Diabetes (HbA1c) Test 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.
$4.37 with Wellpoint vs $262.88 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 | $4.37 | — |
| Aetna | NewBusiness | $7.72 | — |
| Aetna | COMM | $7.72 | — |
| Humana | ChoicecareMGMCR | $9.71 | — |
| Devoted Health Plan | MCR | $9.71 | — |
| Bright Health | SmallGroup | $9.71 | — |
| Bright Health | HIX | $9.71 | — |
| HealthSpring | DualEligible | $9.71 | — |
| HealthSpring | MCRHMO | $9.71 | — |
| HealthSpring | MCRPOS | $9.71 | — |
| HealthSpring | MCRPPO | $9.71 | — |
| United | CorePayer | $9.71 | — |
| Odyssey Healthcare | COMM | $9.71 | — |
| Sarah Cannon Research | COMM | $9.71 | — |
| Amerigroup | MGMCR | $9.71 | — |
| United | VACCN | $9.71 | — |
| United | AllPayerAppendix | $9.71 | — |
| United | HeritageSelect | $9.71 | — |
| Aetna | MGMCRPPO | $9.81 | — |
| Aetna | MGMCRSNP | $9.81 | — |
| Aetna | MGMCRHMO | $9.81 | — |
| United | MGMCR | $9.90 | — |
| Zing | MGMCR | $10.00 | — |
| WellCare | MCR | $10.00 | — |
| BCBS | MCR | $10.00 | — |
| Ambetter | Select | $10.10 | — |
| Evergreen HMO | MCR | $10.20 | — |
| American Health Advantage | MCRHMO | $10.20 | — |
| American Health Advantage | MCRPOS | $10.20 | — |
| American Health Advantage | MCRPPO | $10.20 | — |
| American Health Advantage | MCRSNP | $10.20 | — |
| American Health Advantage | MCRPFFS | $10.20 | — |
| Signature Advantage | MCR | $10.29 | — |
| Ambetter | CORE | $10.48 | — |
| ATRIO Golden Times | MCR | $10.68 | — |
| Bright Health | MCRNarrow | $11.17 | — |
| BCBS | NetworkP | $13.24 | — |
| Prime Health | WORKERSCOMP | $13.98 | — |
| CorVel Corporation | WORKERSCOMP | $14.27 | — |
| NovaNET | WORKERSCOMP | $14.27 | — |
| Cigna | NewBusiness | $17.29 | — |
| Cigna | OAP | $19.64 | — |
| Oscar | HIX | $29.13 | — |
| BCBS | TENNCARE | $31.97 | — |
| BCBS | COVERKIDS | $34.58 | — |
| Humana | HumanaChoice | $38.84 | — |
| Humana | NarrowExchangeNetwork | $38.84 | — |
| Humana | HumanaChoiceCare | $38.84 | — |
| Humana | BroadNetwork | $38.84 | — |
| BCBS | BlueCare | $53.73 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $55.00 | — |
| Apex Health | MCR | $56.76 | — |
| Pruitt Health (AllyAlign) | MCR | $56.76 | — |
| NHC Advantage, Inc. | MCRHMO | $56.76 | — |
| Humana | TRICARE | $74.68 | — |
| United | OptionsPPO | $88.72 | — |
| Cigna | PPO | $97.39 | — |
| Centurion | PRISON | $123.08 | — |
| United | GlobalBenefitPlan | $134.43 | — |
| Aetna | NAP | $149.37 | — |
| BGFH SingleSource | DIRECTNETWORK | $149.37 | — |
| Multiplan | COMM | $173.26 | — |
| Employers Health Network | COMM | $209.11 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $224.05 | — |
| BGFH SingleSource | LEASEDNETWORK | $253.92 | — |
| Prime Health | COMMPPO | $262.88 | — |
| Beech Street | COMM | $262.88 | — |
Visitor-reported prices
Comments
Diabetes (HbA1c) Test at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $84.02 | $3.50 – $37.24 |
| CHI Memorial Hospital Hixson | Hixson | $24.57 | $8.62 – $58.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $37.95 | $8.45 – $19.42 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $35.11 | $8.62 – $58.10 |
| Johnson City Medical Center | JOHNSON CITY | $16.95 | $4.86 – $21.17 |
| Ascension Saint Thomas DeKalb | Smithville | $41.96 | $6.81 – $37.24 |
| Ascension Saint Thomas Highlands | Sparta | $41.96 | $6.81 – $37.24 |
| Ascension Saint Thomas River Park | McMinnville | $41.99 | $6.81 – $37.24 |