Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im at NORTHCREST MEDICAL CENTER

100 NORTHCREST DRIVE, SPRINGFIELD, TN · Tristarhealth · · NPI 1093397184

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$430.25

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$430.25

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$27.40 with Cigna vs $352.81 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 →

Payer
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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
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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
Cigna NewBusiness $27.40 ↓ -94%
Molina MCD $30.12 ↓ -93%
Cigna OAP $31.16 ↓ -93%
United OptionsPPO $95.09 ↓ -78%
BCBS NetworkP $107.56 ↓ -75%
Cigna PPO $126.06 ↓ -71%
United GlobalBenefitPlan $193.61 ↓ -55%
Aetna NAP $215.13 ↓ -50%
City of Springfield COMM $279.66 ↓ -35%
Multiplan ComplementaryNetwork $335.60 ↓ -22%
Multiplan PrimaryNetwork $352.81 ↓ -18%
Zing MGMCR not published by hospital
Wellpoint MGMCD not published by hospital
Bright Health MCRNarrow not published by hospital
Prime Health WORKERSCOMP not published by hospital
BCBS MCR not published by hospital
ATRIO Golden Times MCR not published by hospital
American Health Advantage MCRHMO not published by hospital
American Health Advantage MCRPOS not published by hospital
American Health Advantage MCRPPO not published by hospital
American Health Advantage MCRSNP not published by hospital
American Health Advantage MCRPFFS not published by hospital
Evergreen HMO MCR not published by hospital
Healthspring DualEligible not published by hospital
Healthspring MCRHMO not published by hospital
Healthspring MCRPOS not published by hospital
Healthspring MCRPPO not published by hospital
NovaNET WORKERSCOMP not published by hospital
Wellcare CHIP not published by hospital
Alive Hospice MCR not published by hospital
Wellcare MCR not published by hospital
Wellcare MGMCD not published by hospital
Devoted Health Plan MCR not published by hospital
Humana ChoicecareMGMCR not published by hospital
Aetna MGMCRHMO not published by hospital
Aetna MGMCRPPO not published by hospital
Aetna MGMCRSNP not published by hospital
United MGMCR not published by hospital
United MASNP not published by hospital
Amerigroup MGMCR not published by hospital

Visitor-reported prices

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Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im at other Tennessee hospitals

Hospital City Cash price Negotiated range
CHI Memorial Hospital Hixson Hixson $71.70 $12.59 – $54.96
62-1166050 BMH Carroll County Huntingdon $4.21 $20.00 – $26.74
CHI Memorial Hospital Chattanooga Chattanooga $102.46 $12.59 – $54.96
Johnson City Medical Center JOHNSON CITY $25.16 $1.00 – $33.60
Hancock County Hospital SNEEDVILLE $35.45 $0.24 – $38.90
Greeneville Community Hospital GREENEVILLE $23.12 $6.99 – $124.31
Bristol Regional Medical Center BRISTOL $26.12 $11.65 – $38.90
Franklin Woods Community Hospital JOHNSON CITY $23.12 $17.47 – $136.17

All Tennessee hospitals for this procedure →