Radphm lcl tmr plnr bdy two day img at Ascension Saint Thomas Highlands
401 Sewell Dr, Sparta, TN · Ascension · · NPI 1922487966
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.
$122.69 with BCBS BLUE CARE (REGIONALS ONLY) vs $2,035.50 with UHC — 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 BLUE CARE (REGIONALS ONLY) | 2429_BCBS BLUE CARE (HIGHLAND) 20221001 | $122.69 | — |
| BCBS TENNCARE SELECT | 2425_BCBS TENNCARE SELECT (HIGHLAND) 20221001 | $184.03 | — |
| COMMUNITY PLAN | 2496_THTN MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN 20191001 | $487.24 | — |
| BCBS ACA EXCHANGE | 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 | $557.21 | — |
| BCBS ACA EXCHANGE | 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 | $736.65 | — |
| BCBS MISSIONPOINT | 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001 | $821.65 | — |
| BCBS NETWORK E | 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401 | $845.26 | — |
| BCBS SELECT | 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701 | $920.81 | — |
| BCBS NETWORK L | 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401 | $920.81 | — |
| BCBS PREFERRED | 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701 | $996.36 | — |
| CIGNA LOCALPLUS | 3193_CIGNA LOCALPLUS (DEKALB) 20250601 | $1,213.02 | — |
| CIGNA LOCALPLUS | 3192_RHTN CIGNA LOCALPLUS 20250601 | $1,213.02 | — |
| CIGNA LOCALPLUS | 3187_STTN CIGNA LOCALPLUS 20250601 | $1,213.02 | — |
| AETNA (RUTHERFORD ONLY) | 3160_MTTN AETNA 20250701 | $1,221.91 | — |
| AETNA | 3159_STTN AETNA 20250701 | $1,246.77 | — |
| CIGNA HMO | 3196_CIGNA HMO (DEKALB) 20250601 | $1,409.46 | — |
| CIGNA PPO | 3199_CIGNA PPO (DEKALB) 20250601 | $1,419.28 | — |
| UHC | 3172_RPTN UHC 20250715 | $2,035.50 | — |
| UHC | 3176_UHC (STTN) 20250715 | $2,035.50 | — |
| UHC | 3171_MTTN UHC 20250715 | $2,035.50 | — |
| UHC | 3174_SDTN UHC 20250715 | $2,035.50 | — |
| UHC | 3173_RHTN UHC 20250715 | $2,035.50 | — |
| UHC | 3175_THTN UHC 20250715 | $2,035.50 | — |
| AETNA | 3161_RPTN AETNA 20250701 | not published by hospital | — |
Visitor-reported prices
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Radphm lcl tmr plnr bdy two day img at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Rutherford | Murfreesboro | $492.53 | $122.69 – $2,035.50 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $122.69 – $2,035.50 |
| Ascension Saint Thomas River Park | McMinnville | not published | $183.31 – $2,035.50 |
| Ascension Saint Thomas Midtown | Nashville | not published | $122.69 – $2,035.50 |
| Ascension Saint Thomas Hickman | Centerville | not published | $557.21 – $2,035.50 |