Brain image w/flow 4 + views 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.
$117.24 with Humana vs $961.94 with Cigna — 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 |
|---|---|---|---|
| Humana | BroadNetwork | $117.24 | — |
| Humana | HumanaChoice | $117.24 | — |
| Humana | HumanaChoiceCare | $117.24 | — |
| Humana | NarrowExchangeNetwork | $117.24 | — |
| BCBS | TENNCARE | $174.18 | — |
| BCBS | COVERKIDS | $188.43 | — |
| BCBS | NetworkP | $268.21 | — |
| BCBS | BlueCare | $291.40 | — |
| Aetna | NewBusiness | $443.03 | — |
| Aetna | COMM | $443.03 | — |
| United | HeritageSelect | $611.66 | — |
| United | CorePayer | $611.66 | — |
| United | AllPayerAppendix | $611.66 | — |
| Cigna | NewBusiness | $846.88 | — |
| Cigna | OAP | $961.94 | — |
Visitor-reported prices
Comments
Brain image w/flow 4 + views at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $452.25 | $127.08 – $1,104.54 |
| Greeneville Community Hospital | GREENEVILLE | $452.25 | $127.08 – $1,104.54 |
| Bristol Regional Medical Center | BRISTOL | $452.25 | $127.08 – $1,236.21 |
| Franklin Woods Community Hospital | JOHNSON CITY | $452.25 | $154.47 – $1,074.72 |
| Holston Valley Medical Center | KINGSPORT | $452.25 | $127.08 – $1,236.21 |
| 62-0123940 BMH Collierville | Collierville | $470.19 | $109.55 – $985.78 |
| Indian Path Community Hospital | KINGSPORT | $452.25 | $127.08 – $1,182.29 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $452.25 | $127.08 – $1,073.92 |