Tissue culture skin/biopsy at STONECREST MEDICAL CENTER
200 StoneCrest Blvd, Smyrna, TN · Tristarhealth · · NPI 1992776405
$580.19
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.
$580.19
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.
$63.33 with Wellpoint vs $562.92 with Humana — 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 | $63.33 | ↓ -89% |
| Kentucky Labor Cabinet | WORKERSCOMP | $106.81 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $110.24 | ↓ -81% |
| Apex Health | MCR | $110.24 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $110.24 | ↓ -81% |
| Aetna | NewBusiness | $111.88 | ↓ -81% |
| Aetna | COMM | $111.88 | ↓ -81% |
| Sarah Cannon Research | COMM | $140.73 | ↓ -76% |
| HealthSpring | DualEligible | $140.73 | ↓ -76% |
| HealthSpring | MCRHMO | $140.73 | ↓ -76% |
| HealthSpring | MCRPOS | $140.73 | ↓ -76% |
| HealthSpring | MCRPPO | $140.73 | ↓ -76% |
| Odyssey Healthcare | COMM | $140.73 | ↓ -76% |
| United | VACCN | $140.73 | ↓ -76% |
| United | AllPayerAppendix | $140.73 | ↓ -76% |
| Bright Health | SmallGroup | $140.73 | ↓ -76% |
| United | CorePayer | $140.73 | ↓ -76% |
| United | HeritageSelect | $140.73 | ↓ -76% |
| Bright Health | HIX | $140.73 | ↓ -76% |
| Amerigroup | MGMCR | $140.73 | ↓ -76% |
| Humana | ChoicecareMGMCR | $140.73 | ↓ -76% |
| Devoted Health Plan | MCR | $140.73 | ↓ -76% |
| Aetna | MGMCRHMO | $142.14 | ↓ -76% |
| Aetna | MGMCRPPO | $142.14 | ↓ -76% |
| Aetna | MGMCRSNP | $142.14 | ↓ -76% |
| United | MGMCR | $143.54 | ↓ -75% |
| BCBS | MCR | $144.95 | ↓ -75% |
| Zing | MGMCR | $144.95 | ↓ -75% |
| WellCare | MCR | $144.95 | ↓ -75% |
| Humana | TRICARE | $145.05 | ↓ -75% |
| Ambetter | Select | $146.36 | ↓ -75% |
| Evergreen HMO | MCR | $147.77 | ↓ -75% |
| American Health Advantage | MCRHMO | $147.77 | ↓ -75% |
| American Health Advantage | MCRPOS | $147.77 | ↓ -75% |
| American Health Advantage | MCRPPO | $147.77 | ↓ -75% |
| American Health Advantage | MCRSNP | $147.77 | ↓ -75% |
| American Health Advantage | MCRPFFS | $147.77 | ↓ -75% |
| Signature Advantage | MCR | $149.17 | ↓ -74% |
| Ambetter | CORE | $151.99 | ↓ -74% |
| ATRIO Golden Times | MCR | $154.80 | ↓ -73% |
| Bright Health | MCRNarrow | $161.84 | ↓ -72% |
| Cigna | PPO | $189.14 | ↓ -67% |
| BCBS | NetworkP | $191.99 | ↓ -67% |
| Prime Health | WORKERSCOMP | $202.65 | ↓ -65% |
| NovaNET | WORKERSCOMP | $206.87 | ↓ -64% |
| CorVel Corporation | WORKERSCOMP | $206.87 | ↓ -64% |
| United | OptionsPPO | $210.03 | ↓ -64% |
| BCBS | TENNCARE | $221.26 | ↓ -62% |
| BCBS | COVERKIDS | $240.22 | ↓ -59% |
| Cigna | NewBusiness | $250.88 | ↓ -57% |
| United | GlobalBenefitPlan | $261.09 | ↓ -55% |
| Cigna | OAP | $284.92 | ↓ -51% |
| Aetna | NAP | $290.10 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $290.10 | ↓ -50% |
| Employers Health Network | COMM | $406.13 | ↓ -30% |
| Oscar | HIX | $422.19 | ↓ -27% |
| Odom's TN Pride Sausage | WORKERSCOMP | $435.14 | ↓ -25% |
| BCBS | BlueCare | $456.74 | ↓ -21% |
| BGFH SingleSource | LEASEDNETWORK | $493.16 | ↓ -15% |
| Multiplan | COMM | $522.17 | ↓ -10% |
| Beech Street | COMM | $533.77 | ↓ -8% |
| Humana | NarrowExchangeNetwork | $562.92 | ↓ -3% |
| Humana | BroadNetwork | $562.92 | ↓ -3% |
| Humana | HumanaChoice | $562.92 | ↓ -3% |
| Humana | HumanaChoiceCare | $562.92 | ↓ -3% |
Visitor-reported prices
Comments
Tissue culture skin/biopsy at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $430.02 | $50.66 – $545.18 |
| Johnson City Medical Center | JOHNSON CITY | $130.95 | $70.37 – $306.79 |
| Hancock County Hospital | SNEEDVILLE | $128.34 | $99.67 – $310.37 |
| Greeneville Community Hospital | GREENEVILLE | $130.95 | $63.33 – $306.79 |
| Bristol Regional Medical Center | BRISTOL | $130.95 | $70.37 – $337.75 |
| Franklin Woods Community Hospital | JOHNSON CITY | $130.95 | $70.37 – $306.79 |
| Holston Valley Medical Center | KINGSPORT | $130.95 | $70.37 – $337.75 |
| 62-0123940 BMH Collierville | Collierville | $523.32 | $133.69 – $281.46 |