App high cost ss f/n/g/h/f >100sq cm addl 100sq cm 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.
$180.29 with BCBS vs $22,403.00 with United — 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 | $180.29 | — |
| United | TENNCARE | $250.00 | — |
| Bright Health | HIX | $607.00 | — |
| Bright Health | SmallGroup | $827.00 | — |
| Oscar | HIX | $990.00 | — |
| Aetna | NewBusiness | $1,804.00 | — |
| Aetna | COMM | $2,303.00 | — |
| Apex Health | MCR | $2,550.00 | — |
| Pruitt Health (AllyAlign) | MCR | $2,550.00 | — |
| NHC Advantage, Inc. | MCRHMO | $2,550.00 | — |
| United | AllPayerAppendix | $3,637.00 | — |
| United | HeritageSelect | $3,637.00 | — |
| Humana | BroadNetwork | $6,009.00 | — |
| Humana | HumanaChoice | $6,009.00 | — |
| Humana | HumanaChoiceCare | $6,009.00 | — |
| Humana | NarrowExchangeNetwork | $6,009.00 | — |
| United | CorePayer | $22,403.00 | — |
Visitor-reported prices
Comments
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $1,011.14 | $683.20 – $2,391.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $206.08 | $45.27 – $98.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,444.97 | $717.36 – $2,391.20 |
| Johnson City Medical Center | JOHNSON CITY | $137.55 | $358.55 – $2,556.41 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,678.95 | $141.68 – $2,225.50 |
| Greeneville Community Hospital | GREENEVILLE | $137.55 | $281.52 – $2,667.33 |
| Bristol Regional Medical Center | BRISTOL | $137.55 | $281.52 – $2,547.48 |
| Franklin Woods Community Hospital | JOHNSON CITY | $137.55 | $341.12 – $2,774.03 |