Tc-99m sestamibi p study dose at NORTHCREST MEDICAL CENTER
100 NORTHCREST DRIVE, SPRINGFIELD, TN · Tristarhealth · · NPI 1093397184
$1,218.15
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.
?
What you pay up front if you don't use insurance.
$1,218.15
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.
?
The hospital's undiscounted list price — almost no one pays this.
$84.00 with BCBS vs $1,194.04 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $84.00 | ↓ -93% |
| Molina | MCD | $85.27 | ↓ -93% |
| Cigna | NewBusiness | $117.69 | ↓ -90% |
| Cigna | OAP | $133.82 | ↓ -89% |
| Aetna | MGMCRSNP | $182.72 | ↓ -85% |
| Aetna | MGMCRPPO | $182.72 | ↓ -85% |
| Aetna | MGMCRHMO | $182.72 | ↓ -85% |
| Oscar | HIX | $191.25 | ↓ -84% |
| NHC Advantage, Inc. | MCRHMO | $231.45 | ↓ -81% |
| United | OptionsPPO | $269.21 | ↓ -78% |
| Cigna | PPO | $356.92 | ↓ -71% |
| United | GlobalBenefitPlan | $548.17 | ↓ -55% |
| City of Springfield | COMM | $791.80 | ↓ -35% |
| Multiplan | ComplementaryNetwork | $950.16 | ↓ -22% |
| Multiplan | PrimaryNetwork | $998.88 | ↓ -18% |
| United | HeritageSelect | $1,194.04 | ↓ -2% |
| United | CorePayer | $1,194.04 | ↓ -2% |
| United | AllPayerAppendix | $1,194.04 | ↓ -2% |
Visitor-reported prices
Comments
Tc-99m sestamibi p study dose at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $144.15 | $70.00 – $225.06 |
| CHI Memorial Hospital Hixson | Hixson | $39.37 | $21.80 – $76.30 |
| 62-1166050 BMH Carroll County | Huntingdon | $49.70 | $66.24 – $114.84 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $56.26 | $22.89 – $76.30 |
| Johnson City Medical Center | JOHNSON CITY | $46.95 | $77.49 – $193.58 |
| Ascension Saint Thomas DeKalb | Smithville | $251.54 | $70.00 – $549.71 |
| Ascension Saint Thomas Highlands | Sparta | $251.54 | $70.00 – $549.71 |
| Ascension Saint Thomas River Park | McMinnville | $251.54 | $70.00 – $549.71 |