Fomepizole 1 gram/ml intravenous solution at SOUTHERN HILLS MEDICAL CENTER
2127 CENTURY FARMS PKWY, ANTIOCH, TN · Tristarhealth · · NPI 1720032345
$5,141.16
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.
$5,141.16
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.
$14.92 with BCBS vs $4,524.22 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 | NetworkP | $14.92 | ↓ -100% |
| Cigna | NewBusiness | $15.98 | ↓ -100% |
| United | HeritageSelect | $17.04 | ↓ -100% |
| United | AllPayerAppendix | $17.04 | ↓ -100% |
| United | CorePayer | $17.04 | ↓ -100% |
| Cigna | OAP | $18.17 | ↓ -100% |
| Kentucky Labor Cabinet | WORKERSCOMP | $946.49 | ↓ -82% |
| Ambetter | Select | $1,192.75 | ↓ -77% |
| Humana | TRICARE | $1,285.29 | ↓ -75% |
| United | OptionsPPO | $1,526.92 | ↓ -70% |
| Cigna | PPO | $1,676.02 | ↓ -67% |
| Centurion | PRISON | $2,118.16 | ↓ -59% |
| United | GlobalBenefitPlan | $2,313.52 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $2,570.58 | ↓ -50% |
| Multiplan | COMM | $2,981.87 | ↓ -42% |
| Employers Health Network | COMM | $3,598.81 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $3,855.87 | ↓ -25% |
| BGFH SingleSource | LEASEDNETWORK | $4,369.99 | ↓ -15% |
| Prime Health | COMMPPO | $4,524.22 | ↓ -12% |
| Beech Street | COMM | $4,524.22 | ↓ -12% |
Visitor-reported prices
Comments
Fomepizole 1 gram/ml intravenous solution at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $2,688.51 | $4.44 – $1,861.35 |
| 62-1166050 BMH Carroll County | Huntingdon | $629.38 | $5.36 – $12.32 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,842.03 | $4.44 – $1,861.35 |
| Johnson City Medical Center | JOHNSON CITY | $1,917.15 | $6.43 – $242.39 |
| Hancock County Hospital | SNEEDVILLE | $1,380.00 | $3.81 – $276.18 |
| Greeneville Community Hospital | GREENEVILLE | $1,091.65 | $2.74 – $263.03 |
| Bristol Regional Medical Center | BRISTOL | $1,917.15 | $4.57 – $246.67 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,660.73 | $6.43 – $263.03 |