Ghs phenylketonurid 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.
$2.48 with Wellpoint vs $90.29 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 | $2.48 | — |
| Aetna | NewBusiness | $4.38 | — |
| Aetna | COMM | $4.38 | — |
| Humana | ChoicecareMGMCR | $5.50 | — |
| Devoted Health Plan | MCR | $5.50 | — |
| Bright Health | SmallGroup | $5.50 | — |
| Bright Health | HIX | $5.50 | — |
| HealthSpring | DualEligible | $5.50 | — |
| HealthSpring | MCRHMO | $5.50 | — |
| HealthSpring | MCRPOS | $5.50 | — |
| HealthSpring | MCRPPO | $5.50 | — |
| United | CorePayer | $5.50 | — |
| Odyssey Healthcare | COMM | $5.50 | — |
| Sarah Cannon Research | COMM | $5.50 | — |
| Amerigroup | MGMCR | $5.50 | — |
| United | VACCN | $5.50 | — |
| United | AllPayerAppendix | $5.50 | — |
| United | HeritageSelect | $5.50 | — |
| Aetna | MGMCRPPO | $5.55 | — |
| Aetna | MGMCRSNP | $5.55 | — |
| Aetna | MGMCRHMO | $5.55 | — |
| United | MGMCR | $5.61 | — |
| Zing | MGMCR | $5.67 | — |
| WellCare | MCR | $5.67 | — |
| BCBS | MCR | $5.67 | — |
| Ambetter | Select | $5.72 | — |
| Evergreen HMO | MCR | $5.78 | — |
| American Health Advantage | MCRHMO | $5.78 | — |
| American Health Advantage | MCRPOS | $5.78 | — |
| American Health Advantage | MCRPPO | $5.78 | — |
| American Health Advantage | MCRSNP | $5.78 | — |
| American Health Advantage | MCRPFFS | $5.78 | — |
| Signature Advantage | MCR | $5.83 | — |
| Ambetter | CORE | $5.94 | — |
| ATRIO Golden Times | MCR | $6.05 | — |
| Bright Health | MCRNarrow | $6.32 | — |
| BCBS | NetworkP | $7.50 | — |
| Prime Health | WORKERSCOMP | $7.92 | — |
| CorVel Corporation | WORKERSCOMP | $8.08 | — |
| NovaNET | WORKERSCOMP | $8.08 | — |
| Cigna | NewBusiness | $9.81 | — |
| Cigna | OAP | $11.14 | — |
| BCBS | TENNCARE | $15.57 | — |
| Oscar | HIX | $16.50 | — |
| BCBS | COVERKIDS | $16.83 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $18.89 | — |
| Apex Health | MCR | $19.49 | — |
| Pruitt Health (AllyAlign) | MCR | $19.49 | — |
| NHC Advantage, Inc. | MCRHMO | $19.49 | — |
| Humana | BroadNetwork | $22.00 | — |
| Humana | HumanaChoice | $22.00 | — |
| Humana | HumanaChoiceCare | $22.00 | — |
| Humana | NarrowExchangeNetwork | $22.00 | — |
| Humana | TRICARE | $25.65 | — |
| BCBS | BlueCare | $26.15 | — |
| United | OptionsPPO | $30.47 | — |
| Cigna | PPO | $33.45 | — |
| Centurion | PRISON | $42.27 | — |
| United | GlobalBenefitPlan | $46.17 | — |
| Aetna | NAP | $51.30 | — |
| BGFH SingleSource | DIRECTNETWORK | $51.30 | — |
| Multiplan | COMM | $59.51 | — |
| Employers Health Network | COMM | $71.82 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $76.95 | — |
| BGFH SingleSource | LEASEDNETWORK | $87.21 | — |
| Prime Health | COMMPPO | $90.29 | — |
| Beech Street | COMM | $90.29 | — |
Visitor-reported prices
Comments
Ghs phenylketonurid at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $70.38 | $4.79 – $11.00 |
| Johnson City Medical Center | JOHNSON CITY | $9.60 | $2.75 – $11.99 |
| Greeneville Community Hospital | GREENEVILLE | $9.60 | $2.48 – $11.99 |
| Bristol Regional Medical Center | BRISTOL | $9.60 | $2.75 – $13.20 |
| Franklin Woods Community Hospital | JOHNSON CITY | $9.60 | $2.75 – $11.99 |
| Holston Valley Medical Center | KINGSPORT | $9.60 | $2.75 – $13.20 |
| Indian Path Community Hospital | KINGSPORT | $9.60 | $2.75 – $13.20 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $9.60 | $2.75 – $11.99 |