Application finger splntstatic 29130 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.
$83.82 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 | $83.82 | — |
| Bright Health | HIX | $136.94 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $148.29 | — |
| Ambetter | CORE | $179.63 | — |
| Ambetter | Select | $186.88 | — |
| Bright Health | SmallGroup | $193.32 | — |
| Humana | TRICARE | $201.38 | — |
| Cigna | NewBusiness | $202.99 | — |
| Aetna | NewBusiness | $225.54 | — |
| Cigna | OAP | $230.38 | — |
| United | OptionsPPO | $239.24 | — |
| United | TENNCARE | $250.00 | — |
| Cigna | PPO | $262.60 | — |
| Aetna | COMM | $265.82 | — |
| United | GlobalBenefitPlan | $362.48 | — |
| Aetna | NAP | $402.75 | — |
| BGFH SingleSource | DIRECTNETWORK | $402.75 | — |
| Multiplan | COMM | $467.20 | — |
| Employers Health Network | COMM | $563.86 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $604.13 | — |
| BGFH SingleSource | LEASEDNETWORK | $684.68 | — |
| Beech Street | COMM | $708.85 | — |
| Prime Health | COMMPPO | $708.85 | — |
| BCBS | TENNCARE | $850.21 | — |
| BCBS | COVERKIDS | $921.29 | — |
| Oscar | HIX | $990.00 | — |
| BCBS | BlueCare | $990.00 | — |
| NHC Advantage, Inc. | MCRHMO | $2,550.00 | — |
| Pruitt Health (AllyAlign) | MCR | $2,550.00 | — |
| Apex Health | MCR | $2,550.00 | — |
| Humana | HumanaChoice | $2,569.00 | — |
| Humana | NarrowExchangeNetwork | $2,569.00 | — |
| Humana | HumanaChoiceCare | $2,569.00 | — |
| Humana | BroadNetwork | $2,569.00 | — |
| United | HeritageSelect | $3,637.00 | — |
| United | AllPayerAppendix | $3,637.00 | — |
| United | CorePayer | $22,403.00 | — |
Visitor-reported prices
Comments
Application finger splntstatic 29130 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $48.25 | $16.10 – $114.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $97.98 | $102.40 – $235.40 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $68.95 | $16.10 – $114.10 |
| Johnson City Medical Center | JOHNSON CITY | $51.60 | $12.55 – $270.65 |
| Ascension Saint Thomas DeKalb | Smithville | $59.42 | $10.82 – $2,225.50 |
| Ascension Saint Thomas Highlands | Sparta | $59.42 | $10.82 – $2,225.50 |
| Ascension Saint Thomas River Park | McMinnville | $59.42 | $10.82 – $2,225.50 |
| Hancock County Hospital | SNEEDVILLE | $50.83 | $12.55 – $147.76 |