Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) at NORTHCREST MEDICAL CENTER
100 NORTHCREST DRIVE, SPRINGFIELD, TN · Tristarhealth · · NPI 1093397184
$621.00
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.
$621.00
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.
$1.69 with Cigna vs $509.22 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 |
|---|---|---|---|
| Cigna | NewBusiness | $1.69 | ↓ -100% |
| BCBS | NetworkP | $1.70 | ↓ -100% |
| Cigna | OAP | $1.92 | ↓ -100% |
| United | CorePayer | $5.57 | ↓ -99% |
| United | AllPayerAppendix | $5.57 | ↓ -99% |
| United | HeritageSelect | $5.57 | ↓ -99% |
| Molina | MCD | $43.47 | ↓ -93% |
| Bright Health | HIX | $93.15 | ↓ -85% |
| Aetna | MGMCRHMO | $93.15 | ↓ -85% |
| Aetna | MGMCRPPO | $93.15 | ↓ -85% |
| Aetna | MGMCRSNP | $93.15 | ↓ -85% |
| Oscar | HIX | $97.50 | ↓ -84% |
| NHC Advantage, Inc. | MCRHMO | $117.99 | ↓ -81% |
| Ambetter | CORE | $119.85 | ↓ -81% |
| Ambetter | Select | $124.20 | ↓ -80% |
| Bright Health | SmallGroup | $130.41 | ↓ -79% |
| United | OptionsPPO | $137.24 | ↓ -78% |
| Cigna | PPO | $181.95 | ↓ -71% |
| United | GlobalBenefitPlan | $279.45 | ↓ -55% |
| City of Springfield | COMM | $403.65 | ↓ -35% |
| Multiplan | ComplementaryNetwork | $484.38 | ↓ -22% |
| Multiplan | PrimaryNetwork | $509.22 | ↓ -18% |
Visitor-reported prices
Comments
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $198.95 | $0.84 – $102.79 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $284.31 | $0.84 – $102.79 |
| Johnson City Medical Center | JOHNSON CITY | $139.55 | $0.34 – $2.55 |
| Hancock County Hospital | SNEEDVILLE | $122.40 | $0.19 – $2.55 |
| Greeneville Community Hospital | GREENEVILLE | $139.55 | $0.14 – $2.55 |
| Bristol Regional Medical Center | BRISTOL | $139.55 | $0.23 – $3.02 |
| Franklin Woods Community Hospital | JOHNSON CITY | $139.55 | $0.34 – $2.55 |
| Holston Valley Medical Center | KINGSPORT | $139.55 | $0.23 – $2.55 |