Fragmenting of kidney stone at CHI Memorial Hospital Hixson
2051 Hamill Road, Hixson, TN · CommonSpirit Health · · NPI 1083778633
$5,916.75
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.
$19,989.00
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.
$167.00 with BCBS - TN vs $13,992.30 with Multiplan — 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 |
|---|---|---|---|
| BCBS - TN | Commercial|Network S | $167.00 | ↓ -97% |
| BCBS - TN | Commercial|Network P | $217.00 | ↓ -96% |
| BCBS - ND | Medicare|All Plans | $3,213.10 | ↓ -46% |
| Cigna | Medicare|Healthspring | $3,244.00 | ↓ -45% |
| Humana | Medicare|HMO | $3,274.89 | ↓ -45% |
| Amerigroup | Medicare|All Plans | $3,305.79 | ↓ -44% |
| Humana | Medicare|PPO | $3,398.47 | ↓ -43% |
| Humana | Medicare|All Other Plans | $3,398.47 | ↓ -43% |
| Peach State | Medicaid|All Plans | $3,997.80 | ↓ -32% |
| BCBS - TN | Medicaid|BlueCare | $4,833.67 | ↓ -18% |
| Employers Health Network | Commercial|All Plans | $5,237.66 | ↓ -11% |
| Centene | Commercial|Ambetter Exchange | $5,808.30 | ↓ -2% |
| United | Commercial|Non-Options | $6,296.00 | ↑ +6% |
| United | Commercial|Options | $6,296.00 | ↑ +6% |
| Cigna | Commercial|LocalPlus | $6,585.00 | ↑ +11% |
| United | Medicaid|TennCare | $7,431.00 | ↑ +26% |
| Cigna | Commercial|Open Access | $7,650.00 | ↑ +29% |
| Alliant Health | Commercial|All Plans | $8,025.00 | ↑ +36% |
| Aetna | Commercial|Gatekeeper | $9,870.00 | ↑ +67% |
| Aetna | Commercial|Non-Gatekeeper | $9,870.00 | ↑ +67% |
| Health One Alliance | Commercial|All Plans | $12,391.00 | ↑ +109% |
| Humana | Commercial|All Plans | $12,869.00 | ↑ +118% |
| Multiplan | Commercial|All Plans | $13,992.30 | ↑ +136% |
Visitor-reported prices
Comments
Fragmenting of kidney stone at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $9,885.59 | $3,613.00 – $11,003.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $8,455.35 | $4,197.69 – $13,992.30 |
| Ascension Saint Thomas DeKalb | Smithville | $9,885.59 | $1,556.88 – $11,003.00 |
| Ascension Saint Thomas Highlands | Sparta | $9,885.59 | $1,556.88 – $11,003.00 |
| Ascension Saint Thomas River Park | McMinnville | $9,885.59 | $1,556.88 – $11,003.00 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $9,885.59 | $3,613.00 – $11,003.00 |
| Ascension Saint Thomas Hickman | Centerville | not published | $3,613.00 – $11,003.00 |