Fern 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.
$4.38 with Wellpoint vs $250.86 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 | $4.38 | — |
| Aetna | COMM | $7.75 | — |
| Aetna | NewBusiness | $7.75 | — |
| Sarah Cannon Research | COMM | $9.74 | — |
| Devoted Health Plan | MCR | $9.74 | — |
| HealthSpring | DualEligible | $9.74 | — |
| HealthSpring | MCRHMO | $9.74 | — |
| HealthSpring | MCRPOS | $9.74 | — |
| HealthSpring | MCRPPO | $9.74 | — |
| BCBS | NetworkP | $9.74 | — |
| Amerigroup | MGMCR | $9.74 | — |
| Odyssey Healthcare | COMM | $9.74 | — |
| Humana | ChoicecareMGMCR | $9.74 | — |
| United | HeritageSelect | $9.74 | — |
| United | VACCN | $9.74 | — |
| United | CorePayer | $9.74 | — |
| United | AllPayerAppendix | $9.74 | — |
| Bright Health | SmallGroup | $9.74 | — |
| Bright Health | HIX | $9.74 | — |
| Aetna | MGMCRHMO | $9.84 | — |
| Aetna | MGMCRPPO | $9.84 | — |
| Aetna | MGMCRSNP | $9.84 | — |
| United | MGMCR | $9.93 | — |
| BCBS | MCR | $10.03 | — |
| WellCare | MCR | $10.03 | — |
| Zing | MGMCR | $10.03 | — |
| American Health Advantage | MCRPPO | $10.23 | — |
| American Health Advantage | MCRHMO | $10.23 | — |
| American Health Advantage | MCRPOS | $10.23 | — |
| American Health Advantage | MCRSNP | $10.23 | — |
| American Health Advantage | MCRPFFS | $10.23 | — |
| Evergreen HMO | MCR | $10.23 | — |
| Signature Advantage | MCR | $10.32 | — |
| ATRIO Golden Times | MCR | $10.71 | — |
| Bright Health | MCRNarrow | $11.20 | — |
| Prime Health | WORKERSCOMP | $14.03 | — |
| NovaNET | WORKERSCOMP | $14.32 | — |
| CorVel Corporation | WORKERSCOMP | $14.32 | — |
| Cigna | NewBusiness | $17.29 | — |
| Cigna | OAP | $19.64 | — |
| Oscar | HIX | $29.22 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $52.48 | — |
| Apex Health | MCR | $54.16 | — |
| Pruitt Health (AllyAlign) | MCR | $54.16 | — |
| NHC Advantage, Inc. | MCRHMO | $54.16 | — |
| Ambetter | CORE | $63.57 | — |
| Ambetter | Select | $66.14 | — |
| Humana | TRICARE | $71.27 | — |
| United | OptionsPPO | $84.67 | — |
| Cigna | PPO | $92.93 | — |
| Centurion | PRISON | $117.45 | — |
| United | GlobalBenefitPlan | $128.28 | — |
| Aetna | NAP | $142.53 | — |
| BGFH SingleSource | DIRECTNETWORK | $142.53 | — |
| Multiplan | COMM | $165.34 | — |
| Employers Health Network | COMM | $199.55 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $213.80 | — |
| BGFH SingleSource | LEASEDNETWORK | $242.31 | — |
| Beech Street | COMM | $250.86 | — |
| Prime Health | COMMPPO | $250.86 | — |
Visitor-reported prices
Comments
Fern test at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $4.38 – $29.22 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $4.38 – $29.22 |
| HORIZON MEDICAL CENTER | DICKSON | not published | $4.38 – $29.22 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD | not published | $4.38 – $29.22 |
| SKYLINE MADISON CAMPUS | NASHVILLE | not published | $4.38 – $29.22 |
| STONECREST MEDICAL CENTER | Smyrna | not published | $4.38 – $29.22 |
| SUMMIT MEDICAL CENTER | MT JULIET | not published | $4.38 – $29.22 |
| Parkwest Medical Center | Knoxville | not published | $4.38 – $17.63 |