Culture fungi skin/hair/nail at SOUTHERN HILLS MEDICAL CENTER
2127 CENTURY FARMS PKWY, ANTIOCH, TN · Tristarhealth · · NPI 1720032345
$1,156.00
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.
$1,156.00
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.
$3.47 with Wellpoint vs $1,017.28 with Beech Street — 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $3.47 | ↓ -100% |
| Aetna | NewBusiness | $6.13 | ↓ -99% |
| Aetna | COMM | $6.13 | ↓ -99% |
| Humana | ChoicecareMGMCR | $7.71 | ↓ -99% |
| Devoted Health Plan | MCR | $7.71 | ↓ -99% |
| Bright Health | SmallGroup | $7.71 | ↓ -99% |
| Bright Health | HIX | $7.71 | ↓ -99% |
| HealthSpring | DualEligible | $7.71 | ↓ -99% |
| HealthSpring | MCRHMO | $7.71 | ↓ -99% |
| HealthSpring | MCRPOS | $7.71 | ↓ -99% |
| HealthSpring | MCRPPO | $7.71 | ↓ -99% |
| United | CorePayer | $7.71 | ↓ -99% |
| Odyssey Healthcare | COMM | $7.71 | ↓ -99% |
| Sarah Cannon Research | COMM | $7.71 | ↓ -99% |
| Amerigroup | MGMCR | $7.71 | ↓ -99% |
| United | VACCN | $7.71 | ↓ -99% |
| United | AllPayerAppendix | $7.71 | ↓ -99% |
| United | HeritageSelect | $7.71 | ↓ -99% |
| Aetna | MGMCRPPO | $7.79 | ↓ -99% |
| Aetna | MGMCRSNP | $7.79 | ↓ -99% |
| Aetna | MGMCRHMO | $7.79 | ↓ -99% |
| United | MGMCR | $7.86 | ↓ -99% |
| Zing | MGMCR | $7.94 | ↓ -99% |
| WellCare | MCR | $7.94 | ↓ -99% |
| BCBS | MCR | $7.94 | ↓ -99% |
| Ambetter | Select | $8.02 | ↓ -99% |
| Evergreen HMO | MCR | $8.10 | ↓ -99% |
| American Health Advantage | MCRHMO | $8.10 | ↓ -99% |
| American Health Advantage | MCRPOS | $8.10 | ↓ -99% |
| American Health Advantage | MCRPPO | $8.10 | ↓ -99% |
| American Health Advantage | MCRSNP | $8.10 | ↓ -99% |
| American Health Advantage | MCRPFFS | $8.10 | ↓ -99% |
| Signature Advantage | MCR | $8.17 | ↓ -99% |
| Ambetter | CORE | $8.32 | ↓ -99% |
| ATRIO Golden Times | MCR | $8.48 | ↓ -99% |
| Bright Health | MCRNarrow | $8.87 | ↓ -99% |
| BCBS | NetworkP | $10.52 | ↓ -99% |
| Prime Health | WORKERSCOMP | $11.10 | ↓ -99% |
| CorVel Corporation | WORKERSCOMP | $11.33 | ↓ -99% |
| NovaNET | WORKERSCOMP | $11.33 | ↓ -99% |
| Cigna | NewBusiness | $13.85 | ↓ -99% |
| Cigna | OAP | $15.73 | ↓ -99% |
| Oscar | HIX | $23.13 | ↓ -98% |
| BCBS | TENNCARE | $26.04 | ↓ -98% |
| BCBS | COVERKIDS | $28.16 | ↓ -98% |
| Humana | HumanaChoice | $30.84 | ↓ -97% |
| Humana | NarrowExchangeNetwork | $30.84 | ↓ -97% |
| Humana | HumanaChoiceCare | $30.84 | ↓ -97% |
| Humana | BroadNetwork | $30.84 | ↓ -97% |
| BCBS | BlueCare | $43.75 | ↓ -96% |
| Kentucky Labor Cabinet | WORKERSCOMP | $212.82 | ↓ -82% |
| Apex Health | MCR | $219.64 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $219.64 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $219.64 | ↓ -81% |
| Humana | TRICARE | $289.00 | ↓ -75% |
| United | OptionsPPO | $343.33 | ↓ -70% |
| Cigna | PPO | $376.86 | ↓ -67% |
| Centurion | PRISON | $476.27 | ↓ -59% |
| United | GlobalBenefitPlan | $520.20 | ↓ -55% |
| Aetna | NAP | $578.00 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $578.00 | ↓ -50% |
| Multiplan | COMM | $670.48 | ↓ -42% |
| Employers Health Network | COMM | $809.20 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $867.00 | ↓ -25% |
| BGFH SingleSource | LEASEDNETWORK | $982.60 | ↓ -15% |
| Prime Health | COMMPPO | $1,017.28 | ↓ -12% |
| Beech Street | COMM | $1,017.28 | ↓ -12% |
Visitor-reported prices
Comments
Culture fungi skin/hair/nail at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $77.37 | $2.78 – $29.34 |
| CHI Memorial Hospital Hixson | Hixson | $19.24 | $6.85 – $45.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $6.67 | $6.71 – $15.42 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $27.50 | $6.85 – $45.50 |
| Johnson City Medical Center | JOHNSON CITY | $13.50 | $3.86 – $16.81 |
| Ascension Saint Thomas DeKalb | Smithville | $77.37 | $5.42 – $29.34 |
| Ascension Saint Thomas Highlands | Sparta | $77.37 | $5.42 – $29.34 |
| Ascension Saint Thomas River Park | McMinnville | $77.37 | $5.42 – $29.34 |