Electrophysiology evaluation 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.
$111.40 with BCBS vs $30,393.00 with Aetna — 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 |
|---|---|---|---|
| BCBS | TENNCARE | $111.40 | — |
| BCBS | COVERKIDS | $120.47 | — |
| BCBS | BlueCare | $187.19 | — |
| United | TENNCARE | $662.00 | — |
| Oscar | HIX | $2,048.00 | — |
| Bright Health | HIX | $3,723.00 | — |
| United | CorePayer | $3,855.00 | — |
| Bright Health | SmallGroup | $5,078.00 | — |
| United | HeritageSelect | $5,140.00 | — |
| United | AllPayerAppendix | $5,140.00 | — |
| Apex Health | MCR | $7,950.00 | — |
| Cigna | NewBusiness | $10,808.00 | — |
| Cigna | OAP | $12,282.00 | — |
| Aetna | NewBusiness | $25,919.00 | — |
| Aetna | COMM | $30,393.00 | — |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,029.87 | $64.77 – $12,715.00 |
| CHI Memorial Hospital Hixson | Hixson | $2,411.81 | $96.40 – $5,703.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,446.61 | $96.40 – $5,703.60 |
| Johnson City Medical Center | JOHNSON CITY | $513.90 | $75.13 – $8,650.28 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,029.87 | $64.77 – $12,715.00 |
| Greeneville Community Hospital | GREENEVILLE | $513.90 | $75.13 – $9,386.65 |
| Bristol Regional Medical Center | BRISTOL | $513.90 | $75.13 – $8,802.65 |
| Franklin Woods Community Hospital | JOHNSON CITY | $513.90 | $91.33 – $9,386.65 |