New Patient Office Visit (level 2) 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.
$57.46 with BCBS vs $446.17 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 | $57.46 | — |
| BCBS | COVERKIDS | $62.38 | — |
| Aetna | MGMCRHMO | $72.75 | — |
| Aetna | MGMCRPPO | $72.75 | — |
| Aetna | MGMCRSNP | $72.75 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $89.28 | — |
| NHC Advantage, Inc. | MCRHMO | $92.14 | — |
| Pruitt Health (AllyAlign) | MCR | $92.14 | — |
| BCBS | NetworkP | $111.54 | — |
| BCBS | BlueCare | $118.61 | — |
| Humana | TRICARE | $121.24 | — |
| Aetna | NewBusiness | $135.79 | — |
| Cigna | PPO | $158.10 | — |
| Aetna | COMM | $160.04 | — |
| United | OptionsPPO | $175.56 | — |
| Oscar | HIX | $190.50 | — |
| Apex Health | MCR | $197.79 | — |
| United | GlobalBenefitPlan | $218.24 | — |
| Signature Advantage | MCR | $242.49 | — |
| BGFH SingleSource | DIRECTNETWORK | $242.49 | — |
| Aetna | NAP | $242.49 | — |
| Employers Health Network | COMM | $339.48 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $363.73 | — |
| BGFH SingleSource | LEASEDNETWORK | $412.22 | — |
| Multiplan | COMM | $436.47 | — |
| Beech Street | COMM | $446.17 | — |
Visitor-reported prices
Comments
New Patient Office Visit (level 2) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $311.10 | $61.08 – $3,642.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $74.52 | $39.14 – $41.04 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $444.58 | $61.08 – $3,642.00 |
| Johnson City Medical Center | JOHNSON CITY | $27.75 | $47.61 – $64.91 |
| Hancock County Hospital | SNEEDVILLE | $27.37 | $36.06 – $47.61 |
| Greeneville Community Hospital | GREENEVILLE | $27.75 | $25.96 – $47.61 |
| Bristol Regional Medical Center | BRISTOL | $27.75 | $43.27 – $47.61 |
| Franklin Woods Community Hospital | JOHNSON CITY | $27.75 | $54.78 – $64.91 |