Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr at Ascension Saint Thomas Highlands

401 Sewell Dr, Sparta, TN · Ascension · · NPI 1922487966

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

$7.08

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$23.60

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$2.92 with UHC vs $9.89 with UHC COMPASS/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 →

Payer
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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
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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
UHC 3172_RPTN UHC 20250715 $2.92 ↓ -59%
UHC 3171_MTTN UHC 20250715 $2.92 ↓ -59%
CIGNA PPO 3200_THTN CIGNA PPO 20250601 $3.03 ↓ -57%
CIGNA LOCALPLUS 3191_RPTN CIGNA LOCALPLUS 20250601 $3.03 ↓ -57%
CIGNA HMO 3197_THTN CIGNA HMO 20250601 $3.03 ↓ -57%
CIGNA LOCALPLUS 3194_THTN CIGNA LOCALPLUS 20250601 $3.03 ↓ -57%
AETNA (RUTHERFORD ONLY) 3160_MTTN AETNA 20250701 $5.08 ↓ -28%
UHC COMPASS/EXCHANGE 3169_SDTN UHC COMPASS 20250715 $5.14 ↓ -27%
AETNA 3159_STTN AETNA 20250701 $5.21 ↓ -26%
BCBS BLUE CARE (REGIONALS ONLY) 2429_BCBS BLUE CARE (HIGHLAND) 20221001 $8.66 ↑ +22%
BCBS TENNCARE SELECT 2425_BCBS TENNCARE SELECT (HIGHLAND) 20221001 $8.66 ↑ +22%
UHC COMPASS/EXCHANGE 3165_MTTN UHC EXCHANGE 20250715 $9.89 ↑ +40%
UHC COMPASS/EXCHANGE 3170_THTN UHC COMPASS 20250715 $9.89 ↑ +40%

Visitor-reported prices

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Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas DeKalb Smithville $7.08 $2.92 – $8.66
Ascension Saint Thomas River Park McMinnville $7.08 $2.92 – $9.89
Ascension Saint Thomas Rutherford Murfreesboro $11.19 $2.92 – $8.66

All Tennessee hospitals for this procedure →