $241.16 | — |
| United | OptionsPPO | $267.79 | — |
| Cigna | NewBusiness | $279.68 | — |
| Cigna | OAP | $317.68 | — |
| United | GlobalBenefitPlan | $332.89 | — |
| Signature Advantage | MCR | $369.88 | — |
| Aetna | NAP | $369.88 | — |
| BGFH SingleSource | DIRECTNETWORK | $369.88 | — |
| Employers Health Network | COMM | $517.83 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $554.82 | — |
| BGFH SingleSource | LEASEDNETWORK | $628.80 | — |
| Multiplan | COMM | $665.78 | — |
| Beech Street | COMM | $680.58 | — |
Visitor-reported prices
Comments
Diagnostic digital breast tomosynthesis unil at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $24.15 | $87.28 – $103.86 |
| Greeneville Community Hospital | GREENEVILLE | $103.95 | $43.30 – $163.85 |
| Bristol Regional Medical Center | BRISTOL | $103.95 | $60.43 – $163.85 |
| Holston Valley Medical Center | KINGSPORT | $103.95 | $58.67 – $163.85 |
| 62-0123940 BMH Collierville | Collierville | $22.05 | $87.28 – $235.12 |
| 62-1138045 BMH Union City | Union City | $20.20 | $103.86 – $168.67 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $103.95 | $60.15 – $163.85 |
| Ascension Saint Thomas Midtown | Nashville | not published | $87.28 – $244.53 |