Surgical pathology level 2 gross & microscopic examination at NORTHCREST MEDICAL CENTER
100 NORTHCREST DRIVE, SPRINGFIELD, TN · Tristarhealth · · NPI 1093397184
$485.85
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.
$485.85
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.
$20.45 with BCBS vs $398.40 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 |
|---|---|---|---|
| BCBS | NetworkP | $20.45 | ↓ -96% |
| Aetna | COMM | $22.93 | ↓ -95% |
| Aetna | NewBusiness | $22.93 | ↓ -95% |
| United | CorePayer | $24.67 | ↓ -95% |
| United | AllPayerAppendix | $24.67 | ↓ -95% |
| United | HeritageSelect | $24.67 | ↓ -95% |
| Humana | NarrowExchangeNetwork | $26.08 | ↓ -95% |
| Humana | HumanaChoiceCare | $26.08 | ↓ -95% |
| Humana | HumanaChoice | $26.08 | ↓ -95% |
| Humana | BroadNetwork | $26.08 | ↓ -95% |
| Molina | MCD | $34.49 | ↓ -93% |
| Cigna | NewBusiness | $45.91 | ↓ -91% |
| Cigna | OAP | $52.14 | ↓ -89% |
| Bright Health | HIX | $72.88 | ↓ -85% |
| Oscar | HIX | $76.28 | ↓ -84% |
| NHC Advantage, Inc. | MCRHMO | $92.31 | ↓ -81% |
| Ambetter | CORE | $93.77 | ↓ -81% |
| Ambetter | Select | $97.17 | ↓ -80% |
| Bright Health | SmallGroup | $102.03 | ↓ -79% |
| United | OptionsPPO | $107.37 | ↓ -78% |
| Cigna | PPO | $142.35 | ↓ -71% |
| United | GlobalBenefitPlan | $218.63 | ↓ -55% |
| Aetna | NAP | $242.93 | ↓ -50% |
| City of Springfield | COMM | $315.80 | ↓ -35% |
| Multiplan | ComplementaryNetwork | $378.96 | ↓ -22% |
| Multiplan | PrimaryNetwork | $398.40 | ↓ -18% |
Visitor-reported prices
Comments
Surgical pathology level 2 gross & microscopic examination at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $65.42 | $6.73 – $75.17 |
| CHI Memorial Hospital Hixson | Hixson | $95.61 | $10.02 – $226.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $14.49 | $6.73 – $71.68 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $136.63 | $10.02 – $226.10 |
| Johnson City Medical Center | JOHNSON CITY | $39.60 | $14.52 – $75.98 |
| Ascension Saint Thomas DeKalb | Smithville | $65.42 | $6.73 – $75.17 |
| Ascension Saint Thomas Highlands | Sparta | $65.42 | $6.73 – $75.17 |
| Ascension Saint Thomas River Park | McMinnville | $65.42 | $8.45 – $75.17 |