Screening prostate cancer PSA at NORTHCREST MEDICAL CENTER
100 NORTHCREST DRIVE, SPRINGFIELD, TN · Tristarhealth · · NPI 1093397184
$178.00
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.
$178.00
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.
$8.69 with Wellpoint vs $145.96 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $8.69 | ↓ -95% |
| Aetna | NewBusiness | $15.35 | ↓ -91% |
| Aetna | COMM | $15.35 | ↓ -91% |
| Humana | ChoicecareMGMCR | $19.31 | ↓ -89% |
| Alive Hospice | MCR | $19.31 | ↓ -89% |
| Wellcare | MCR | $19.31 | ↓ -89% |
| Devoted Health Plan | MCR | $19.31 | ↓ -89% |
| Molina | MCD | $19.31 | ↓ -89% |
| United | AllPayerAppendix | $19.31 | ↓ -89% |
| United | CorePayer | $19.31 | ↓ -89% |
| United | HeritageSelect | $19.31 | ↓ -89% |
| United | MASNP | $19.31 | ↓ -89% |
| Amerigroup | MGMCR | $19.31 | ↓ -89% |
| Bright Health | HIX | $19.31 | ↓ -89% |
| Bright Health | SmallGroup | $19.31 | ↓ -89% |
| Healthspring | DualEligible | $19.31 | ↓ -89% |
| Healthspring | MCRHMO | $19.31 | ↓ -89% |
| Healthspring | MCRPOS | $19.31 | ↓ -89% |
| Healthspring | MCRPPO | $19.31 | ↓ -89% |
| Aetna | MGMCRHMO | $19.50 | ↓ -89% |
| Aetna | MGMCRSNP | $19.50 | ↓ -89% |
| Aetna | MGMCRPPO | $19.50 | ↓ -89% |
| United | MGMCR | $19.70 | ↓ -89% |
| Zing | MGMCR | $19.89 | ↓ -89% |
| BCBS | MCR | $20.08 | ↓ -89% |
| American Health Advantage | MCRSNP | $20.28 | ↓ -89% |
| American Health Advantage | MCRPFFS | $20.28 | ↓ -89% |
| Evergreen HMO | MCR | $20.28 | ↓ -89% |
| American Health Advantage | MCRHMO | $20.28 | ↓ -89% |
| American Health Advantage | MCRPOS | $20.28 | ↓ -89% |
| American Health Advantage | MCRPPO | $20.28 | ↓ -89% |
| ATRIO Golden Times | MCR | $21.24 | ↓ -88% |
| Bright Health | MCRNarrow | $22.21 | ↓ -88% |
| BCBS | NetworkP | $25.09 | ↓ -86% |
| Wellcare | MGMCD | $25.49 | ↓ -86% |
| Wellcare | CHIP | $25.49 | ↓ -86% |
| Prime Health | WORKERSCOMP | $27.81 | ↓ -84% |
| NovaNET | WORKERSCOMP | $28.39 | ↓ -84% |
| NHC Advantage, Inc. | MCRHMO | $33.82 | ↓ -81% |
| Ambetter | CORE | $34.35 | ↓ -81% |
| Cigna | NewBusiness | $34.61 | ↓ -81% |
| Ambetter | Select | $35.60 | ↓ -80% |
| Cigna | OAP | $39.30 | ↓ -78% |
| United | OptionsPPO | $39.34 | ↓ -78% |
| Cigna | PPO | $52.15 | ↓ -71% |
| Oscar | HIX | $57.93 | ↓ -67% |
| United | GlobalBenefitPlan | $80.10 | ↓ -55% |
| Aetna | NAP | $89.00 | ↓ -50% |
| City of Springfield | COMM | $115.70 | ↓ -35% |
| Multiplan | ComplementaryNetwork | $138.84 | ↓ -22% |
| Multiplan | PrimaryNetwork | $145.96 | ↓ -18% |
Visitor-reported prices
Comments
Screening prostate cancer PSA at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $26.94 | $16.34 – $63.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $73.83 | $16.80 – $38.62 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $38.50 | $16.34 – $63.70 |
| Johnson City Medical Center | JOHNSON CITY | $32.25 | $9.66 – $42.10 |
| Hancock County Hospital | SNEEDVILLE | $31.74 | $13.03 – $42.58 |
| Greeneville Community Hospital | GREENEVILLE | $32.25 | $8.69 – $42.10 |
| Bristol Regional Medical Center | BRISTOL | $32.25 | $9.66 – $46.34 |
| Franklin Woods Community Hospital | JOHNSON CITY | $32.25 | $9.66 – $42.10 |