CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Tristar Northcrest Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$7,119
about 1.3× the $5,676 Medicare rate · typically $6,033–$9,443
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,940
About the fair price
about $179 under the fair price · 1.2× Medicare
Medicare pays $5,676 Fair price $7,119 This hospital $6,940

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $3,001 Priciest $6,940

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $7,119 (about 1.3× the $5,676 Medicare rate). Tristar Northcrest Medical Center charges insurers about $6,940 — about the fair price. Located in Springfield, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $845 - $10,400 15%
Blue Cross Blue Shieldmajor $4,225 - $7,076 74%
Aetnamajor $6,872 - $33,486 121%
Cignamajor $15,650 - $17,784 276%
Humanamajor $6,804 - $9,798 120%
Ambetter (Centene) $5,513 - $5,734 97%
Amerigroup $6,804 120%
Bright Health $6,071 - $8,185 107%
Cigna HealthSpring $6,940 122%
Devoted Health $6,940 122%
Molina $6,464 114%
Oscar Health $8,964 158%
WellCare $6,464 - $6,804 114%
+ 7 smaller / regional plans $650 - $7,484
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 100 Northcrest Drive, Springfield, TN 37172
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals