Bupivacaine 0.1 % epidural pca - 1 hour dose limit at NORTHCREST MEDICAL CENTER

100 NORTHCREST DRIVE, SPRINGFIELD, TN · Tristarhealth · · NPI 1093397184

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

not published by hospital

Cash price

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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

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.01 with Cigna vs $27.77 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 →

Payer
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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
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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
Cigna NewBusiness $0.01
Cigna OAP $0.01
United CorePayer $0.03
United AllPayerAppendix $0.03
United HeritageSelect $0.03
Molina MCD $2.37
Aetna MGMCRSNP $5.08
Aetna MGMCRPPO $5.08
Aetna MGMCRHMO $5.08
United OptionsPPO $7.49
BCBS NetworkP $8.47
Cigna PPO $9.92
United GlobalBenefitPlan $15.24
City of Springfield COMM $22.02
Multiplan ComplementaryNetwork $26.42
Multiplan PrimaryNetwork $27.77

Visitor-reported prices

visitor-reported
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Bupivacaine 0.1 % epidural pca - 1 hour dose limit at other Tennessee hospitals

Hospital City Cash price Negotiated range
CHI Memorial Hospital Hixson Hixson $20.96 $0.05 – $0.18
CHI Memorial Hospital Chattanooga Chattanooga $29.96 $0.06 – $0.18
Johnson City Medical Center JOHNSON CITY $5.76 $0.01 – $0.01
Greeneville Community Hospital GREENEVILLE $5.76 $11.79 – $11.79
Bristol Regional Medical Center BRISTOL $5.77 $0.01 – $0.01
Franklin Woods Community Hospital JOHNSON CITY $11.98 $0.01 – $0.01
Holston Valley Medical Center KINGSPORT $11.98 $0.01 – $0.01
Indian Path Community Hospital KINGSPORT $11.08 $0.01 – $0.01

All Tennessee hospitals for this procedure →