Allograft dermis 20x25x1mm decell w/matracell arthroflex at NORTHCREST MEDICAL CENTER
100 NORTHCREST DRIVE, SPRINGFIELD, TN · Tristarhealth · · NPI 1093397184
not published by hospital
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.
not published by hospital
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.
$286.65 with Molina vs $3,357.90 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 |
|---|---|---|---|
| Molina | MCD | $286.65 | — |
| United | AllPayerAppendix | $336.92 | — |
| United | CorePayer | $336.92 | — |
| United | HeritageSelect | $336.92 | — |
| Aetna | MGMCRHMO | $614.25 | — |
| Aetna | MGMCRPPO | $614.25 | — |
| Aetna | MGMCRSNP | $614.25 | — |
| United | OptionsPPO | $905.00 | — |
| Cigna | PPO | $1,199.84 | — |
| United | GlobalBenefitPlan | $1,842.75 | — |
| Aetna | NAP | $2,047.50 | — |
| City of Springfield | COMM | $2,661.75 | — |
| Multiplan | ComplementaryNetwork | $3,194.10 | — |
| Multiplan | PrimaryNetwork | $3,357.90 | — |
Visitor-reported prices
Comments
Allograft dermis 20x25x1mm decell w/matracell arthroflex at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | $5,325.00 | $112.91 – $5,895.00 |
| Roane County Medical Center | Harriman | $5,857.50 | $112.91 – $11,677.50 |
| LeConte Medical Center | Sevierville | $5,147.50 | $120.92 – $15,975.00 |
| Fort Sanders Regional Medical Center | Knoxville | $6,849.15 | $112.91 – $4,702.50 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $5,857.50 | $112.91 – $7,229.25 |
| Cumberland Medical Center, Inc. | Crossville | $5,680.00 | $120.92 – $7,229.25 |
| Morristown-Hamblen Hospital Association | Morristown | $5,293.50 | $112.91 – $4,702.50 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $336.92 – $336.92 |