Infectious agent nucleic acid quantification bk virus at NORTHCREST MEDICAL CENTER
100 NORTHCREST DRIVE, SPRINGFIELD, TN · Tristarhealth · · NPI 1093397184
$543.36
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.
$543.36
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.
$19.28 with Wellpoint vs $445.56 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 | $19.28 | ↓ -96% |
| Aetna | NewBusiness | $34.06 | ↓ -94% |
| Aetna | COMM | $34.06 | ↓ -94% |
| Devoted Health Plan | MCR | $42.84 | ↓ -92% |
| Healthspring | MCRPPO | $42.84 | ↓ -92% |
| Humana | ChoicecareMGMCR | $42.84 | ↓ -92% |
| Healthspring | MCRPOS | $42.84 | ↓ -92% |
| Healthspring | MCRHMO | $42.84 | ↓ -92% |
| Healthspring | DualEligible | $42.84 | ↓ -92% |
| Bright Health | HIX | $42.84 | ↓ -92% |
| Wellcare | MCR | $42.84 | ↓ -92% |
| Alive Hospice | MCR | $42.84 | ↓ -92% |
| Molina | MCD | $42.84 | ↓ -92% |
| United | AllPayerAppendix | $42.84 | ↓ -92% |
| United | CorePayer | $42.84 | ↓ -92% |
| United | HeritageSelect | $42.84 | ↓ -92% |
| United | MASNP | $42.84 | ↓ -92% |
| Amerigroup | MGMCR | $42.84 | ↓ -92% |
| Bright Health | SmallGroup | $42.84 | ↓ -92% |
| Aetna | MGMCRPPO | $43.27 | ↓ -92% |
| Aetna | MGMCRSNP | $43.27 | ↓ -92% |
| Aetna | MGMCRHMO | $43.27 | ↓ -92% |
| United | MGMCR | $43.70 | ↓ -92% |
| Zing | MGMCR | $44.13 | ↓ -92% |
| Ambetter | Select | $44.55 | ↓ -92% |
| BCBS | MCR | $44.55 | ↓ -92% |
| American Health Advantage | MCRPPO | $44.98 | ↓ -92% |
| American Health Advantage | MCRPOS | $44.98 | ↓ -92% |
| American Health Advantage | MCRHMO | $44.98 | ↓ -92% |
| Evergreen HMO | MCR | $44.98 | ↓ -92% |
| American Health Advantage | MCRPFFS | $44.98 | ↓ -92% |
| American Health Advantage | MCRSNP | $44.98 | ↓ -92% |
| Ambetter | CORE | $46.27 | ↓ -91% |
| ATRIO Golden Times | MCR | $47.12 | ↓ -91% |
| Bright Health | MCRNarrow | $49.27 | ↓ -91% |
| Wellcare | MGMCD | $56.55 | ↓ -90% |
| Wellcare | CHIP | $56.55 | ↓ -90% |
| BCBS | NetworkP | $58.44 | ↓ -89% |
| Prime Health | WORKERSCOMP | $61.69 | ↓ -89% |
| NovaNET | WORKERSCOMP | $62.97 | ↓ -88% |
| Cigna | NewBusiness | $76.14 | ↓ -86% |
| Cigna | OAP | $86.47 | ↓ -84% |
| NHC Advantage, Inc. | MCRHMO | $103.24 | ↓ -81% |
| United | OptionsPPO | $120.08 | ↓ -78% |
| Oscar | HIX | $128.52 | ↓ -76% |
| Cigna | PPO | $159.20 | ↓ -71% |
| Humana | NarrowExchangeNetwork | $171.36 | ↓ -68% |
| Humana | HumanaChoiceCare | $171.36 | ↓ -68% |
| Humana | HumanaChoice | $171.36 | ↓ -68% |
| Humana | BroadNetwork | $171.36 | ↓ -68% |
| United | GlobalBenefitPlan | $244.51 | ↓ -55% |
| Aetna | NAP | $271.68 | ↓ -50% |
| City of Springfield | COMM | $353.18 | ↓ -35% |
| Multiplan | ComplementaryNetwork | $423.82 | ↓ -22% |
| Multiplan | PrimaryNetwork | $445.56 | ↓ -18% |
Visitor-reported prices
Comments
Infectious agent nucleic acid quantification bk virus at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $320.00 | $15.42 – $165.93 |
| CHI Memorial Hospital Hixson | Hixson | $79.63 | $38.05 – $188.30 |
| 62-1166050 BMH Carroll County | Huntingdon | $242.88 | $37.27 – $85.68 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $113.79 | $38.05 – $188.30 |
| Johnson City Medical Center | JOHNSON CITY | $75.15 | $21.42 – $93.39 |
| Ascension Saint Thomas DeKalb | Smithville | $320.00 | $30.04 – $165.93 |
| Ascension Saint Thomas Highlands | Sparta | $320.00 | $30.04 – $165.93 |
| Ascension Saint Thomas River Park | McMinnville | $320.00 | $30.04 – $165.93 |