Cytogenomic neo microra alys 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.
$522.00 with Wellpoint vs $4,640.00 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 | $522.00 | — |
| Aetna | NewBusiness | $922.20 | — |
| Aetna | COMM | $922.20 | — |
| Humana | ChoicecareMGMCR | $1,160.00 | — |
| Alive Hospice | MCR | $1,160.00 | — |
| Wellcare | MCR | $1,160.00 | — |
| Devoted Health Plan | MCR | $1,160.00 | — |
| Molina | MCD | $1,160.00 | — |
| United | AllPayerAppendix | $1,160.00 | — |
| United | CorePayer | $1,160.00 | — |
| United | HeritageSelect | $1,160.00 | — |
| United | MASNP | $1,160.00 | — |
| Amerigroup | MGMCR | $1,160.00 | — |
| Bright Health | HIX | $1,160.00 | — |
| Bright Health | SmallGroup | $1,160.00 | — |
| BCBS | NetworkP | $1,160.00 | — |
| Healthspring | DualEligible | $1,160.00 | — |
| Healthspring | MCRHMO | $1,160.00 | — |
| Healthspring | MCRPOS | $1,160.00 | — |
| Healthspring | MCRPPO | $1,160.00 | — |
| Aetna | MGMCRSNP | $1,171.60 | — |
| Aetna | MGMCRPPO | $1,171.60 | — |
| Aetna | MGMCRHMO | $1,171.60 | — |
| United | MGMCR | $1,183.20 | — |
| Zing | MGMCR | $1,194.80 | — |
| Ambetter | Select | $1,206.40 | — |
| BCBS | MCR | $1,206.40 | — |
| American Health Advantage | MCRSNP | $1,218.00 | — |
| American Health Advantage | MCRPFFS | $1,218.00 | — |
| Evergreen HMO | MCR | $1,218.00 | — |
| American Health Advantage | MCRHMO | $1,218.00 | — |
| American Health Advantage | MCRPOS | $1,218.00 | — |
| American Health Advantage | MCRPPO | $1,218.00 | — |
| Ambetter | CORE | $1,252.80 | — |
| ATRIO Golden Times | MCR | $1,276.00 | — |
| Bright Health | MCRNarrow | $1,334.00 | — |
| Wellcare | MGMCD | $1,531.20 | — |
| Wellcare | CHIP | $1,531.20 | — |
| Prime Health | WORKERSCOMP | $1,670.40 | — |
| NovaNET | WORKERSCOMP | $1,705.20 | — |
| Cigna | NewBusiness | $2,068.23 | — |
| Cigna | OAP | $2,348.84 | — |
| Oscar | HIX | $3,480.00 | — |
| Humana | HumanaChoiceCare | $4,640.00 | — |
| Humana | HumanaChoice | $4,640.00 | — |
| Humana | BroadNetwork | $4,640.00 | — |
| Humana | NarrowExchangeNetwork | $4,640.00 | — |
Visitor-reported prices
Comments
Cytogenomic neo microra alys at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $936.56 | $942.43 – $2,320.00 |
| 62-0123940 BMH Collierville | Collierville | $855.12 | $942.43 – $2,320.00 |
| 62-1138045 BMH Union City | Union City | $783.00 | $1,009.20 – $2,320.00 |
| Ascension Saint Thomas Midtown | Nashville | not published | $417.60 – $2,480.66 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $942.43 – $2,480.66 |
| Ascension Saint Thomas Highlands | Sparta | not published | $942.43 – $2,480.66 |
| Ascension Saint Thomas River Park | McMinnville | not published | $1,044.00 – $2,480.66 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $942.43 – $2,480.66 |