Aco med nutria tx/group, ea 30 min 97804aco at SOUTHERN HILLS MEDICAL CENTER
2127 CENTURY FARMS PKWY, ANTIOCH, TN · Tristarhealth · · NPI 1720032345
$110.65
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.
$110.65
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.
$9.86 with Wellpoint vs $97.37 with Prime Health — 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 | $9.86 | ↓ -91% |
| Humana | ChoicecareMGMCR | $13.70 | ↓ -88% |
| Devoted Health Plan | MCR | $13.70 | ↓ -88% |
| HealthSpring | DualEligible | $13.70 | ↓ -88% |
| HealthSpring | MCRHMO | $13.70 | ↓ -88% |
| HealthSpring | MCRPOS | $13.70 | ↓ -88% |
| HealthSpring | MCRPPO | $13.70 | ↓ -88% |
| United | VACCN | $13.70 | ↓ -88% |
| Amerigroup | MGMCR | $13.70 | ↓ -88% |
| Sarah Cannon Research | COMM | $13.70 | ↓ -88% |
| Odyssey Healthcare | COMM | $13.70 | ↓ -88% |
| Aetna | MGMCRSNP | $13.84 | ↓ -87% |
| Aetna | MGMCRHMO | $13.84 | ↓ -87% |
| Aetna | MGMCRPPO | $13.84 | ↓ -87% |
| United | MGMCR | $13.97 | ↓ -87% |
| Zing | MGMCR | $14.11 | ↓ -87% |
| WellCare | MCR | $14.11 | ↓ -87% |
| BCBS | MCR | $14.11 | ↓ -87% |
| American Health Advantage | MCRSNP | $14.38 | ↓ -87% |
| Evergreen HMO | MCR | $14.38 | ↓ -87% |
| American Health Advantage | MCRPPO | $14.38 | ↓ -87% |
| American Health Advantage | MCRHMO | $14.38 | ↓ -87% |
| American Health Advantage | MCRPFFS | $14.38 | ↓ -87% |
| American Health Advantage | MCRPOS | $14.38 | ↓ -87% |
| Signature Advantage | MCR | $14.52 | ↓ -87% |
| ATRIO Golden Times | MCR | $15.07 | ↓ -86% |
| Bright Health | MCRNarrow | $15.75 | ↓ -86% |
| Bright Health | HIX | $18.81 | ↓ -83% |
| Prime Health | WORKERSCOMP | $19.73 | ↓ -82% |
| CorVel Corporation | WORKERSCOMP | $20.14 | ↓ -82% |
| NovaNET | WORKERSCOMP | $20.14 | ↓ -82% |
| Oscar | HIX | $20.25 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $20.37 | ↓ -82% |
| Apex Health | MCR | $21.02 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $21.02 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $21.02 | ↓ -81% |
| BCBS | TENNCARE | $23.12 | ↓ -79% |
| Ambetter | CORE | $24.67 | ↓ -78% |
| BCBS | COVERKIDS | $25.00 | ↓ -77% |
| Ambetter | Select | $25.67 | ↓ -77% |
| Bright Health | SmallGroup | $26.56 | ↓ -76% |
| Humana | TRICARE | $27.66 | ↓ -75% |
| Cigna | NewBusiness | $27.88 | ↓ -75% |
| Aetna | NewBusiness | $30.98 | ↓ -72% |
| Cigna | OAP | $31.65 | ↓ -71% |
| United | OptionsPPO | $32.86 | ↓ -70% |
| BCBS | NetworkP | $33.81 | ↓ -69% |
| Cigna | PPO | $36.07 | ↓ -67% |
| Aetna | COMM | $36.51 | ↓ -67% |
| BCBS | BlueCare | $38.84 | ↓ -65% |
| Centurion | PRISON | $45.59 | ↓ -59% |
| United | GlobalBenefitPlan | $49.79 | ↓ -55% |
| Aetna | NAP | $55.33 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $55.33 | ↓ -50% |
| Multiplan | COMM | $64.18 | ↓ -42% |
| Employers Health Network | COMM | $77.45 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $82.99 | ↓ -25% |
| BGFH SingleSource | LEASEDNETWORK | $94.05 | ↓ -15% |
| Beech Street | COMM | $97.37 | ↓ -12% |
| Prime Health | COMMPPO | $97.37 | ↓ -12% |
Visitor-reported prices
Comments
Aco med nutria tx/group, ea 30 min 97804aco at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $37.97 | $12.99 – $35.08 |
| CHI Memorial Hospital Hixson | Hixson | $9.77 | $6.60 – $29.16 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $13.96 | $6.93 – $29.16 |
| Johnson City Medical Center | JOHNSON CITY | $5.25 | $13.18 – $261.82 |
| Ascension Saint Thomas DeKalb | Smithville | $126.06 | $7.32 – $35.08 |
| Ascension Saint Thomas Highlands | Sparta | $126.06 | $7.32 – $35.08 |
| Ascension Saint Thomas River Park | McMinnville | $126.06 | $7.32 – $35.08 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $45.56 | $13.44 – $35.08 |