Tissue exam koh skin/hair/nails at NORTHCREST MEDICAL CENTER
100 NORTHCREST DRIVE, SPRINGFIELD, TN · Tristarhealth · · NPI 1093397184
$85.27
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.
$85.27
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.
$1.92 with Wellpoint vs $69.92 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 | $1.92 | ↓ -98% |
| Aetna | NewBusiness | $3.39 | ↓ -96% |
| Aetna | COMM | $3.39 | ↓ -96% |
| Devoted Health Plan | MCR | $4.27 | ↓ -95% |
| Healthspring | MCRPPO | $4.27 | ↓ -95% |
| Humana | ChoicecareMGMCR | $4.27 | ↓ -95% |
| Healthspring | MCRPOS | $4.27 | ↓ -95% |
| Healthspring | MCRHMO | $4.27 | ↓ -95% |
| Healthspring | DualEligible | $4.27 | ↓ -95% |
| Bright Health | HIX | $4.27 | ↓ -95% |
| Wellcare | MCR | $4.27 | ↓ -95% |
| Alive Hospice | MCR | $4.27 | ↓ -95% |
| Molina | MCD | $4.27 | ↓ -95% |
| United | AllPayerAppendix | $4.27 | ↓ -95% |
| United | CorePayer | $4.27 | ↓ -95% |
| United | HeritageSelect | $4.27 | ↓ -95% |
| United | MASNP | $4.27 | ↓ -95% |
| Amerigroup | MGMCR | $4.27 | ↓ -95% |
| Bright Health | SmallGroup | $4.27 | ↓ -95% |
| Aetna | MGMCRPPO | $4.31 | ↓ -95% |
| Aetna | MGMCRSNP | $4.31 | ↓ -95% |
| Aetna | MGMCRHMO | $4.31 | ↓ -95% |
| United | MGMCR | $4.36 | ↓ -95% |
| Zing | MGMCR | $4.40 | ↓ -95% |
| Ambetter | Select | $4.44 | ↓ -95% |
| BCBS | MCR | $4.44 | ↓ -95% |
| American Health Advantage | MCRPPO | $4.48 | ↓ -95% |
| American Health Advantage | MCRPOS | $4.48 | ↓ -95% |
| American Health Advantage | MCRHMO | $4.48 | ↓ -95% |
| Evergreen HMO | MCR | $4.48 | ↓ -95% |
| American Health Advantage | MCRPFFS | $4.48 | ↓ -95% |
| American Health Advantage | MCRSNP | $4.48 | ↓ -95% |
| Ambetter | CORE | $4.61 | ↓ -95% |
| ATRIO Golden Times | MCR | $4.70 | ↓ -94% |
| Bright Health | MCRNarrow | $4.91 | ↓ -94% |
| BCBS | NetworkP | $5.61 | ↓ -93% |
| Wellcare | MGMCD | $5.64 | ↓ -93% |
| Wellcare | CHIP | $5.64 | ↓ -93% |
| Prime Health | WORKERSCOMP | $6.15 | ↓ -93% |
| NovaNET | WORKERSCOMP | $6.28 | ↓ -93% |
| Cigna | NewBusiness | $7.50 | ↓ -91% |
| Cigna | OAP | $8.52 | ↓ -90% |
| Oscar | HIX | $12.81 | ↓ -85% |
| NHC Advantage, Inc. | MCRHMO | $16.20 | ↓ -81% |
| Humana | NarrowExchangeNetwork | $17.08 | ↓ -80% |
| Humana | BroadNetwork | $17.08 | ↓ -80% |
| Humana | HumanaChoice | $17.08 | ↓ -80% |
| Humana | HumanaChoiceCare | $17.08 | ↓ -80% |
| United | OptionsPPO | $18.84 | ↓ -78% |
| Cigna | PPO | $24.98 | ↓ -71% |
| United | GlobalBenefitPlan | $38.37 | ↓ -55% |
| Aetna | NAP | $42.63 | ↓ -50% |
| City of Springfield | COMM | $55.43 | ↓ -35% |
| Multiplan | ComplementaryNetwork | $66.51 | ↓ -22% |
| Multiplan | PrimaryNetwork | $69.92 | ↓ -18% |
Visitor-reported prices
Comments
Tissue exam koh skin/hair/nails at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $45.23 | $1.54 – $16.95 |
| CHI Memorial Hospital Hixson | Hixson | $4.44 | $3.79 – $10.50 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $6.35 | $3.15 – $10.50 |
| Johnson City Medical Center | JOHNSON CITY | $7.20 | $2.14 – $10.33 |
| Ascension Saint Thomas DeKalb | Smithville | $45.23 | $3.00 – $16.95 |
| Ascension Saint Thomas Highlands | Sparta | $45.23 | $3.00 – $16.95 |
| Ascension Saint Thomas River Park | McMinnville | $45.23 | $3.00 – $16.95 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $45.23 | $3.84 – $16.95 |