Hrdtry brst ca-rlatd do 5+ 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.
$305.57 with Wellpoint vs $3,911.85 with Oscar — 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 | $305.57 | — |
| Aetna | NewBusiness | $539.85 | — |
| Aetna | COMM | $539.85 | — |
| Bright Health | HIX | $679.05 | — |
| United | HeritageSelect | $679.05 | — |
| United | AllPayerAppendix | $679.05 | — |
| Bright Health | SmallGroup | $679.05 | — |
| United | CorePayer | $679.05 | — |
| BCBS | NetworkP | $931.48 | — |
| Alive Hospice | MCR | $1,303.95 | — |
| Wellcare | MCR | $1,303.95 | — |
| Devoted Health Plan | MCR | $1,303.95 | — |
| Humana | ChoicecareMGMCR | $1,303.95 | — |
| Molina | MCD | $1,303.95 | — |
| United | MASNP | $1,303.95 | — |
| Amerigroup | MGMCR | $1,303.95 | — |
| Healthspring | DualEligible | $1,303.95 | — |
| Healthspring | MCRHMO | $1,303.95 | — |
| Healthspring | MCRPOS | $1,303.95 | — |
| Healthspring | MCRPPO | $1,303.95 | — |
| Aetna | MGMCRPPO | $1,316.99 | — |
| Aetna | MGMCRSNP | $1,316.99 | — |
| Aetna | MGMCRHMO | $1,316.99 | — |
| United | MGMCR | $1,330.03 | — |
| Zing | MGMCR | $1,343.07 | — |
| Ambetter | Select | $1,356.11 | — |
| BCBS | MCR | $1,356.11 | — |
| American Health Advantage | MCRSNP | $1,369.15 | — |
| Evergreen HMO | MCR | $1,369.15 | — |
| American Health Advantage | MCRHMO | $1,369.15 | — |
| American Health Advantage | MCRPOS | $1,369.15 | — |
| American Health Advantage | MCRPPO | $1,369.15 | — |
| American Health Advantage | MCRPFFS | $1,369.15 | — |
| Ambetter | CORE | $1,408.26 | — |
| ATRIO Golden Times | MCR | $1,434.35 | — |
| Bright Health | MCRNarrow | $1,499.54 | — |
| Wellcare | MGMCD | $1,721.21 | — |
| Wellcare | CHIP | $1,721.21 | — |
| Prime Health | WORKERSCOMP | $1,877.69 | — |
| NovaNET | WORKERSCOMP | $1,916.81 | — |
| Cigna | NewBusiness | $2,324.88 | — |
| Cigna | OAP | $2,640.31 | — |
| Humana | HumanaChoice | $2,716.20 | — |
| Humana | HumanaChoiceCare | $2,716.20 | — |
| Humana | BroadNetwork | $2,716.20 | — |
| Humana | NarrowExchangeNetwork | $2,716.20 | — |
| Oscar | HIX | $3,911.85 | — |
Visitor-reported prices
Comments
Hrdtry brst ca-rlatd do 5+ at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $732.00 | $651.98 – $2,842.61 |
| Hancock County Hospital | SNEEDVILLE | $718.29 | $465.74 – $1,496.97 |
| Greeneville Community Hospital | GREENEVILLE | $732.00 | $335.33 – $2,842.61 |
| Bristol Regional Medical Center | BRISTOL | $732.00 | $558.89 – $3,129.48 |
| Franklin Woods Community Hospital | JOHNSON CITY | $732.00 | $651.98 – $2,842.61 |
| Holston Valley Medical Center | KINGSPORT | $732.00 | $558.89 – $3,129.48 |
| Indian Path Community Hospital | KINGSPORT | $732.00 | $651.98 – $3,129.48 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $732.00 | $465.74 – $2,842.61 |