Clozapine, 25 mg 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.82 with Cigna vs $22.25 with Prime Health — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Cigna | NewBusiness | $0.82 | — |
| Cigna | OAP | $0.93 | — |
| Aetna | MGMCRPPO | $3.79 | — |
| Aetna | MGMCRSNP | $3.79 | — |
| Aetna | MGMCRHMO | $3.79 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $4.65 | — |
| BCBS | NetworkP | $5.81 | — |
| Ambetter | Select | $5.86 | — |
| Humana | TRICARE | $6.32 | — |
| United | OptionsPPO | $7.51 | — |
| Cigna | PPO | $8.24 | — |
| Centurion | PRISON | $10.42 | — |
| United | GlobalBenefitPlan | $11.38 | — |
| Signature Advantage | MCR | $12.64 | — |
| BGFH SingleSource | DIRECTNETWORK | $12.64 | — |
| Multiplan | COMM | $14.66 | — |
| Employers Health Network | COMM | $17.70 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $18.96 | — |
| BGFH SingleSource | LEASEDNETWORK | $21.49 | — |
| Beech Street | COMM | $22.25 | — |
| Prime Health | COMMPPO | $22.25 | — |
Visitor-reported prices
Comments
Clozapine, 25 mg at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | $56.78 | $0.82 – $0.82 |
| HORIZON MEDICAL CENTER | DICKSON | not published | $0.82 – $0.82 |
| SKYLINE MADISON CAMPUS | NASHVILLE | not published | $0.82 – $0.82 |
| STONECREST MEDICAL CENTER | Smyrna | not published | $0.82 – $0.82 |
| SUMMIT MEDICAL CENTER | MT JULIET | not published | $0.82 – $0.82 |
| Parkwest Medical Center | Knoxville | not published | $0.85 – $0.86 |
| Roane County Medical Center | Harriman | not published | $0.86 – $0.86 |
| Claiborne Medical Center | Tazewell | not published | $0.86 – $0.86 |