Manipulation chest wall demonstration/evaluation subsequent at NORTHCREST MEDICAL CENTER
100 NORTHCREST DRIVE, SPRINGFIELD, TN · Tristarhealth · · NPI 1093397184
$637.84
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.
$637.84
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.
$44.65 with Molina vs $523.03 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 |
|---|---|---|---|
| Molina | MCD | $44.65 | ↓ -93% |
| BCBS | NetworkP | $72.79 | ↓ -89% |
| Bright Health | HIX | $95.68 | ↓ -85% |
| Oscar | HIX | $100.14 | ↓ -84% |
| NHC Advantage, Inc. | MCRHMO | $121.19 | ↓ -81% |
| Ambetter | CORE | $123.10 | ↓ -81% |
| Ambetter | Select | $127.57 | ↓ -80% |
| Bright Health | SmallGroup | $133.95 | ↓ -79% |
| United | OptionsPPO | $140.96 | ↓ -78% |
| Aetna | NewBusiness | $153.08 | ↓ -76% |
| Cigna | NewBusiness | $160.74 | ↓ -75% |
| Aetna | COMM | $178.60 | ↓ -72% |
| Cigna | OAP | $182.42 | ↓ -71% |
| Cigna | PPO | $186.89 | ↓ -71% |
| United | GlobalBenefitPlan | $287.03 | ↓ -55% |
| Aetna | NAP | $318.92 | ↓ -50% |
| City of Springfield | COMM | $414.60 | ↓ -35% |
| Multiplan | ComplementaryNetwork | $497.52 | ↓ -22% |
| Multiplan | PrimaryNetwork | $523.03 | ↓ -18% |
Visitor-reported prices
Comments
Manipulation chest wall demonstration/evaluation subsequent at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $72.00 | $10.69 – $172.83 |
| CHI Memorial Hospital Hixson | Hixson | $57.72 | $15.91 – $189.52 |
| 62-1166050 BMH Carroll County | Huntingdon | $37.49 | $10.69 – $235.40 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $82.49 | $15.91 – $189.52 |
| Johnson City Medical Center | JOHNSON CITY | $28.95 | $12.40 – $270.65 |
| Ascension Saint Thomas DeKalb | Smithville | $75.56 | $10.69 – $170.34 |
| Ascension Saint Thomas Highlands | Sparta | $75.56 | $10.69 – $170.34 |
| Ascension Saint Thomas River Park | McMinnville | $72.00 | $14.86 – $170.34 |