Ihc/icc per specimen initial single antibody stain at NORTHCREST MEDICAL CENTER
100 NORTHCREST DRIVE, SPRINGFIELD, TN · Tristarhealth · · NPI 1093397184
$773.00
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.
$773.00
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.
$42.78 with BCBS vs $633.86 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 |
|---|---|---|---|
| BCBS | NetworkP | $42.78 | ↓ -94% |
| Molina | MCD | $71.97 | ↓ -91% |
| Aetna | COMM | $77.09 | ↓ -90% |
| Aetna | NewBusiness | $77.09 | ↓ -90% |
| Bright Health | HIX | $115.95 | ↓ -85% |
| Oscar | HIX | $121.36 | ↓ -84% |
| Humana | BroadNetwork | $133.40 | ↓ -83% |
| Humana | HumanaChoice | $133.40 | ↓ -83% |
| Humana | HumanaChoiceCare | $133.40 | ↓ -83% |
| Humana | NarrowExchangeNetwork | $133.40 | ↓ -83% |
| Cigna | NewBusiness | $135.88 | ↓ -82% |
| NHC Advantage, Inc. | MCRHMO | $146.87 | ↓ -81% |
| United | HeritageSelect | $149.16 | ↓ -81% |
| United | CorePayer | $149.16 | ↓ -81% |
| United | AllPayerAppendix | $149.16 | ↓ -81% |
| Ambetter | CORE | $149.19 | ↓ -81% |
| Cigna | OAP | $154.31 | ↓ -80% |
| Ambetter | Select | $154.60 | ↓ -80% |
| Bright Health | SmallGroup | $162.33 | ↓ -79% |
| United | OptionsPPO | $170.83 | ↓ -78% |
| Cigna | PPO | $226.49 | ↓ -71% |
| United | GlobalBenefitPlan | $347.85 | ↓ -55% |
| Aetna | NAP | $386.50 | ↓ -50% |
| City of Springfield | COMM | $502.45 | ↓ -35% |
| Multiplan | ComplementaryNetwork | $602.94 | ↓ -22% |
| Multiplan | PrimaryNetwork | $633.86 | ↓ -18% |
Visitor-reported prices
Comments
Ihc/icc per specimen initial single antibody stain at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $174.12 | $9.00 – $232.05 |
| CHI Memorial Hospital Hixson | Hixson | $207.20 | $13.39 – $490.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $115.23 | $9.00 – $312.94 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $296.10 | $13.39 – $490.00 |
| Johnson City Medical Center | JOHNSON CITY | $54.90 | $26.61 – $346.58 |
| Ascension Saint Thomas DeKalb | Smithville | $174.12 | $9.00 – $232.05 |
| Ascension Saint Thomas Highlands | Sparta | $174.12 | $9.00 – $232.05 |
| Ascension Saint Thomas River Park | McMinnville | $174.12 | $13.45 – $232.05 |