Kidney function study at STONECREST MEDICAL CENTER
200 StoneCrest Blvd, Smyrna, TN · Tristarhealth · · NPI 1992776405
$1,633.73
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.
$1,633.73
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.
$65.12 with BCBS vs $1,503.03 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 | TENNCARE | $65.12 | ↓ -96% |
| Humana | BroadNetwork | $69.32 | ↓ -96% |
| Humana | HumanaChoice | $69.32 | ↓ -96% |
| Humana | HumanaChoiceCare | $69.32 | ↓ -96% |
| Humana | NarrowExchangeNetwork | $69.32 | ↓ -96% |
| BCBS | COVERKIDS | $70.67 | ↓ -96% |
| BCBS | NetworkP | $81.26 | ↓ -95% |
| BCBS | BlueCare | $134.28 | ↓ -92% |
| Aetna | NewBusiness | $150.75 | ↓ -91% |
| Aetna | COMM | $150.75 | ↓ -91% |
| Cigna | NewBusiness | $256.42 | ↓ -84% |
| Cigna | OAP | $291.26 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $300.77 | ↓ -82% |
| Apex Health | MCR | $310.41 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $310.41 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $310.41 | ↓ -81% |
| Humana | TRICARE | $408.43 | ↓ -75% |
| United | CorePayer | $471.74 | ↓ -71% |
| United | AllPayerAppendix | $471.74 | ↓ -71% |
| United | HeritageSelect | $471.74 | ↓ -71% |
| Cigna | PPO | $532.60 | ↓ -67% |
| United | OptionsPPO | $591.41 | ↓ -64% |
| United | GlobalBenefitPlan | $735.18 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $816.87 | ↓ -50% |
| Aetna | NAP | $816.87 | ↓ -50% |
| Employers Health Network | COMM | $1,143.61 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $1,225.30 | ↓ -25% |
| BGFH SingleSource | LEASEDNETWORK | $1,388.67 | ↓ -15% |
| Multiplan | COMM | $1,470.36 | ↓ -10% |
| Beech Street | COMM | $1,503.03 | ↓ -8% |
Visitor-reported prices
Comments
Kidney function study at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Medical Center of Oak Ridge | Oak Ridge | $202.29 | $63.10 – $551.70 |
| Morristown-Hamblen Hospital Association | Morristown | $183.90 | $63.10 – $551.70 |
| Ascension Saint Thomas Midtown | Nashville | not published | $50.48 – $589.01 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $50.48 – $589.01 |
| Ascension Saint Thomas Highlands | Sparta | not published | $50.48 – $589.01 |
| Ascension Saint Thomas River Park | McMinnville | not published | $75.42 – $589.01 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $50.48 – $589.01 |
| Ascension Saint Thomas Hickman | Centerville | not published | $97.85 – $589.01 |