ER Visit (level 1, minor) at CHI Memorial Hospital Hixson
2051 Hamill Road, Hixson, TN · CommonSpirit Health · · NPI 1083778633
$166.06
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.
$561.00
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.
$50.00 with Amerigroup vs $1,222.00 with Humana — 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 |
|---|---|---|---|
| Amerigroup | Medicaid|All Plans | $50.00 | ↓ -70% |
| BCBS - TN | Medicaid|BlueCare | $50.35 | ↓ -70% |
| BCBS - ND | Medicare|All Plans | $82.02 | ↓ -51% |
| Cigna | Medicare|Healthspring | $82.81 | ↓ -50% |
| Humana | Medicare|HMO | $83.60 | ↓ -50% |
| Amerigroup | Medicare|All Plans | $84.39 | ↓ -49% |
| Humana | Medicare|PPO | $86.76 | ↓ -48% |
| Humana | Medicare|All Other Plans | $86.76 | ↓ -48% |
| United | Medicaid|TennCare | $98.00 | ↓ -41% |
| Peach State | Medicaid|All Plans | $112.20 | ↓ -32% |
| Centene | Commercial|Ambetter Exchange | $148.28 | ↓ -11% |
| Health One Alliance | Commercial|All Plans | $179.00 | ↑ +8% |
| Multiplan | Commercial|All Plans | $237.00 | ↑ +43% |
| Cigna | Commercial|LocalPlus | $276.00 | ↑ +66% |
| Employers Health Network | Commercial|All Plans | $283.00 | ↑ +70% |
| Cigna | Commercial|Open Access | $308.00 | ↑ +85% |
| Aetna | Commercial|Gatekeeper | $364.65 | ↑ +120% |
| BCBS - TN | Commercial|Network S | $389.00 | ↑ +134% |
| Aetna | Commercial|Non-Gatekeeper | $420.75 | ↑ +153% |
| BCBS - TN | Commercial|Network P | $502.00 | ↑ +202% |
| Alliant Health | Commercial|All Plans | $659.00 | ↑ +297% |
| United | Commercial|Non-Options | $716.00 | ↑ +331% |
| United | Commercial|Options | $716.00 | ↑ +331% |
| Humana | Commercial|All Plans | $1,222.00 | ↑ +636% |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $207.68 | $19.26 – $1,386.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $237.31 | $50.35 – $1,222.00 |
| Ascension Saint Thomas DeKalb | Smithville | $207.69 | $19.26 – $1,224.00 |
| Ascension Saint Thomas Highlands | Sparta | $207.69 | $19.26 – $1,224.00 |
| Ascension Saint Thomas River Park | McMinnville | $207.68 | $19.26 – $1,224.00 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $207.68 | $19.26 – $1,224.00 |
| Ascension Saint Thomas Hickman | Centerville | not published | $19.26 – $1,243.00 |