Fluoroguide for spine inject 77003-26 at SOUTHERN HILLS MEDICAL CENTER
2127 CENTURY FARMS PKWY, ANTIOCH, TN · Tristarhealth · · NPI 1720032345
$1,354.55
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.
$1,354.55
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.
$50.86 with BCBS vs $1,192.00 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 |
|---|---|---|---|
| BCBS | TENNCARE | $50.86 | ↓ -96% |
| BCBS | NetworkP | $52.83 | ↓ -96% |
| BCBS | COVERKIDS | $55.02 | ↓ -96% |
| BCBS | BlueCare | $85.09 | ↓ -94% |
| Humana | NarrowExchangeNetwork | $111.72 | ↓ -92% |
| Humana | HumanaChoice | $111.72 | ↓ -92% |
| Humana | BroadNetwork | $111.72 | ↓ -92% |
| Humana | HumanaChoiceCare | $111.72 | ↓ -92% |
| Aetna | NewBusiness | $141.10 | ↓ -90% |
| Aetna | COMM | $141.10 | ↓ -90% |
| Aetna | MGMCRPPO | $203.18 | ↓ -85% |
| Aetna | MGMCRSNP | $203.18 | ↓ -85% |
| Aetna | MGMCRHMO | $203.18 | ↓ -85% |
| Kentucky Labor Cabinet | WORKERSCOMP | $249.37 | ↓ -82% |
| Apex Health | MCR | $257.36 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $257.36 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $257.36 | ↓ -81% |
| Humana | TRICARE | $338.64 | ↓ -75% |
| Cigna | NewBusiness | $341.35 | ↓ -75% |
| Cigna | OAP | $387.40 | ↓ -71% |
| United | OptionsPPO | $402.30 | ↓ -70% |
| Cigna | PPO | $441.58 | ↓ -67% |
| Centurion | PRISON | $558.07 | ↓ -59% |
| United | GlobalBenefitPlan | $609.55 | ↓ -55% |
| Signature Advantage | MCR | $677.27 | ↓ -50% |
| Aetna | NAP | $677.27 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $677.27 | ↓ -50% |
| Multiplan | COMM | $785.64 | ↓ -42% |
| Employers Health Network | COMM | $948.18 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $1,015.91 | ↓ -25% |
| BGFH SingleSource | LEASEDNETWORK | $1,151.37 | ↓ -15% |
| Prime Health | COMMPPO | $1,192.00 | ↓ -12% |
| Beech Street | COMM | $1,192.00 | ↓ -12% |
Visitor-reported prices
Comments
Fluoroguide for spine inject 77003-26 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $84.57 | $31.99 – $153.45 |
| CHI Memorial Hospital Hixson | Hixson | $219.93 | $47.61 – $520.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $139.38 | $31.99 – $84.49 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $314.29 | $47.61 – $520.10 |
| Johnson City Medical Center | JOHNSON CITY | $69.30 | $37.11 – $269.81 |
| Ascension Saint Thomas Highlands | Sparta | $84.57 | $31.99 – $150.39 |
| Ascension Saint Thomas River Park | McMinnville | $84.57 | $47.80 – $150.39 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $84.57 | $31.99 – $150.39 |