Ot re-evaluation patient/family 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$57.23 with United vs $326.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United | MASNP | $57.23 | — |
| Amerigroup | MGMCR | $57.23 | — |
| Wellpoint | MGMCD | $57.23 | — |
| Devoted Health Plan | MCR | $57.23 | — |
| Humana | ChoicecareMGMCR | $57.23 | — |
| Alive Hospice | MCR | $57.23 | — |
| Healthspring | MCRPPO | $57.23 | — |
| Healthspring | DualEligible | $57.23 | — |
| Healthspring | MCRPOS | $57.23 | — |
| Wellcare | MCR | $57.23 | — |
| Healthspring | MCRHMO | $57.23 | — |
| Aetna | MGMCRPPO | $57.80 | — |
| Aetna | MGMCRHMO | $57.80 | — |
| Aetna | MGMCRSNP | $57.80 | — |
| United | MGMCR | $58.37 | — |
| Zing | MGMCR | $58.94 | — |
| BCBS | MCR | $59.52 | — |
| American Health Advantage | MCRPFFS | $60.09 | — |
| American Health Advantage | MCRSNP | $60.09 | — |
| Evergreen HMO | MCR | $60.09 | — |
| American Health Advantage | MCRHMO | $60.09 | — |
| American Health Advantage | MCRPOS | $60.09 | — |
| American Health Advantage | MCRPPO | $60.09 | — |
| ATRIO Golden Times | MCR | $62.95 | — |
| Bright Health | MCRNarrow | $65.81 | — |
| Wellcare | CHIP | $75.54 | — |
| Wellcare | MGMCD | $75.54 | — |
| Prime Health | WORKERSCOMP | $82.41 | — |
| NovaNET | WORKERSCOMP | $84.12 | — |
| BCBS | NetworkP | $142.14 | — |
| Aetna | NewBusiness | $274.00 | — |
| Aetna | COMM | $326.00 | — |
Visitor-reported prices
Comments
Ot re-evaluation patient/family at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $43.22 | $42.73 – $112.79 |
| CHI Memorial Hospital Hixson | Hixson | $44.70 | $30.20 – $189.52 |
| 62-1166050 BMH Carroll County | Huntingdon | $106.49 | $41.88 – $42.73 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $63.88 | $31.71 – $189.52 |
| Johnson City Medical Center | JOHNSON CITY | $45.90 | $44.00 – $323.96 |
| Ascension Saint Thomas DeKalb | Smithville | $48.26 | $42.73 – $112.79 |
| Ascension Saint Thomas Highlands | Sparta | $48.26 | $42.73 – $112.79 |
| Ascension Saint Thomas River Park | McMinnville | $45.95 | $56.26 – $112.79 |