Biopsy skin incisional single lesion at CHI Memorial Hospital Hixson
2051 Hamill Road, Hixson, TN · CommonSpirit Health · · NPI 1083778633
$459.69
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.
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What you pay up front if you don't use insurance.
$1,553.00
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.
$0.65 with Alliant Health vs $3,196.00 with Health One Alliance — 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 |
|---|---|---|---|
| Alliant Health | Commercial|All Plans | $0.65 | ↓ -100% |
| BCBS - TN | Commercial|Network S | $167.00 | ↓ -64% |
| BCBS - TN | Commercial|Network P | $217.00 | ↓ -53% |
| Peach State | Medicaid|All Plans | $310.60 | ↓ -32% |
| Amerigroup | Medicaid|All Plans | $448.00 | ↓ -3% |
| United | Medicaid|TennCare | $486.00 | ↑ +6% |
| BCBS - ND | Medicare|All Plans | $570.26 | ↑ +24% |
| Cigna | Medicare|Healthspring | $575.75 | ↑ +25% |
| Humana | Medicare|HMO | $581.23 | ↑ +26% |
| Amerigroup | Medicare|All Plans | $586.71 | ↑ +28% |
| Humana | Medicare|All Other Plans | $603.16 | ↑ +31% |
| Humana | Medicare|PPO | $603.16 | ↑ +31% |
| Centene | Commercial|Ambetter Exchange | $1,030.86 | ↑ +124% |
| Aetna | Commercial|Non-Gatekeeper | $1,087.10 | ↑ +136% |
| Aetna | Commercial|Gatekeeper | $1,087.10 | ↑ +136% |
| Cigna | Commercial|LocalPlus | $1,331.00 | ↑ +190% |
| Cigna | Commercial|Open Access | $1,638.00 | ↑ +256% |
| Humana | Commercial|All Plans | $2,204.00 | ↑ +379% |
| United | Commercial|Non-Options | $2,317.00 | ↑ +404% |
| United | Commercial|Options | $2,317.00 | ↑ +404% |
| Health One Alliance | Commercial|All Plans | $3,196.00 | ↑ +595% |
Visitor-reported prices
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Biopsy skin incisional single lesion at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Chattanooga | Chattanooga | $656.92 | $326.13 – $1,087.10 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $353.28 | $527.62 – $1,004.50 |
| Ascension Saint Thomas Midtown | Nashville | not published | $527.62 – $998.50 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $520.01 – $1,004.50 |
| Ascension Saint Thomas Highlands | Sparta | not published | $520.01 – $1,004.50 |
| Ascension Saint Thomas River Park | McMinnville | not published | $520.01 – $1,004.50 |
| Ascension Saint Thomas Hickman | Centerville | not published | $954.50 – $1,004.50 |