#a/b/c/c/h pnl-candida albicans ab at CHI Memorial Hospital Hixson
2051 Hamill Road, Hixson, TN · CommonSpirit Health · · NPI 1083778633
$42.63
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.
$144.00
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.
$10.67 with United vs $61.60 with Aetna — 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 |
|---|---|---|---|
| United | Medicaid|TennCare | $10.67 | ↓ -75% |
| United | Commercial|Non-Options | $12.01 | ↓ -72% |
| United | Commercial|Options | $12.01 | ↓ -72% |
| BCBS - ND | Medicare|All Plans | $12.49 | ↓ -71% |
| Cigna | Medicare|Healthspring | $12.61 | ↓ -70% |
| Humana | Medicare|HMO | $12.73 | ↓ -70% |
| Amerigroup | Medicare|All Plans | $12.85 | ↓ -70% |
| Humana | Medicare|All Other Plans | $13.21 | ↓ -69% |
| Humana | Medicare|PPO | $13.21 | ↓ -69% |
| Peach State | Medicaid|All Plans | $15.10 | ↓ -65% |
| Amerigroup | Medicaid|All Plans | $15.10 | ↓ -65% |
| Employers Health Network | Commercial|All Plans | $18.02 | ↓ -58% |
| Centene | Commercial|Ambetter Exchange | $22.58 | ↓ -47% |
| Cigna | Commercial|LocalPlus | $26.35 | ↓ -38% |
| BCBS - TN | Commercial|Network S | $28.83 | ↓ -32% |
| Cigna | Commercial|Open Access | $29.35 | ↓ -31% |
| BCBS - TN | Commercial|Network P | $36.36 | ↓ -15% |
| BCBS - TN | Medicaid|BlueCare | $45.20 | ↑ +6% |
| Aetna | Commercial|Non-Gatekeeper | $61.60 | ↑ +44% |
| Aetna | Commercial|Gatekeeper | $61.60 | ↑ +44% |
Visitor-reported prices
Comments
#a/b/c/c/h pnl-candida albicans ab at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Chattanooga | Chattanooga | $60.92 | $10.67 – $61.60 |
| Ascension Saint Thomas Midtown | Nashville | not published | $4.32 – $46.28 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $8.42 – $46.28 |
| Ascension Saint Thomas Highlands | Sparta | not published | $8.42 – $46.28 |
| Ascension Saint Thomas River Park | McMinnville | not published | $8.42 – $57.70 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $10.81 – $46.28 |
| Ascension Saint Thomas Hickman | Centerville | not published | $10.81 – $46.28 |