Infect ag if legionella pneumophila 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$7.02 with Wellpoint vs $883.00 with Prime Health — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $7.02 | — |
| Aetna | NewBusiness | $12.40 | — |
| Aetna | COMM | $12.40 | — |
| Humana | ChoicecareMGMCR | $15.60 | — |
| Devoted Health Plan | MCR | $15.60 | — |
| Bright Health | SmallGroup | $15.60 | — |
| Bright Health | HIX | $15.60 | — |
| HealthSpring | DualEligible | $15.60 | — |
| HealthSpring | MCRHMO | $15.60 | — |
| HealthSpring | MCRPOS | $15.60 | — |
| HealthSpring | MCRPPO | $15.60 | — |
| United | HeritageSelect | $15.60 | — |
| Odyssey Healthcare | COMM | $15.60 | — |
| Sarah Cannon Research | COMM | $15.60 | — |
| United | VACCN | $15.60 | — |
| United | AllPayerAppendix | $15.60 | — |
| Amerigroup | MGMCR | $15.60 | — |
| United | CorePayer | $15.60 | — |
| BCBS | NetworkP | $15.62 | — |
| Aetna | MGMCRSNP | $15.76 | — |
| Aetna | MGMCRPPO | $15.76 | — |
| Aetna | MGMCRHMO | $15.76 | — |
| United | MGMCR | $15.91 | — |
| WellCare | MCR | $16.07 | — |
| BCBS | MCR | $16.07 | — |
| Zing | MGMCR | $16.07 | — |
| Ambetter | Select | $16.22 | — |
| Evergreen HMO | MCR | $16.38 | — |
| American Health Advantage | MCRHMO | $16.38 | — |
| American Health Advantage | MCRPOS | $16.38 | — |
| American Health Advantage | MCRPPO | $16.38 | — |
| American Health Advantage | MCRSNP | $16.38 | — |
| American Health Advantage | MCRPFFS | $16.38 | — |
| Signature Advantage | MCR | $16.54 | — |
| Ambetter | CORE | $16.85 | — |
| ATRIO Golden Times | MCR | $17.16 | — |
| Bright Health | MCRNarrow | $17.94 | — |
| Prime Health | WORKERSCOMP | $22.46 | — |
| NovaNET | WORKERSCOMP | $22.93 | — |
| CorVel Corporation | WORKERSCOMP | $22.93 | — |
| Cigna | NewBusiness | $27.68 | — |
| Cigna | OAP | $31.44 | — |
| BCBS | TENNCARE | $34.35 | — |
| BCBS | COVERKIDS | $37.14 | — |
| Oscar | HIX | $46.80 | — |
| BCBS | BlueCare | $57.71 | — |
| Humana | NarrowExchangeNetwork | $62.40 | — |
| Humana | HumanaChoiceCare | $62.40 | — |
| Humana | BroadNetwork | $62.40 | — |
| Humana | HumanaChoice | $62.40 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $184.73 | — |
| Apex Health | MCR | $190.65 | — |
| Pruitt Health (AllyAlign) | MCR | $190.65 | — |
| NHC Advantage, Inc. | MCRHMO | $190.65 | — |
| Humana | TRICARE | $250.85 | — |
| United | OptionsPPO | $298.01 | — |
| Cigna | PPO | $327.11 | — |
| Centurion | PRISON | $413.40 | — |
| United | GlobalBenefitPlan | $451.53 | — |
| Aetna | NAP | $501.70 | — |
| BGFH SingleSource | DIRECTNETWORK | $501.70 | — |
| Multiplan | COMM | $581.98 | — |
| Employers Health Network | COMM | $702.39 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $752.56 | — |
| BGFH SingleSource | LEASEDNETWORK | $852.90 | — |
| Beech Street | COMM | $883.00 | — |
| Prime Health | COMMPPO | $883.00 | — |
Visitor-reported prices
Comments
Infect ag if legionella pneumophila at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $18.36 | $10.65 – $43.40 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $26.23 | $10.65 – $43.40 |
| Johnson City Medical Center | JOHNSON CITY | $20.10 | $7.80 – $34.01 |
| Hancock County Hospital | SNEEDVILLE | $19.78 | $8.50 – $34.65 |
| Greeneville Community Hospital | GREENEVILLE | $20.10 | $6.12 – $34.01 |
| Bristol Regional Medical Center | BRISTOL | $20.10 | $7.80 – $37.44 |
| Franklin Woods Community Hospital | JOHNSON CITY | $20.10 | $7.80 – $34.01 |
| Holston Valley Medical Center | KINGSPORT | $20.10 | $7.80 – $37.44 |