Rtm dev sply mscskl 16-30 d 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.
$31.68 with POINT COMFORT UNDERWRITERS vs $113.99 with BCBS ACA EXCHANGE — 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 |
|---|---|---|---|
| POINT COMFORT UNDERWRITERS | 2946_MEDICARE ADVANTAGE POINT COMFORT UNDERWRITERS OUTPATIENT 20250101 | $31.68 | — |
| POINT COMFORT UNDERWRITERS | 3224_MTTN RHTN RPTN SDTN STTN MEDICARE ADVANTAGE POINT COMFORT UNDERWRITERS INPATIENT 20251001 | $31.68 | — |
| HEALTHSPRING MCR REPLACEMENT | 2944_MEDICARE ADVANTAGE HEALTHSPRING OUTPATIENT 20250101 | $35.20 | — |
| HEALTHSPRING MCR REPLACEMENT | 3209_THTN MEDICARE ADVANTAGE HEALTHSPRING INPATIENT 20251001 | $35.20 | — |
| HUMANA MCR REPLACEMENT | 2945_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101 | $35.20 | — |
| HUMANA MCR REPLACEMENT | 3208_THTN MEDICARE ADVANTAGE HUMANA INPATIENT 20251001 | $35.20 | — |
| UHC MCR REPLACEMENT | 2951_MTTN STTN RPTN MEDICARE ADVANTAGE UHC OUTPATIENT 20250101 | $35.20 | — |
| UHC MCR REPLACEMENT | 3226_MEDICARE ADVANTAGE UHC INPATIENT 20251001 | $35.20 | — |
| CLOVER MEDICARE ADVANTAGE | 2943_MEDICARE ADVANTAGE CLOVER OUTPATIENT 20250101 | $35.20 | — |
| COVID UNINSURED TEST FUND | 3202_COVID UNINSURED TEST FUND INPATIENT 20251001 | $35.20 | — |
| OPTUM VA | 2935_MEDICARE ADVANTAGE OPTUM VA OUTPATIENT 20250101 | $35.20 | — |
| NHC ADVANTAGE | 3225_MTTN RHTN RPTN SDTN STTN MEDICARE ADVANTAGE NHC ADVANTAGE INPATIENT 20251001 | $35.20 | — |
| NHC ADVANTAGE | 2948_MTTN RHTN RPTN SDTN STTN MEDICARE ADVANTAGE NHC ADVANTAGE OUTPATIENT 20250101 | $35.20 | — |
| CENTURION OF TN | 2942_MEDICARE ADVANTAGE CENTURION OF TN OUTPATIENT 20250101 | $35.20 | — |
| CENTURION OF TN | 3228_MEDICARE ADVANTAGE CENTURION OF TN INPATIENT 20251001 | $35.20 | — |
| CLOVER MEDICARE ADVANTAGE | 3227_MEDICARE ADVANTAGE CLOVER INPATIENT 20251001 | $35.20 | — |
| AMERICHOICE MEDICARE | 2954_RHTN, SDTN, THTN AMERICHOICE MEDICARE OUTPATIENT 20250101 | $35.20 | — |
| AMERICHOICE MEDICARE | 3206_RHTN, RPTN, SDTN, THTN AMERICHOICE MEDICARE INPATIENT 20251001 | $35.20 | — |
| AMERIGROUP MCR REPLACEMENT | 2958_RPTN RHTN THTN SDTN MEDICARE ADVANTAGE AMERIGROUP OUTPATIENT 20250101 | $35.20 | — |
| AMERIGROUP MCR REPLACEMENT | 3213_RPTN RHTN THTN SDTN MEDICARE ADVANTAGE AMERIGROUP INPATIENT 20251001 | $35.20 | — |
| ASCENSION COMPLETE | 2940_ASCENSION COMPLETE MEDICARE ADVANTAGE OUTPATIENT 20250101 | $35.20 | — |
| ASCENSION COMPLETE | 3229_ASCENSION COMPLETE MEDICARE ADVANTAGE INPATIENT 20251001 | $35.20 | — |
| BCBS BLUECARE PLUS | 2953_RHTN RPTN SDTN THTN MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD BLUECARE PLUS OUTPATIENT 20250101 | $35.20 | — |
| BCBS BLUECARE PLUS | 3216_RHTN RPTN SDTN THTN MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD BLUECARE PLUS INPATIENT 20251001 | $35.20 | — |
| OPTUM VA | 3205_MEDICARE ADVANTAGE OPTUM VA INPATIENT 20251001 | $35.20 | — |
| AETNA MEDADVANTAGE | 2956_RHTN RPTN SDTN THTN MTTN STTN MEDICARE ADVANTAGE AETNA OUTPATIENT 20250101 | $35.90 | — |
| AETNA MEDADVANTAGE | 3214_RPTN RHTN SDTN THTN MTTN STTN MEDICARE ADVANTAGE AETNA INPATIENT 20251001 | $35.90 | — |
| BCBS MCR REPLACEMENT | 3240_THTN MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 20251001 | $36.96 | — |
| BCBS MCR REPLACEMENT | 2941_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD BLUE ADVANTAGE OUTPATIENT 20250101 | $36.96 | — |
| AMBETTER OF TN | 2933_AMBETTER OF TN OUTPATIENT 20250101 | $45.76 | — |
| AMBETTER OF TN | 3236_AMBETTER OF TN INPATIENT 20251001 | $45.76 | — |
| SMART HEALTH | 2936_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH OUTPATIENT 20250101 | $49.28 | — |
| SMART HEALTH | 3237_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH INPATIENT 20251001 | $49.28 | — |
| OSCAR HEALTH | 508_OSCAR HEALTH (HIGHLANDS) OP 20180101 | $49.28 | — |
| BCBS NETWORK E | 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401 | $91.19 | — |
| BCBS NETWORK L | 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401 | $99.12 | — |
| BCBS SELECT | 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701 | $99.12 | — |
| BCBS PREFERRED | 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701 | $107.05 | — |
| BCBS ACA EXCHANGE | 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 | $113.99 | — |
| BCBS ACA EXCHANGE | 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 | $113.99 | — |
Visitor-reported prices
Comments
Rtm dev sply mscskl 16-30 d at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas DeKalb | Smithville | not published | $31.68 – $113.99 |
| Ascension Saint Thomas River Park | McMinnville | not published | $31.68 – $113.99 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $32.14 – $113.99 |
| Ascension Saint Thomas Midtown | Nashville | not published | $32.14 – $133.81 |
| Ascension Saint Thomas Hickman | Centerville | not published | $91.19 – $113.99 |