Susceptibility enzyme detection per enzyme at NORTHCREST MEDICAL CENTER
100 NORTHCREST DRIVE, SPRINGFIELD, TN · Tristarhealth · · NPI 1093397184
$16.63
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.
$16.63
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.
$2.14 with Wellpoint vs $19.00 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 | $2.14 | ↓ -87% |
| NHC Advantage, Inc. | MCRHMO | $3.16 | ↓ -81% |
| United | OptionsPPO | $3.68 | ↓ -78% |
| Aetna | NewBusiness | $3.77 | ↓ -77% |
| Aetna | COMM | $3.77 | ↓ -77% |
| Alive Hospice | MCR | $4.75 | ↓ -71% |
| Wellcare | MCR | $4.75 | ↓ -71% |
| Devoted Health Plan | MCR | $4.75 | ↓ -71% |
| Humana | ChoicecareMGMCR | $4.75 | ↓ -71% |
| Molina | MCD | $4.75 | ↓ -71% |
| United | AllPayerAppendix | $4.75 | ↓ -71% |
| United | CorePayer | $4.75 | ↓ -71% |
| United | HeritageSelect | $4.75 | ↓ -71% |
| United | MASNP | $4.75 | ↓ -71% |
| Amerigroup | MGMCR | $4.75 | ↓ -71% |
| Bright Health | HIX | $4.75 | ↓ -71% |
| Bright Health | SmallGroup | $4.75 | ↓ -71% |
| Healthspring | DualEligible | $4.75 | ↓ -71% |
| Healthspring | MCRHMO | $4.75 | ↓ -71% |
| Healthspring | MCRPOS | $4.75 | ↓ -71% |
| Healthspring | MCRPPO | $4.75 | ↓ -71% |
| Aetna | MGMCRHMO | $4.80 | ↓ -71% |
| Aetna | MGMCRPPO | $4.80 | ↓ -71% |
| Aetna | MGMCRSNP | $4.80 | ↓ -71% |
| United | MGMCR | $4.84 | ↓ -71% |
| Cigna | PPO | $4.87 | ↓ -71% |
| Zing | MGMCR | $4.89 | ↓ -71% |
| BCBS | MCR | $4.94 | ↓ -70% |
| Ambetter | Select | $4.94 | ↓ -70% |
| American Health Advantage | MCRPOS | $4.99 | ↓ -70% |
| Evergreen HMO | MCR | $4.99 | ↓ -70% |
| American Health Advantage | MCRPPO | $4.99 | ↓ -70% |
| American Health Advantage | MCRHMO | $4.99 | ↓ -70% |
| American Health Advantage | MCRPFFS | $4.99 | ↓ -70% |
| American Health Advantage | MCRSNP | $4.99 | ↓ -70% |
| Ambetter | CORE | $5.13 | ↓ -69% |
| ATRIO Golden Times | MCR | $5.23 | ↓ -69% |
| Bright Health | MCRNarrow | $5.46 | ↓ -67% |
| Wellcare | MGMCD | $6.27 | ↓ -62% |
| Wellcare | CHIP | $6.27 | ↓ -62% |
| BCBS | NetworkP | $6.48 | ↓ -61% |
| Prime Health | WORKERSCOMP | $6.84 | ↓ -59% |
| NovaNET | WORKERSCOMP | $6.98 | ↓ -58% |
| United | GlobalBenefitPlan | $7.48 | ↓ -55% |
| Aetna | NAP | $8.31 | ↓ -50% |
| Cigna | NewBusiness | $8.66 | ↓ -48% |
| Cigna | OAP | $9.83 | ↓ -41% |
| City of Springfield | COMM | $10.81 | ↓ -35% |
| Multiplan | ComplementaryNetwork | $12.97 | ↓ -22% |
| Multiplan | PrimaryNetwork | $13.64 | ↓ -18% |
| Oscar | HIX | $14.25 | ↓ -14% |
| Humana | BroadNetwork | $19.00 | ↑ +14% |
| Humana | HumanaChoiceCare | $19.00 | ↑ +14% |
| Humana | HumanaChoice | $19.00 | ↑ +14% |
| Humana | NarrowExchangeNetwork | $19.00 | ↑ +14% |
Visitor-reported prices
Comments
Susceptibility enzyme detection per enzyme at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $46.89 | $1.71 – $18.06 |
| CHI Memorial Hospital Hixson | Hixson | $5.92 | $4.21 – $14.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $8.46 | $4.20 – $14.00 |
| Johnson City Medical Center | JOHNSON CITY | $3.75 | $2.38 – $10.36 |
| Ascension Saint Thomas DeKalb | Smithville | $46.89 | $3.34 – $18.06 |
| Ascension Saint Thomas Highlands | Sparta | $46.89 | $3.34 – $18.06 |
| Ascension Saint Thomas River Park | McMinnville | $46.89 | $3.34 – $18.06 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $46.89 | $4.28 – $18.06 |