Diab manage trn ind/group at SOUTHERN HILLS MEDICAL CENTER
2127 CENTURY FARMS PKWY, ANTIOCH, TN · Tristarhealth · · NPI 1720032345
$247.53
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.
$247.53
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.
$10.95 with Wellpoint vs $217.83 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $10.95 | ↓ -96% |
| Odyssey Healthcare | COMM | $15.21 | ↓ -94% |
| Humana | ChoicecareMGMCR | $15.21 | ↓ -94% |
| Sarah Cannon Research | COMM | $15.21 | ↓ -94% |
| Devoted Health Plan | MCR | $15.21 | ↓ -94% |
| HealthSpring | DualEligible | $15.21 | ↓ -94% |
| HealthSpring | MCRHMO | $15.21 | ↓ -94% |
| HealthSpring | MCRPOS | $15.21 | ↓ -94% |
| HealthSpring | MCRPPO | $15.21 | ↓ -94% |
| United | VACCN | $15.21 | ↓ -94% |
| Amerigroup | MGMCR | $15.21 | ↓ -94% |
| Aetna | MGMCRHMO | $15.36 | ↓ -94% |
| Aetna | MGMCRSNP | $15.36 | ↓ -94% |
| Aetna | MGMCRPPO | $15.36 | ↓ -94% |
| United | MGMCR | $15.51 | ↓ -94% |
| Zing | MGMCR | $15.67 | ↓ -94% |
| BCBS | MCR | $15.67 | ↓ -94% |
| WellCare | MCR | $15.67 | ↓ -94% |
| American Health Advantage | MCRPPO | $15.97 | ↓ -94% |
| American Health Advantage | MCRHMO | $15.97 | ↓ -94% |
| American Health Advantage | MCRPOS | $15.97 | ↓ -94% |
| American Health Advantage | MCRSNP | $15.97 | ↓ -94% |
| American Health Advantage | MCRPFFS | $15.97 | ↓ -94% |
| Evergreen HMO | MCR | $15.97 | ↓ -94% |
| Signature Advantage | MCR | $16.12 | ↓ -93% |
| ATRIO Golden Times | MCR | $16.73 | ↓ -93% |
| Bright Health | MCRNarrow | $17.49 | ↓ -93% |
| Prime Health | WORKERSCOMP | $21.90 | ↓ -91% |
| NovaNET | WORKERSCOMP | $22.36 | ↓ -91% |
| CorVel Corporation | WORKERSCOMP | $22.36 | ↓ -91% |
| BCBS | NetworkP | $31.28 | ↓ -87% |
| Bright Health | HIX | $42.08 | ↓ -83% |
| Oscar | HIX | $45.30 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $45.57 | ↓ -82% |
| NHC Advantage, Inc. | MCRHMO | $47.03 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $47.03 | ↓ -81% |
| Apex Health | MCR | $47.03 | ↓ -81% |
| Ambetter | CORE | $55.20 | ↓ -78% |
| Ambetter | Select | $57.43 | ↓ -77% |
| Bright Health | SmallGroup | $59.41 | ↓ -76% |
| Humana | TRICARE | $61.88 | ↓ -75% |
| Cigna | NewBusiness | $62.38 | ↓ -75% |
| Aetna | NewBusiness | $69.31 | ↓ -72% |
| Cigna | OAP | $70.79 | ↓ -71% |
| United | OptionsPPO | $73.52 | ↓ -70% |
| Cigna | PPO | $80.69 | ↓ -67% |
| Aetna | COMM | $81.68 | ↓ -67% |
| Centurion | PRISON | $101.98 | ↓ -59% |
| United | GlobalBenefitPlan | $111.39 | ↓ -55% |
| Aetna | NAP | $123.77 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $123.77 | ↓ -50% |
| Multiplan | COMM | $143.57 | ↓ -42% |
| Employers Health Network | COMM | $173.27 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $185.65 | ↓ -25% |
| BGFH SingleSource | LEASEDNETWORK | $210.40 | ↓ -15% |
| Beech Street | COMM | $217.83 | ↓ -12% |
| Prime Health | COMMPPO | $217.83 | ↓ -12% |
Visitor-reported prices
Comments
Diab manage trn ind/group at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $36.38 | $13.33 – $32.13 |
| CHI Memorial Hospital Hixson | Hixson | $14.80 | $10.00 – $39.99 |
| 62-1166050 BMH Carroll County | Huntingdon | $14.26 | $10.22 – $26.87 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $21.15 | $10.01 – $39.99 |
| Johnson City Medical Center | JOHNSON CITY | $11.85 | $14.71 – $54.28 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $36.50 | $13.33 – $32.13 |
| Greeneville Community Hospital | GREENEVILLE | $100.20 | $5.88 – $58.90 |
| Bristol Regional Medical Center | BRISTOL | $100.20 | $9.80 – $55.23 |