Cytogenetics 25-99 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.
$19.07 with Wellpoint vs $169.52 with Humana — 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $19.07 | — |
| Aetna | NewBusiness | $33.70 | — |
| Aetna | COMM | $33.70 | — |
| Humana | ChoicecareMGMCR | $42.38 | — |
| Alive Hospice | MCR | $42.38 | — |
| Wellcare | MCR | $42.38 | — |
| Devoted Health Plan | MCR | $42.38 | — |
| Molina | MCD | $42.38 | — |
| United | AllPayerAppendix | $42.38 | — |
| United | CorePayer | $42.38 | — |
| United | HeritageSelect | $42.38 | — |
| United | MASNP | $42.38 | — |
| Amerigroup | MGMCR | $42.38 | — |
| Bright Health | HIX | $42.38 | — |
| Bright Health | SmallGroup | $42.38 | — |
| Healthspring | DualEligible | $42.38 | — |
| Healthspring | MCRHMO | $42.38 | — |
| Healthspring | MCRPOS | $42.38 | — |
| Healthspring | MCRPPO | $42.38 | — |
| Aetna | MGMCRPPO | $42.80 | — |
| Aetna | MGMCRHMO | $42.80 | — |
| Aetna | MGMCRSNP | $42.80 | — |
| United | MGMCR | $43.23 | — |
| Zing | MGMCR | $43.65 | — |
| Ambetter | Select | $44.08 | — |
| BCBS | MCR | $44.08 | — |
| American Health Advantage | MCRSNP | $44.50 | — |
| American Health Advantage | MCRPFFS | $44.50 | — |
| Evergreen HMO | MCR | $44.50 | — |
| American Health Advantage | MCRHMO | $44.50 | — |
| American Health Advantage | MCRPOS | $44.50 | — |
| American Health Advantage | MCRPPO | $44.50 | — |
| Ambetter | CORE | $45.77 | — |
| ATRIO Golden Times | MCR | $46.62 | — |
| BCBS | NetworkP | $47.49 | — |
| Bright Health | MCRNarrow | $48.74 | — |
| Wellcare | MGMCD | $55.94 | — |
| Wellcare | CHIP | $55.94 | — |
| Prime Health | WORKERSCOMP | $61.03 | — |
| NovaNET | WORKERSCOMP | $62.30 | — |
| Cigna | NewBusiness | $75.56 | — |
| Cigna | OAP | $85.81 | — |
| Oscar | HIX | $127.14 | — |
| Humana | HumanaChoiceCare | $169.52 | — |
| Humana | HumanaChoice | $169.52 | — |
| Humana | BroadNetwork | $169.52 | — |
| Humana | NarrowExchangeNetwork | $169.52 | — |
Visitor-reported prices
Comments
Cytogenetics 25-99 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $33.12 | $24.66 – $93.11 |
| Greeneville Community Hospital | GREENEVILLE | $33.60 | $17.75 – $92.39 |
| Bristol Regional Medical Center | BRISTOL | $33.60 | $21.19 – $101.71 |
| Holston Valley Medical Center | KINGSPORT | $33.60 | $21.19 – $101.71 |
| 62-1138045 BMH Union City | Union City | $170.60 | $36.87 – $84.76 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $33.60 | $21.19 – $92.39 |
| Fort Sanders Regional Medical Center | Knoxville | $20.79 | $19.07 – $76.71 |
| Ascension Saint Thomas Midtown | Nashville | not published | $15.26 – $134.33 |