Virus isolation addl studies ea at NORTHCREST MEDICAL CENTER
100 NORTHCREST DRIVE, SPRINGFIELD, TN · Tristarhealth · · NPI 1093397184
$70.70
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.
$70.70
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.
$9.09 with Wellpoint vs $80.80 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 | $9.09 | ↓ -87% |
| NHC Advantage, Inc. | MCRHMO | $13.43 | ↓ -81% |
| United | OptionsPPO | $15.62 | ↓ -78% |
| Aetna | NewBusiness | $16.06 | ↓ -77% |
| Aetna | COMM | $16.06 | ↓ -77% |
| Alive Hospice | MCR | $20.20 | ↓ -71% |
| Wellcare | MCR | $20.20 | ↓ -71% |
| Devoted Health Plan | MCR | $20.20 | ↓ -71% |
| Humana | ChoicecareMGMCR | $20.20 | ↓ -71% |
| Molina | MCD | $20.20 | ↓ -71% |
| United | AllPayerAppendix | $20.20 | ↓ -71% |
| United | CorePayer | $20.20 | ↓ -71% |
| United | HeritageSelect | $20.20 | ↓ -71% |
| United | MASNP | $20.20 | ↓ -71% |
| Amerigroup | MGMCR | $20.20 | ↓ -71% |
| Bright Health | HIX | $20.20 | ↓ -71% |
| Bright Health | SmallGroup | $20.20 | ↓ -71% |
| Healthspring | DualEligible | $20.20 | ↓ -71% |
| Healthspring | MCRHMO | $20.20 | ↓ -71% |
| Healthspring | MCRPOS | $20.20 | ↓ -71% |
| Healthspring | MCRPPO | $20.20 | ↓ -71% |
| Aetna | MGMCRHMO | $20.40 | ↓ -71% |
| Aetna | MGMCRPPO | $20.40 | ↓ -71% |
| Aetna | MGMCRSNP | $20.40 | ↓ -71% |
| United | MGMCR | $20.60 | ↓ -71% |
| Cigna | PPO | $20.72 | ↓ -71% |
| Zing | MGMCR | $20.81 | ↓ -71% |
| BCBS | MCR | $21.01 | ↓ -70% |
| Ambetter | Select | $21.01 | ↓ -70% |
| American Health Advantage | MCRPOS | $21.21 | ↓ -70% |
| Evergreen HMO | MCR | $21.21 | ↓ -70% |
| American Health Advantage | MCRPPO | $21.21 | ↓ -70% |
| American Health Advantage | MCRHMO | $21.21 | ↓ -70% |
| American Health Advantage | MCRPFFS | $21.21 | ↓ -70% |
| American Health Advantage | MCRSNP | $21.21 | ↓ -70% |
| Ambetter | CORE | $21.81 | ↓ -69% |
| BCBS | NetworkP | $22.22 | ↓ -69% |
| ATRIO Golden Times | MCR | $22.22 | ↓ -69% |
| Bright Health | MCRNarrow | $23.23 | ↓ -67% |
| Wellcare | MGMCD | $26.66 | ↓ -62% |
| Wellcare | CHIP | $26.66 | ↓ -62% |
| Prime Health | WORKERSCOMP | $29.09 | ↓ -59% |
| NovaNET | WORKERSCOMP | $29.69 | ↓ -58% |
| United | GlobalBenefitPlan | $31.82 | ↓ -55% |
| Aetna | NAP | $35.35 | ↓ -50% |
| Cigna | NewBusiness | $35.76 | ↓ -49% |
| Cigna | OAP | $40.61 | ↓ -43% |
| City of Springfield | COMM | $45.95 | ↓ -35% |
| Multiplan | ComplementaryNetwork | $55.15 | ↓ -22% |
| Multiplan | PrimaryNetwork | $57.97 | ↓ -18% |
| Oscar | HIX | $60.60 | ↓ -14% |
| Humana | BroadNetwork | $80.80 | ↑ +14% |
| Humana | HumanaChoiceCare | $80.80 | ↑ +14% |
| Humana | HumanaChoice | $80.80 | ↑ +14% |
| Humana | NarrowExchangeNetwork | $80.80 | ↑ +14% |
Visitor-reported prices
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Virus isolation addl studies ea at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $79.34 | $7.27 – $77.88 |
| CHI Memorial Hospital Hixson | Hixson | $24.87 | $17.94 – $58.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $35.54 | $17.64 – $58.80 |
| Johnson City Medical Center | JOHNSON CITY | $34.20 | $10.10 – $44.04 |
| Ascension Saint Thomas DeKalb | Smithville | $39.20 | $14.17 – $77.88 |
| Ascension Saint Thomas Highlands | Sparta | $39.20 | $14.17 – $77.88 |
| Ascension Saint Thomas River Park | McMinnville | $39.20 | $14.17 – $77.88 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $39.20 | $18.18 – $77.88 |