Knee MRI (with contrast) 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.
$304.48 with Humana vs $5,330.70 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 |
|---|---|---|---|
| Humana | NarrowExchangeNetwork | $304.48 | — |
| Humana | HumanaChoice | $304.48 | — |
| Humana | HumanaChoiceCare | $304.48 | — |
| Humana | BroadNetwork | $304.48 | — |
| Molina | MCD | $455.06 | — |
| Aetna | NewBusiness | $891.81 | — |
| Aetna | COMM | $891.81 | — |
| United | CorePayer | $920.54 | — |
| United | HeritageSelect | $920.54 | — |
| United | AllPayerAppendix | $920.54 | — |
| NHC Advantage, Inc. | MCRHMO | $1,235.16 | — |
| United | OptionsPPO | $1,436.69 | — |
| Cigna | PPO | $1,904.75 | — |
| United | GlobalBenefitPlan | $2,925.38 | — |
| Aetna | NAP | $3,250.43 | — |
| City of Springfield | COMM | $4,225.55 | — |
| Multiplan | ComplementaryNetwork | $5,070.66 | — |
| Multiplan | PrimaryNetwork | $5,330.70 | — |
Visitor-reported prices
Comments
Knee MRI (with contrast) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $846.02 | $334.65 – $1,118.25 |
| CHI Memorial Hospital Hixson | Hixson | $1,445.08 | $278.75 – $3,417.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $1,073.87 | $380.11 – $1,442.84 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,065.09 | $278.75 – $3,417.40 |
| Johnson City Medical Center | JOHNSON CITY | $636.75 | $392.26 – $1,594.69 |
| Ascension Saint Thomas DeKalb | Smithville | $1,207.62 | $215.74 – $1,118.25 |
| Ascension Saint Thomas Highlands | Sparta | $1,207.62 | $215.74 – $1,118.25 |
| Ascension Saint Thomas River Park | McMinnville | $1,150.11 | $215.74 – $1,118.25 |