Aluminum - quest at SOUTHERN HILLS MEDICAL CENTER
2127 CENTURY FARMS PKWY, ANTIOCH, TN · Tristarhealth · · NPI 1720032345
not published by hospital
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.
not published by hospital
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.
$11.47 with Wellpoint vs $635.50 with Beech Street — 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 | $11.47 | — |
| Aetna | NewBusiness | $20.26 | — |
| Aetna | COMM | $20.26 | — |
| Humana | ChoicecareMGMCR | $25.48 | — |
| Devoted Health Plan | MCR | $25.48 | — |
| Bright Health | SmallGroup | $25.48 | — |
| Bright Health | HIX | $25.48 | — |
| HealthSpring | DualEligible | $25.48 | — |
| HealthSpring | MCRHMO | $25.48 | — |
| HealthSpring | MCRPOS | $25.48 | — |
| HealthSpring | MCRPPO | $25.48 | — |
| United | CorePayer | $25.48 | — |
| Odyssey Healthcare | COMM | $25.48 | — |
| Sarah Cannon Research | COMM | $25.48 | — |
| Amerigroup | MGMCR | $25.48 | — |
| United | VACCN | $25.48 | — |
| United | AllPayerAppendix | $25.48 | — |
| United | HeritageSelect | $25.48 | — |
| Aetna | MGMCRPPO | $25.73 | — |
| Aetna | MGMCRSNP | $25.73 | — |
| Aetna | MGMCRHMO | $25.73 | — |
| United | MGMCR | $25.99 | — |
| Zing | MGMCR | $26.24 | — |
| WellCare | MCR | $26.24 | — |
| BCBS | MCR | $26.24 | — |
| Ambetter | Select | $26.50 | — |
| Evergreen HMO | MCR | $26.75 | — |
| American Health Advantage | MCRHMO | $26.75 | — |
| American Health Advantage | MCRPOS | $26.75 | — |
| American Health Advantage | MCRPPO | $26.75 | — |
| American Health Advantage | MCRSNP | $26.75 | — |
| American Health Advantage | MCRPFFS | $26.75 | — |
| Signature Advantage | MCR | $27.01 | — |
| Ambetter | CORE | $27.52 | — |
| ATRIO Golden Times | MCR | $28.03 | — |
| BCBS | NetworkP | $28.19 | — |
| Bright Health | MCRNarrow | $29.30 | — |
| Prime Health | WORKERSCOMP | $36.69 | — |
| NovaNET | WORKERSCOMP | $37.46 | — |
| CorVel Corporation | WORKERSCOMP | $37.46 | — |
| Cigna | NewBusiness | $45.57 | — |
| Cigna | OAP | $51.75 | — |
| BCBS | TENNCARE | $58.67 | — |
| BCBS | COVERKIDS | $63.44 | — |
| Oscar | HIX | $76.44 | — |
| BCBS | BlueCare | $98.58 | — |
| Humana | HumanaChoice | $101.92 | — |
| Humana | NarrowExchangeNetwork | $101.92 | — |
| Humana | HumanaChoiceCare | $101.92 | — |
| Humana | BroadNetwork | $101.92 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $132.95 | — |
| Apex Health | MCR | $137.21 | — |
| Pruitt Health (AllyAlign) | MCR | $137.21 | — |
| NHC Advantage, Inc. | MCRHMO | $137.21 | — |
| Humana | TRICARE | $180.54 | — |
| United | OptionsPPO | $214.48 | — |
| Cigna | PPO | $235.42 | — |
| Centurion | PRISON | $297.53 | — |
| United | GlobalBenefitPlan | $324.97 | — |
| Aetna | NAP | $361.08 | — |
| BGFH SingleSource | DIRECTNETWORK | $361.08 | — |
| Multiplan | COMM | $418.85 | — |
| Employers Health Network | COMM | $505.51 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $541.62 | — |
| BGFH SingleSource | LEASEDNETWORK | $613.84 | — |
| Prime Health | COMMPPO | $635.50 | — |
| Beech Street | COMM | $635.50 | — |
Visitor-reported prices
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Aluminum - quest at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $75.56 | $9.17 – $98.21 |
| CHI Memorial Hospital Hixson | Hixson | $37.60 | $21.20 – $88.90 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $53.73 | $21.20 – $88.90 |
| Johnson City Medical Center | JOHNSON CITY | $42.30 | $12.72 – $55.55 |
| Ascension Saint Thomas DeKalb | Smithville | $75.56 | $17.86 – $98.21 |
| Ascension Saint Thomas Highlands | Sparta | $75.56 | $17.86 – $98.21 |
| Ascension Saint Thomas River Park | McMinnville | $75.56 | $17.86 – $98.21 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $75.56 | $22.93 – $98.21 |