Amino acid single qual 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$6.38 with Wellpoint vs $606.05 with Beech Street — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $6.38 | — |
| Aetna | NewBusiness | $11.28 | — |
| Aetna | COMM | $11.28 | — |
| Humana | ChoicecareMGMCR | $14.18 | — |
| Devoted Health Plan | MCR | $14.18 | — |
| Bright Health | SmallGroup | $14.18 | — |
| Bright Health | HIX | $14.18 | — |
| HealthSpring | DualEligible | $14.18 | — |
| HealthSpring | MCRHMO | $14.18 | — |
| HealthSpring | MCRPOS | $14.18 | — |
| HealthSpring | MCRPPO | $14.18 | — |
| United | CorePayer | $14.18 | — |
| Odyssey Healthcare | COMM | $14.18 | — |
| Sarah Cannon Research | COMM | $14.18 | — |
| Amerigroup | MGMCR | $14.18 | — |
| United | VACCN | $14.18 | — |
| United | AllPayerAppendix | $14.18 | — |
| United | HeritageSelect | $14.18 | — |
| Aetna | MGMCRPPO | $14.32 | — |
| Aetna | MGMCRSNP | $14.32 | — |
| Aetna | MGMCRHMO | $14.32 | — |
| United | MGMCR | $14.46 | — |
| Zing | MGMCR | $14.61 | — |
| WellCare | MCR | $14.61 | — |
| BCBS | MCR | $14.61 | — |
| Ambetter | Select | $14.75 | — |
| Evergreen HMO | MCR | $14.89 | — |
| American Health Advantage | MCRHMO | $14.89 | — |
| American Health Advantage | MCRPOS | $14.89 | — |
| American Health Advantage | MCRPPO | $14.89 | — |
| American Health Advantage | MCRSNP | $14.89 | — |
| American Health Advantage | MCRPFFS | $14.89 | — |
| Signature Advantage | MCR | $15.03 | — |
| Ambetter | CORE | $15.32 | — |
| ATRIO Golden Times | MCR | $15.60 | — |
| Bright Health | MCRNarrow | $16.31 | — |
| BCBS | NetworkP | $18.91 | — |
| Prime Health | WORKERSCOMP | $20.42 | — |
| CorVel Corporation | WORKERSCOMP | $20.84 | — |
| NovaNET | WORKERSCOMP | $20.84 | — |
| Cigna | NewBusiness | $25.37 | — |
| Cigna | OAP | $28.81 | — |
| BCBS | TENNCARE | $41.59 | — |
| Oscar | HIX | $42.54 | — |
| BCBS | COVERKIDS | $44.97 | — |
| Humana | HumanaChoice | $56.72 | — |
| Humana | NarrowExchangeNetwork | $56.72 | — |
| Humana | HumanaChoiceCare | $56.72 | — |
| Humana | BroadNetwork | $56.72 | — |
| BCBS | BlueCare | $69.88 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $126.79 | — |
| Apex Health | MCR | $130.85 | — |
| Pruitt Health (AllyAlign) | MCR | $130.85 | — |
| NHC Advantage, Inc. | MCRHMO | $130.85 | — |
| Humana | TRICARE | $172.17 | — |
| United | OptionsPPO | $204.54 | — |
| Cigna | PPO | $224.51 | — |
| Centurion | PRISON | $283.74 | — |
| United | GlobalBenefitPlan | $309.91 | — |
| Aetna | NAP | $344.35 | — |
| BGFH SingleSource | DIRECTNETWORK | $344.35 | — |
| Multiplan | COMM | $399.44 | — |
| Employers Health Network | COMM | $482.08 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $516.52 | — |
| BGFH SingleSource | LEASEDNETWORK | $585.39 | — |
| Prime Health | COMMPPO | $606.05 | — |
| Beech Street | COMM | $606.05 | — |
Visitor-reported prices
Comments
Amino acid single qual at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $23.92 | $9.82 – $31.04 |
| Greeneville Community Hospital | GREENEVILLE | $24.30 | $6.38 – $30.91 |
| Bristol Regional Medical Center | BRISTOL | $24.30 | $7.09 – $34.03 |
| Holston Valley Medical Center | KINGSPORT | $24.30 | $7.09 – $34.03 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $24.30 | $7.09 – $30.91 |
| Claiborne Medical Center | Tazewell | $11.76 | $6.38 – $37.80 |
| Ascension Saint Thomas Midtown | Nashville | not published | $5.10 – $54.18 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $9.72 – $54.18 |