Vaccine pneumonococcal conjugate 20 valent (pcv20) im at STONECREST MEDICAL CENTER
200 StoneCrest Blvd, Smyrna, TN · Tristarhealth · · NPI 1992776405
$2,520.69
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.
?
What you pay up front if you don't use insurance.
$2,520.69
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.
?
The hospital's undiscounted list price — almost no one pays this.
$342.42 with BCBS vs $2,319.03 with Beech Street — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $342.42 | ↓ -86% |
| Cigna | NewBusiness | $363.26 | ↓ -86% |
| Cigna | OAP | $413.06 | ↓ -84% |
| Kentucky Labor Cabinet | WORKERSCOMP | $464.06 | ↓ -82% |
| Ambetter | Select | $584.80 | ↓ -77% |
| Humana | TRICARE | $630.17 | ↓ -75% |
| Cigna | PPO | $821.74 | ↓ -67% |
| United | AllPayerAppendix | $829.19 | ↓ -67% |
| United | HeritageSelect | $829.19 | ↓ -67% |
| United | CorePayer | $829.19 | ↓ -67% |
| United | OptionsPPO | $912.49 | ↓ -64% |
| United | GlobalBenefitPlan | $1,134.31 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $1,260.35 | ↓ -50% |
| Aetna | NAP | $1,260.35 | ↓ -50% |
| Employers Health Network | COMM | $1,764.48 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $1,890.52 | ↓ -25% |
| BGFH SingleSource | LEASEDNETWORK | $2,142.59 | ↓ -15% |
| Multiplan | COMM | $2,268.62 | ↓ -10% |
| Beech Street | COMM | $2,319.03 | ↓ -8% |
| ATRIO Golden Times | MCR | not published by hospital | — |
| American Health Advantage | MCRHMO | not published by hospital | — |
| American Health Advantage | MCRPOS | not published by hospital | — |
| American Health Advantage | MCRPPO | not published by hospital | — |
| American Health Advantage | MCRSNP | not published by hospital | — |
| American Health Advantage | MCRPFFS | not published by hospital | — |
| Evergreen HMO | MCR | not published by hospital | — |
| NovaNET | WORKERSCOMP | not published by hospital | — |
| Sarah Cannon Research | COMM | not published by hospital | — |
| Signature Advantage | MCR | not published by hospital | — |
| Devoted Health Plan | MCR | not published by hospital | — |
| Odyssey Healthcare | COMM | not published by hospital | — |
| Humana | ChoicecareMGMCR | not published by hospital | — |
| HealthSpring | DualEligible | not published by hospital | — |
| HealthSpring | MCRHMO | not published by hospital | — |
| HealthSpring | MCRPOS | not published by hospital | — |
| HealthSpring | MCRPPO | not published by hospital | — |
| WellCare | MCR | not published by hospital | — |
| Aetna | MGMCRHMO | not published by hospital | — |
| Aetna | MGMCRPPO | not published by hospital | — |
| Aetna | MGMCRSNP | not published by hospital | — |
| United | VACCN | not published by hospital | — |
| United | MGMCR | not published by hospital | — |
| Amerigroup | MGMCR | not published by hospital | — |
| Zing | MGMCR | not published by hospital | — |
| Wellpoint | MGMCD | not published by hospital | — |
| Bright Health | MCRNarrow | not published by hospital | — |
| Prime Health | WORKERSCOMP | not published by hospital | — |
| BCBS | MCR | not published by hospital | — |
| CorVel Corporation | WORKERSCOMP | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine pneumonococcal conjugate 20 valent (pcv20) im at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $579.50 | $363.61 – $451.14 |
| CHI Memorial Hospital Hixson | Hixson | $296.23 | $59.75 – $209.13 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $423.33 | $62.74 – $209.13 |
| Johnson City Medical Center | JOHNSON CITY | $359.12 | $1.00 – $162.21 |
| Ascension Saint Thomas DeKalb | Smithville | $579.50 | $363.61 – $451.14 |
| Ascension Saint Thomas Highlands | Sparta | $579.50 | $363.61 – $451.14 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $579.50 | $363.61 – $451.14 |
| Hancock County Hospital | SNEEDVILLE | $314.98 | $2.27 – $541.29 |