Pt evaluation high complexity patient/family at NORTHCREST MEDICAL CENTER
100 NORTHCREST DRIVE, SPRINGFIELD, TN · Tristarhealth · · NPI 1093397184
$1,567.46
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.
$1,567.46
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.
$82.30 with United vs $1,285.32 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 |
|---|---|---|---|
| United | MASNP | $82.30 | ↓ -95% |
| Wellcare | MCR | $82.30 | ↓ -95% |
| Alive Hospice | MCR | $82.30 | ↓ -95% |
| Devoted Health Plan | MCR | $82.30 | ↓ -95% |
| Humana | ChoicecareMGMCR | $82.30 | ↓ -95% |
| Healthspring | MCRPPO | $82.30 | ↓ -95% |
| Healthspring | MCRPOS | $82.30 | ↓ -95% |
| Healthspring | MCRHMO | $82.30 | ↓ -95% |
| Healthspring | DualEligible | $82.30 | ↓ -95% |
| Wellpoint | MGMCD | $82.30 | ↓ -95% |
| Amerigroup | MGMCR | $82.30 | ↓ -95% |
| Aetna | MGMCRSNP | $83.12 | ↓ -95% |
| Aetna | MGMCRHMO | $83.12 | ↓ -95% |
| Aetna | MGMCRPPO | $83.12 | ↓ -95% |
| United | MGMCR | $83.94 | ↓ -95% |
| Zing | MGMCR | $84.77 | ↓ -95% |
| BCBS | MCR | $85.59 | ↓ -95% |
| Evergreen HMO | MCR | $86.41 | ↓ -94% |
| American Health Advantage | MCRPPO | $86.41 | ↓ -94% |
| American Health Advantage | MCRHMO | $86.41 | ↓ -94% |
| American Health Advantage | MCRPOS | $86.41 | ↓ -94% |
| American Health Advantage | MCRSNP | $86.41 | ↓ -94% |
| American Health Advantage | MCRPFFS | $86.41 | ↓ -94% |
| ATRIO Golden Times | MCR | $90.53 | ↓ -94% |
| Bright Health | MCRNarrow | $94.64 | ↓ -94% |
| Wellcare | CHIP | $108.63 | ↓ -93% |
| Wellcare | MGMCD | $108.63 | ↓ -93% |
| Molina | MCD | $109.72 | ↓ -93% |
| Prime Health | WORKERSCOMP | $118.51 | ↓ -92% |
| NovaNET | WORKERSCOMP | $120.98 | ↓ -92% |
| BCBS | NetworkP | $201.74 | ↓ -87% |
| Bright Health | HIX | $235.12 | ↓ -85% |
| Oscar | HIX | $246.09 | ↓ -84% |
| Aetna | NewBusiness | $274.00 | ↓ -83% |
| NHC Advantage, Inc. | MCRHMO | $297.82 | ↓ -81% |
| Ambetter | CORE | $302.52 | ↓ -81% |
| Ambetter | Select | $313.49 | ↓ -80% |
| Aetna | COMM | $326.00 | ↓ -79% |
| Bright Health | SmallGroup | $329.17 | ↓ -79% |
| United | OptionsPPO | $346.41 | ↓ -78% |
| Cigna | NewBusiness | $395.00 | ↓ -75% |
| Cigna | OAP | $448.29 | ↓ -71% |
| Cigna | PPO | $459.27 | ↓ -71% |
| United | GlobalBenefitPlan | $705.36 | ↓ -55% |
| Aetna | NAP | $783.73 | ↓ -50% |
| City of Springfield | COMM | $1,018.85 | ↓ -35% |
| Multiplan | ComplementaryNetwork | $1,222.62 | ↓ -22% |
| Multiplan | PrimaryNetwork | $1,285.32 | ↓ -18% |
Visitor-reported prices
Comments
Pt evaluation high complexity patient/family at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $69.56 | $66.74 – $176.18 |
| CHI Memorial Hospital Hixson | Hixson | $197.44 | $70.00 – $392.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $205.85 | $64.31 – $66.74 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $282.15 | $70.00 – $392.70 |
| Johnson City Medical Center | JOHNSON CITY | $81.75 | $44.00 – $295.67 |
| Ascension Saint Thomas DeKalb | Smithville | $129.60 | $66.74 – $176.18 |
| Ascension Saint Thomas Highlands | Sparta | $129.60 | $66.74 – $176.18 |
| Ascension Saint Thomas River Park | McMinnville | $123.42 | $83.29 – $176.18 |