Cdna analysis for variants 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$83.34 with Wellpoint vs $740.80 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Wellpoint | MGMCD | $83.34 | — |
| Aetna | NewBusiness | $147.23 | — |
| Aetna | COMM | $147.23 | — |
| Humana | ChoicecareMGMCR | $185.20 | — |
| Alive Hospice | MCR | $185.20 | — |
| Wellcare | MCR | $185.20 | — |
| Devoted Health Plan | MCR | $185.20 | — |
| Molina | MCD | $185.20 | — |
| United | AllPayerAppendix | $185.20 | — |
| United | CorePayer | $185.20 | — |
| United | HeritageSelect | $185.20 | — |
| United | MASNP | $185.20 | — |
| Amerigroup | MGMCR | $185.20 | — |
| Bright Health | HIX | $185.20 | — |
| Bright Health | SmallGroup | $185.20 | — |
| Healthspring | DualEligible | $185.20 | — |
| Healthspring | MCRHMO | $185.20 | — |
| Healthspring | MCRPOS | $185.20 | — |
| Healthspring | MCRPPO | $185.20 | — |
| Aetna | MGMCRPPO | $187.05 | — |
| Aetna | MGMCRHMO | $187.05 | — |
| Aetna | MGMCRSNP | $187.05 | — |
| United | MGMCR | $188.90 | — |
| Zing | MGMCR | $190.76 | — |
| Ambetter | Select | $192.61 | — |
| BCBS | MCR | $192.61 | — |
| American Health Advantage | MCRSNP | $194.46 | — |
| American Health Advantage | MCRPFFS | $194.46 | — |
| Evergreen HMO | MCR | $194.46 | — |
| American Health Advantage | MCRHMO | $194.46 | — |
| American Health Advantage | MCRPOS | $194.46 | — |
| American Health Advantage | MCRPPO | $194.46 | — |
| Ambetter | CORE | $200.01 | — |
| ATRIO Golden Times | MCR | $203.72 | — |
| Bright Health | MCRNarrow | $212.98 | — |
| BCBS | NetworkP | $235.00 | — |
| Wellcare | MGMCD | $244.46 | — |
| Wellcare | CHIP | $244.46 | — |
| Prime Health | WORKERSCOMP | $266.69 | — |
| NovaNET | WORKERSCOMP | $272.24 | — |
| Cigna | NewBusiness | $330.48 | — |
| Cigna | OAP | $375.32 | — |
| Oscar | HIX | $555.60 | — |
| Humana | HumanaChoiceCare | $740.80 | — |
| Humana | HumanaChoice | $740.80 | — |
| Humana | BroadNetwork | $740.80 | — |
| Humana | NarrowExchangeNetwork | $740.80 | — |
Visitor-reported prices
Comments
Cdna analysis for variants at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $175.24 | $120.89 – $414.40 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $250.42 | $120.89 – $414.40 |
| Johnson City Medical Center | JOHNSON CITY | $210.30 | $92.60 – $403.74 |
| Hancock County Hospital | SNEEDVILLE | $206.31 | $92.60 – $408.53 |
| Greeneville Community Hospital | GREENEVILLE | $210.30 | $66.67 – $403.74 |
| Bristol Regional Medical Center | BRISTOL | $210.30 | $92.60 – $444.48 |
| Franklin Woods Community Hospital | JOHNSON CITY | $210.30 | $92.60 – $403.74 |
| Holston Valley Medical Center | KINGSPORT | $210.30 | $92.60 – $444.48 |