Cysto/uretero w/lithotripsy at CHI Memorial Hospital Hixson
2051 Hamill Road, Hixson, TN · CommonSpirit Health · · NPI 1083778633
$3,176.08
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.
$10,730.00
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 $8,561.16 with Centene — 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 | ↓ -95% |
| BCBS - TN | Commercial|Network P | $217.00 | ↓ -93% |
| BCBS - TN | Medicaid|BlueCare | $1,393.71 | ↓ -56% |
| Peach State | Medicaid|All Plans | $2,146.00 | ↓ -32% |
| Humana | Commercial|All Plans | $2,204.00 | ↓ -31% |
| Health One Alliance | Commercial|All Plans | $3,196.00 | ↑ +1% |
| United | Medicaid|TennCare | $4,734.00 | ↑ +49% |
| BCBS - ND | Medicare|All Plans | $4,735.96 | ↑ +49% |
| Cigna | Medicare|Healthspring | $4,781.50 | ↑ +51% |
| Humana | Medicare|HMO | $4,827.04 | ↑ +52% |
| Amerigroup | Medicare|All Plans | $4,872.58 | ↑ +53% |
| Humana | Medicare|PPO | $5,009.19 | ↑ +58% |
| Humana | Medicare|All Other Plans | $5,009.19 | ↑ +58% |
| Cigna | Commercial|LocalPlus | $5,206.00 | ↑ +64% |
| Employers Health Network | Commercial|All Plans | $5,237.66 | ↑ +65% |
| United | Commercial|Non-Options | $5,373.00 | ↑ +69% |
| United | Commercial|Options | $5,373.00 | ↑ +69% |
| Cigna | Commercial|Open Access | $6,410.00 | ↑ +102% |
| Aetna | Commercial|Gatekeeper | $7,511.00 | ↑ +136% |
| Aetna | Commercial|Non-Gatekeeper | $7,511.00 | ↑ +136% |
| Multiplan | Commercial|All Plans | $7,511.00 | ↑ +136% |
| Centene | Commercial|Ambetter Exchange | $8,561.16 | ↑ +170% |
Visitor-reported prices
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Cysto/uretero w/lithotripsy at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Chattanooga | Chattanooga | $4,538.79 | $2,253.30 – $7,511.00 |
| Ascension Saint Thomas Midtown | Nashville | not published | $2,163.04 – $11,003.00 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $1,556.88 – $11,003.00 |
| Ascension Saint Thomas Highlands | Sparta | not published | $1,556.88 – $11,003.00 |
| Ascension Saint Thomas River Park | McMinnville | not published | $1,556.88 – $11,003.00 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $2,306.90 – $11,003.00 |
| Ascension Saint Thomas Hickman | Centerville | not published | $3,006.00 – $11,003.00 |