Ot evaluation low complexity patient/family at NORTHCREST MEDICAL CENTER
100 NORTHCREST DRIVE, SPRINGFIELD, TN · Tristarhealth · · NPI 1093397184
$823.81
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.
$823.81
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.
$57.67 with Molina vs $675.52 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 | $57.67 | ↓ -93% |
| Wellcare | MCR | $84.43 | ↓ -90% |
| Alive Hospice | MCR | $84.43 | ↓ -90% |
| Devoted Health Plan | MCR | $84.43 | ↓ -90% |
| Humana | ChoicecareMGMCR | $84.43 | ↓ -90% |
| Healthspring | MCRPPO | $84.43 | ↓ -90% |
| Healthspring | MCRPOS | $84.43 | ↓ -90% |
| Healthspring | MCRHMO | $84.43 | ↓ -90% |
| Healthspring | DualEligible | $84.43 | ↓ -90% |
| Wellpoint | MGMCD | $84.43 | ↓ -90% |
| United | MASNP | $84.43 | ↓ -90% |
| Amerigroup | MGMCR | $84.43 | ↓ -90% |
| Aetna | MGMCRHMO | $85.27 | ↓ -90% |
| Aetna | MGMCRPPO | $85.27 | ↓ -90% |
| Aetna | MGMCRSNP | $85.27 | ↓ -90% |
| United | MGMCR | $86.12 | ↓ -90% |
| Zing | MGMCR | $86.96 | ↓ -89% |
| BCBS | MCR | $87.80 | ↓ -89% |
| American Health Advantage | MCRPOS | $88.65 | ↓ -89% |
| American Health Advantage | MCRHMO | $88.65 | ↓ -89% |
| Evergreen HMO | MCR | $88.65 | ↓ -89% |
| American Health Advantage | MCRPFFS | $88.65 | ↓ -89% |
| American Health Advantage | MCRSNP | $88.65 | ↓ -89% |
| American Health Advantage | MCRPPO | $88.65 | ↓ -89% |
| ATRIO Golden Times | MCR | $92.87 | ↓ -89% |
| Bright Health | MCRNarrow | $97.09 | ↓ -88% |
| Wellcare | MGMCD | $111.44 | ↓ -86% |
| Wellcare | CHIP | $111.44 | ↓ -86% |
| Prime Health | WORKERSCOMP | $121.57 | ↓ -85% |
| Bright Health | HIX | $123.57 | ↓ -85% |
| NovaNET | WORKERSCOMP | $124.11 | ↓ -85% |
| Oscar | HIX | $129.34 | ↓ -84% |
| NHC Advantage, Inc. | MCRHMO | $156.52 | ↓ -81% |
| Ambetter | CORE | $159.00 | ↓ -81% |
| Ambetter | Select | $164.76 | ↓ -80% |
| Bright Health | SmallGroup | $173.00 | ↓ -79% |
| United | OptionsPPO | $182.06 | ↓ -78% |
| BCBS | NetworkP | $206.79 | ↓ -75% |
| Cigna | NewBusiness | $207.60 | ↓ -75% |
| Cigna | OAP | $235.61 | ↓ -71% |
| Cigna | PPO | $241.38 | ↓ -71% |
| Aetna | NewBusiness | $274.00 | ↓ -67% |
| Aetna | COMM | $326.00 | ↓ -60% |
| United | GlobalBenefitPlan | $370.71 | ↓ -55% |
| Aetna | NAP | $411.90 | ↓ -50% |
| City of Springfield | COMM | $535.48 | ↓ -35% |
| Multiplan | ComplementaryNetwork | $642.57 | ↓ -22% |
| Multiplan | PrimaryNetwork | $675.52 | ↓ -18% |
Visitor-reported prices
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Ot evaluation low complexity patient/family at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $69.56 | $64.77 – $170.98 |
| CHI Memorial Hospital Hixson | Hixson | $154.22 | $70.00 – $364.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $201.94 | $62.44 – $64.77 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $220.39 | $70.00 – $364.70 |
| Johnson City Medical Center | JOHNSON CITY | $71.70 | $44.00 – $323.96 |
| Ascension Saint Thomas DeKalb | Smithville | $129.60 | $64.77 – $170.98 |
| Ascension Saint Thomas Highlands | Sparta | $129.60 | $64.77 – $170.98 |
| Ascension Saint Thomas River Park | McMinnville | $123.42 | $83.87 – $170.98 |