Analysis tumor 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.
$33.97 with BCBS vs $397.34 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 |
|---|---|---|---|
| BCBS | NetworkP | $33.97 | — |
| BCBS | TENNCARE | $59.48 | — |
| BCBS | COVERKIDS | $64.32 | — |
| Bright Health | HIX | $76.76 | — |
| Oscar | HIX | $82.63 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $83.12 | — |
| Apex Health | MCR | $85.79 | — |
| NHC Advantage, Inc. | MCRHMO | $85.79 | — |
| Pruitt Health (AllyAlign) | MCR | $85.79 | — |
| BCBS | BlueCare | $99.94 | — |
| Ambetter | CORE | $100.69 | — |
| Aetna | NewBusiness | $102.48 | — |
| Aetna | COMM | $102.48 | — |
| Ambetter | Select | $104.75 | — |
| Bright Health | SmallGroup | $108.36 | — |
| Humana | TRICARE | $112.88 | — |
| United | OptionsPPO | $134.10 | — |
| Cigna | PPO | $147.20 | — |
| United | HeritageSelect | $149.16 | — |
| United | CorePayer | $149.16 | — |
| United | AllPayerAppendix | $149.16 | — |
| Cigna | NewBusiness | $150.30 | — |
| Cigna | OAP | $170.70 | — |
| Centurion | PRISON | $186.03 | — |
| Humana | NarrowExchangeNetwork | $189.68 | — |
| Humana | BroadNetwork | $189.68 | — |
| Humana | HumanaChoiceCare | $189.68 | — |
| Humana | HumanaChoice | $189.68 | — |
| United | GlobalBenefitPlan | $203.18 | — |
| BGFH SingleSource | DIRECTNETWORK | $225.76 | — |
| Aetna | NAP | $225.76 | — |
| Multiplan | COMM | $261.88 | — |
| Employers Health Network | COMM | $316.06 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $338.64 | — |
| BGFH SingleSource | LEASEDNETWORK | $383.79 | — |
| Prime Health | COMMPPO | $397.34 | — |
| Beech Street | COMM | $397.34 | — |
Visitor-reported prices
Comments
Analysis tumor at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $47.40 | $13.25 – $346.58 |
| Bristol Regional Medical Center | BRISTOL | $47.40 | $22.09 – $352.34 |
| Holston Valley Medical Center | KINGSPORT | $47.40 | $22.09 – $352.34 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $47.40 | $18.41 – $336.97 |
| Ascension Saint Thomas Midtown | Nashville | not published | $34.29 – $229.75 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $18.23 – $226.45 |
| Ascension Saint Thomas Highlands | Sparta | not published | $18.23 – $226.45 |
| Ascension Saint Thomas River Park | McMinnville | not published | $18.23 – $226.45 |