Prostate biopsy, any mthd at NORTHCREST MEDICAL CENTER
100 NORTHCREST DRIVE, SPRINGFIELD, TN · Tristarhealth · · NPI 1093397184
$1,043.92
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.
$1,043.92
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.
$73.07 with Molina vs $856.01 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 | $73.07 | ↓ -93% |
| Bright Health | HIX | $156.59 | ↓ -85% |
| Oscar | HIX | $163.90 | ↓ -84% |
| NHC Advantage, Inc. | MCRHMO | $198.34 | ↓ -81% |
| Ambetter | CORE | $201.48 | ↓ -81% |
| Ambetter | Select | $208.78 | ↓ -80% |
| Bright Health | SmallGroup | $219.22 | ↓ -79% |
| United | OptionsPPO | $230.71 | ↓ -78% |
| United | HeritageSelect | $291.26 | ↓ -72% |
| United | AllPayerAppendix | $291.26 | ↓ -72% |
| United | CorePayer | $291.26 | ↓ -72% |
| Cigna | PPO | $305.87 | ↓ -71% |
| Cigna | NewBusiness | $333.60 | ↓ -68% |
| Aetna | NewBusiness | $354.88 | ↓ -66% |
| Aetna | COMM | $354.88 | ↓ -66% |
| Cigna | OAP | $378.87 | ↓ -64% |
| BCBS | NetworkP | $419.03 | ↓ -60% |
| United | GlobalBenefitPlan | $469.76 | ↓ -55% |
| Aetna | NAP | $521.96 | ↓ -50% |
| City of Springfield | COMM | $678.55 | ↓ -35% |
| Multiplan | ComplementaryNetwork | $814.26 | ↓ -22% |
| Multiplan | PrimaryNetwork | $856.01 | ↓ -18% |
Visitor-reported prices
Comments
Prostate biopsy, any mthd at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $194.58 | $285.77 – $656.94 |
| Johnson City Medical Center | JOHNSON CITY | $326.70 | $98.38 – $729.17 |
| Hancock County Hospital | SNEEDVILLE | $320.39 | $82.18 – $674.76 |
| Greeneville Community Hospital | GREENEVILLE | $326.70 | $59.17 – $729.17 |
| Bristol Regional Medical Center | BRISTOL | $326.70 | $98.62 – $816.10 |
| Franklin Woods Community Hospital | JOHNSON CITY | $326.70 | $95.73 – $709.48 |
| Holston Valley Medical Center | KINGSPORT | $326.70 | $98.62 – $816.10 |
| 62-0123940 BMH Collierville | Collierville | $177.66 | $307.66 – $658.80 |