Pt application of modality >=1 area iontophoresis each 15 minutes 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.
$14.23 with Wellpoint vs $326.00 with Aetna — 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 | $14.23 | — |
| Humana | ChoicecareMGMCR | $15.81 | — |
| Devoted Health Plan | MCR | $15.81 | — |
| HealthSpring | DualEligible | $15.81 | — |
| HealthSpring | MCRHMO | $15.81 | — |
| HealthSpring | MCRPOS | $15.81 | — |
| HealthSpring | MCRPPO | $15.81 | — |
| United | VACCN | $15.81 | — |
| Amerigroup | MGMCR | $15.81 | — |
| Sarah Cannon Research | COMM | $15.81 | — |
| Odyssey Healthcare | COMM | $15.81 | — |
| Aetna | MGMCRPPO | $15.97 | — |
| Aetna | MGMCRSNP | $15.97 | — |
| Aetna | MGMCRHMO | $15.97 | — |
| United | MGMCR | $16.13 | — |
| BCBS | MCR | $16.29 | — |
| WellCare | MCR | $16.29 | — |
| Zing | MGMCR | $16.29 | — |
| American Health Advantage | MCRSNP | $16.60 | — |
| American Health Advantage | MCRHMO | $16.60 | — |
| American Health Advantage | MCRPOS | $16.60 | — |
| American Health Advantage | MCRPPO | $16.60 | — |
| Evergreen HMO | MCR | $16.60 | — |
| American Health Advantage | MCRPFFS | $16.60 | — |
| Signature Advantage | MCR | $16.76 | — |
| ATRIO Golden Times | MCR | $17.40 | — |
| Bright Health | MCRNarrow | $18.19 | — |
| BCBS | TENNCARE | $18.33 | — |
| BCBS | COVERKIDS | $19.90 | — |
| Prime Health | WORKERSCOMP | $22.77 | — |
| CorVel Corporation | WORKERSCOMP | $23.25 | — |
| NovaNET | WORKERSCOMP | $23.25 | — |
| BCBS | BlueCare | $37.83 | — |
| BCBS | NetworkP | $38.30 | — |
| Bright Health | HIX | $57.52 | — |
| Oscar | HIX | $61.91 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $62.29 | — |
| Apex Health | MCR | $64.28 | — |
| NHC Advantage, Inc. | MCRHMO | $64.28 | — |
| Pruitt Health (AllyAlign) | MCR | $64.28 | — |
| Ambetter | CORE | $75.45 | — |
| Ambetter | Select | $78.49 | — |
| Bright Health | SmallGroup | $81.20 | — |
| Humana | TRICARE | $84.58 | — |
| Cigna | NewBusiness | $85.26 | — |
| Cigna | OAP | $96.76 | — |
| Cigna | PPO | $110.30 | — |
| United | OptionsPPO | $122.48 | — |
| United | GlobalBenefitPlan | $152.25 | — |
| BGFH SingleSource | DIRECTNETWORK | $169.16 | — |
| Aetna | NAP | $169.16 | — |
| Employers Health Network | COMM | $236.83 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $253.75 | — |
| Aetna | NewBusiness | $274.00 | — |
| BGFH SingleSource | LEASEDNETWORK | $287.58 | — |
| Multiplan | COMM | $304.50 | — |
| Beech Street | COMM | $311.26 | — |
| Aetna | COMM | $326.00 | — |
Visitor-reported prices
Comments
Pt application of modality >=1 area iontophoresis each 15 minutes at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $47.94 | $13.09 – $69.21 |
| CHI Memorial Hospital Hixson | Hixson | $66.60 | $19.48 – $189.52 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $95.18 | $19.48 – $189.52 |
| Johnson City Medical Center | JOHNSON CITY | $28.20 | $15.18 – $39.17 |
| Ascension Saint Thomas DeKalb | Smithville | $64.86 | $13.09 – $69.21 |
| Ascension Saint Thomas Highlands | Sparta | $64.86 | $13.09 – $69.21 |
| Ascension Saint Thomas River Park | McMinnville | $61.77 | $15.81 – $69.21 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $39.26 | $13.09 – $69.21 |