Vaccine pneumococcal conjugate 13 valent (pcv13) im at CHI Memorial Hospital Hixson
2051 Hamill Road, Hixson, TN · CommonSpirit Health · · NPI 1083778633
$244.91
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.
$827.39
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.
$107.77 with United vs $562.66 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 | $107.77 | ↓ -56% |
| BCBS - ND | Medicare|All Plans | $142.12 | ↓ -42% |
| Cigna | Medicare|Healthspring | $143.48 | ↓ -41% |
| Humana | Medicare|HMO | $144.85 | ↓ -41% |
| Amerigroup | Medicare|All Plans | $146.22 | ↓ -40% |
| Humana | Medicare|All Other Plans | $150.32 | ↓ -39% |
| Humana | Medicare|PPO | $150.32 | ↓ -39% |
| Peach State | Medicaid|All Plans | $160.76 | ↓ -34% |
| Centene | Commercial|Ambetter Exchange | $256.90 | ↑ +5% |
| HSTechnology | Commercial|All Plans | $259.63 | ↑ +6% |
| Cigna | Commercial|Open Access | $286.57 | ↑ +17% |
| Cigna | Commercial|LocalPlus | $286.57 | ↑ +17% |
| United | Commercial|Options | $314.75 | ↑ +29% |
| United | Commercial|Non-Options | $314.75 | ↑ +29% |
| BCBS - TN | Medicaid|BlueCare | $344.65 | ↑ +41% |
| Employers Health Network | Commercial|All Plans | $361.71 | ↑ +48% |
| Multiplan | Commercial|All Plans | $482.28 | ↑ +97% |
| Alliant Health | Commercial|All Plans | $514.44 | ↑ +110% |
| Humana | Commercial|All Plans | $562.66 | ↑ +130% |
| Aetna | Commercial|Gatekeeper | $562.66 | ↑ +130% |
| Aetna | Commercial|Non-Gatekeeper | $562.66 | ↑ +130% |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Chattanooga | Chattanooga | $349.99 | $107.77 – $562.66 |
| Ascension Saint Thomas Midtown | Nashville | not published | $158.43 – $390.54 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $64.64 – $390.54 |
| Ascension Saint Thomas Highlands | Sparta | not published | $64.64 – $390.54 |
| Ascension Saint Thomas River Park | McMinnville | not published | $64.64 – $390.54 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $207.19 – $390.54 |
| Ascension Saint Thomas Hickman | Centerville | not published | $207.19 – $390.54 |