Pulm ds ipf mrna 190 gen alg 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$2,475.00 with Wellpoint vs $22,000.00 with Humana — 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $2,475.00 | — |
| Aetna | NewBusiness | $4,372.50 | — |
| Aetna | COMM | $4,372.50 | — |
| Humana | ChoicecareMGMCR | $5,409.60 | — |
| Wellcare | MCR | $5,409.60 | — |
| Devoted Health Plan | MCR | $5,409.60 | — |
| United | MASNP | $5,409.60 | — |
| Amerigroup | MGMCR | $5,409.60 | — |
| Healthspring | DualEligible | $5,409.60 | — |
| Healthspring | MCRHMO | $5,409.60 | — |
| Healthspring | MCRPOS | $5,409.60 | — |
| Healthspring | MCRPPO | $5,409.60 | — |
| Alive Hospice | MCR | $5,409.60 | — |
| Molina | MCD | $5,445.00 | — |
| Aetna | MGMCRSNP | $5,463.70 | — |
| Aetna | MGMCRPPO | $5,463.70 | — |
| Aetna | MGMCRHMO | $5,463.70 | — |
| BCBS | NetworkP | $5,500.00 | — |
| United | CorePayer | $5,500.00 | — |
| United | HeritageSelect | $5,500.00 | — |
| United | AllPayerAppendix | $5,500.00 | — |
| United | MGMCR | $5,517.79 | — |
| Bright Health | HIX | $5,520.00 | — |
| Bright Health | SmallGroup | $5,520.00 | — |
| Zing | MGMCR | $5,571.89 | — |
| BCBS | MCR | $5,625.98 | — |
| Ambetter | Select | $5,662.80 | — |
| American Health Advantage | MCRPPO | $5,680.08 | — |
| American Health Advantage | MCRSNP | $5,680.08 | — |
| American Health Advantage | MCRPFFS | $5,680.08 | — |
| American Health Advantage | MCRPOS | $5,680.08 | — |
| American Health Advantage | MCRHMO | $5,680.08 | — |
| Evergreen HMO | MCR | $5,680.08 | — |
| Ambetter | CORE | $5,880.60 | — |
| ATRIO Golden Times | MCR | $5,950.56 | — |
| Bright Health | MCRNarrow | $6,221.04 | — |
| Wellcare | CHIP | $7,140.67 | — |
| Wellcare | MGMCD | $7,140.67 | — |
| Prime Health | WORKERSCOMP | $7,789.82 | — |
| NovaNET | WORKERSCOMP | $7,952.11 | — |
| Cigna | NewBusiness | $9,708.45 | — |
| Cigna | OAP | $11,025.68 | — |
| Oscar | HIX | $16,228.80 | — |
| Humana | HumanaChoice | $22,000.00 | — |
| Humana | NarrowExchangeNetwork | $22,000.00 | — |
| Humana | BroadNetwork | $22,000.00 | — |
| Humana | HumanaChoiceCare | $22,000.00 | — |
Visitor-reported prices
Comments
Pulm ds ipf mrna 190 gen alg at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $7,058.25 | $2,455.54 – $11,792.93 |
| Hancock County Hospital | SNEEDVILLE | $6,926.45 | $2,744.51 – $12,123.73 |
| Greeneville Community Hospital | GREENEVILLE | $7,058.25 | $1,980.00 – $11,792.93 |
| Bristol Regional Medical Center | BRISTOL | $7,058.25 | $2,496.37 – $12,983.04 |
| Franklin Woods Community Hospital | JOHNSON CITY | $7,058.25 | $2,664.57 – $11,792.93 |
| Holston Valley Medical Center | KINGSPORT | $7,058.25 | $2,423.66 – $12,983.04 |
| Indian Path Community Hospital | KINGSPORT | $7,058.25 | $2,344.73 – $12,983.04 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $7,058.25 | $2,704.80 – $11,792.93 |