Cyclosporine modified 25 mg capsule 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.
$0.99 with Cigna vs $44.25 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 |
|---|---|---|---|
| Cigna | NewBusiness | $0.99 | — |
| Cigna | OAP | $1.13 | — |
| United | HeritageSelect | $1.40 | — |
| United | AllPayerAppendix | $1.40 | — |
| United | CorePayer | $1.40 | — |
| Aetna | MGMCRHMO | $7.54 | — |
| Aetna | MGMCRPPO | $7.54 | — |
| Aetna | MGMCRSNP | $7.54 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $9.26 | — |
| BCBS | NetworkP | $11.56 | — |
| Ambetter | Select | $11.66 | — |
| Humana | TRICARE | $12.57 | — |
| United | OptionsPPO | $14.93 | — |
| Cigna | PPO | $16.39 | — |
| Centurion | PRISON | $20.72 | — |
| United | GlobalBenefitPlan | $22.63 | — |
| Signature Advantage | MCR | $25.14 | — |
| BGFH SingleSource | DIRECTNETWORK | $25.14 | — |
| Multiplan | COMM | $29.16 | — |
| Employers Health Network | COMM | $35.20 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $37.71 | — |
| BGFH SingleSource | LEASEDNETWORK | $42.74 | — |
| Beech Street | COMM | $44.25 | — |
| Prime Health | COMMPPO | $44.25 | — |
Visitor-reported prices
Comments
Cyclosporine modified 25 mg capsule at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1.64 | $0.75 – $1.70 |
| CHI Memorial Hospital Hixson | Hixson | $25.22 | $0.10 – $0.48 |
| 62-1166050 BMH Carroll County | Huntingdon | $1.12 | $0.85 – $1.01 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $36.04 | $0.11 – $0.48 |
| Johnson City Medical Center | JOHNSON CITY | $0.69 | $0.51 – $2.83 |
| Ascension Saint Thomas River Park | McMinnville | $2.48 | $0.75 – $1.70 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1.64 | $0.75 – $1.70 |
| Greeneville Community Hospital | GREENEVILLE | $0.69 | $0.40 – $2.83 |