H pylori (c-13) breath at NORTHCREST MEDICAL CENTER
100 NORTHCREST DRIVE, SPRINGFIELD, TN · Tristarhealth · · NPI 1093397184
$858.65
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.
$858.65
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.
$30.31 with Wellpoint vs $704.09 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $30.31 | ↓ -96% |
| Aetna | NewBusiness | $53.55 | ↓ -94% |
| Aetna | COMM | $53.55 | ↓ -94% |
| Devoted Health Plan | MCR | $67.36 | ↓ -92% |
| Healthspring | MCRPPO | $67.36 | ↓ -92% |
| Humana | ChoicecareMGMCR | $67.36 | ↓ -92% |
| Healthspring | MCRPOS | $67.36 | ↓ -92% |
| Healthspring | MCRHMO | $67.36 | ↓ -92% |
| Healthspring | DualEligible | $67.36 | ↓ -92% |
| Bright Health | HIX | $67.36 | ↓ -92% |
| Wellcare | MCR | $67.36 | ↓ -92% |
| Alive Hospice | MCR | $67.36 | ↓ -92% |
| Molina | MCD | $67.36 | ↓ -92% |
| United | AllPayerAppendix | $67.36 | ↓ -92% |
| United | CorePayer | $67.36 | ↓ -92% |
| United | HeritageSelect | $67.36 | ↓ -92% |
| United | MASNP | $67.36 | ↓ -92% |
| Amerigroup | MGMCR | $67.36 | ↓ -92% |
| Bright Health | SmallGroup | $67.36 | ↓ -92% |
| Aetna | MGMCRPPO | $68.03 | ↓ -92% |
| Aetna | MGMCRSNP | $68.03 | ↓ -92% |
| Aetna | MGMCRHMO | $68.03 | ↓ -92% |
| United | MGMCR | $68.71 | ↓ -92% |
| Zing | MGMCR | $69.38 | ↓ -92% |
| Ambetter | Select | $70.05 | ↓ -92% |
| BCBS | MCR | $70.05 | ↓ -92% |
| American Health Advantage | MCRPPO | $70.73 | ↓ -92% |
| American Health Advantage | MCRPOS | $70.73 | ↓ -92% |
| American Health Advantage | MCRHMO | $70.73 | ↓ -92% |
| Evergreen HMO | MCR | $70.73 | ↓ -92% |
| American Health Advantage | MCRPFFS | $70.73 | ↓ -92% |
| American Health Advantage | MCRSNP | $70.73 | ↓ -92% |
| Ambetter | CORE | $72.75 | ↓ -92% |
| ATRIO Golden Times | MCR | $74.10 | ↓ -91% |
| Bright Health | MCRNarrow | $77.46 | ↓ -91% |
| Wellcare | MGMCD | $88.92 | ↓ -90% |
| Wellcare | CHIP | $88.92 | ↓ -90% |
| BCBS | NetworkP | $91.89 | ↓ -89% |
| Prime Health | WORKERSCOMP | $97.00 | ↓ -89% |
| NovaNET | WORKERSCOMP | $99.02 | ↓ -88% |
| Cigna | NewBusiness | $119.96 | ↓ -86% |
| Cigna | OAP | $136.23 | ↓ -84% |
| NHC Advantage, Inc. | MCRHMO | $163.14 | ↓ -81% |
| United | OptionsPPO | $189.76 | ↓ -78% |
| Oscar | HIX | $202.08 | ↓ -76% |
| Cigna | PPO | $251.58 | ↓ -71% |
| Humana | NarrowExchangeNetwork | $269.44 | ↓ -69% |
| Humana | HumanaChoiceCare | $269.44 | ↓ -69% |
| Humana | HumanaChoice | $269.44 | ↓ -69% |
| Humana | BroadNetwork | $269.44 | ↓ -69% |
| United | GlobalBenefitPlan | $386.39 | ↓ -55% |
| Aetna | NAP | $429.32 | ↓ -50% |
| City of Springfield | COMM | $558.12 | ↓ -35% |
| Multiplan | ComplementaryNetwork | $669.75 | ↓ -22% |
| Multiplan | PrimaryNetwork | $704.09 | ↓ -18% |
Visitor-reported prices
Comments
H pylori (c-13) breath at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $212.25 | $24.25 – $260.76 |
| CHI Memorial Hospital Hixson | Hixson | $56.84 | $59.83 – $161.73 |
| 62-1166050 BMH Carroll County | Huntingdon | $41.86 | $58.60 – $134.72 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $81.22 | $40.32 – $161.73 |
| Johnson City Medical Center | JOHNSON CITY | $117.90 | $33.68 – $146.84 |
| Ascension Saint Thomas DeKalb | Smithville | $212.25 | $47.22 – $260.76 |
| Ascension Saint Thomas Highlands | Sparta | $212.25 | $47.22 – $260.76 |
| Ascension Saint Thomas River Park | McMinnville | $212.25 | $47.22 – $260.76 |