Bivalirudin 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.
$0.18 with BCBS vs $23.39 with Prime Health — 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 | $0.18 | — |
| Cigna | NewBusiness | $0.25 | — |
| Cigna | OAP | $0.28 | — |
| United | AllPayerAppendix | $0.42 | — |
| United | CorePayer | $0.42 | — |
| United | HeritageSelect | $0.42 | — |
| Aetna | MGMCRPPO | $3.99 | — |
| Aetna | MGMCRSNP | $3.99 | — |
| Aetna | MGMCRHMO | $3.99 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $4.89 | — |
| Ambetter | Select | $6.17 | — |
| Humana | TRICARE | $6.64 | — |
| United | OptionsPPO | $7.89 | — |
| Cigna | PPO | $8.67 | — |
| Centurion | PRISON | $10.95 | — |
| United | GlobalBenefitPlan | $11.96 | — |
| Signature Advantage | MCR | $13.29 | — |
| BGFH SingleSource | DIRECTNETWORK | $13.29 | — |
| Multiplan | COMM | $15.42 | — |
| Employers Health Network | COMM | $18.61 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $19.93 | — |
| BGFH SingleSource | LEASEDNETWORK | $22.59 | — |
| Beech Street | COMM | $23.39 | — |
| Prime Health | COMMPPO | $23.39 | — |
Visitor-reported prices
Comments
Bivalirudin at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $387.24 | $0.46 – $250.86 |
| 62-1166050 BMH Carroll County | Huntingdon | $281.04 | $0.17 – $0.37 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $553.39 | $0.46 – $250.86 |
| Johnson City Medical Center | JOHNSON CITY | $732.66 | $0.30 – $140.80 |
| Greeneville Community Hospital | GREENEVILLE | $732.66 | $0.30 – $146.91 |
| Bristol Regional Medical Center | BRISTOL | $177.54 | $0.30 – $140.30 |
| Holston Valley Medical Center | KINGSPORT | $793.24 | $0.30 – $140.30 |
| 62-0123940 BMH Collierville | Collierville | $256.60 | $0.17 – $0.37 |