Initiation & management bipap/cpap initial day at SOUTHERN HILLS MEDICAL CENTER
2127 CENTURY FARMS PKWY, ANTIOCH, TN · Tristarhealth · · NPI 1720032345
$3,133.36
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.
$3,133.36
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.
$83.27 with BCBS vs $2,757.36 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 | $83.27 | ↓ -97% |
| BCBS | COVERKIDS | $90.04 | ↓ -97% |
| BCBS | NetworkP | $128.16 | ↓ -96% |
| BCBS | BlueCare | $139.90 | ↓ -96% |
| Bright Health | HIX | $532.67 | ↓ -83% |
| Oscar | HIX | $573.40 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $576.85 | ↓ -82% |
| NHC Advantage, Inc. | MCRHMO | $595.34 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $595.34 | ↓ -81% |
| Apex Health | MCR | $595.34 | ↓ -81% |
| Ambetter | CORE | $698.74 | ↓ -78% |
| Ambetter | Select | $726.94 | ↓ -77% |
| Bright Health | SmallGroup | $752.01 | ↓ -76% |
| Humana | TRICARE | $783.34 | ↓ -75% |
| Cigna | NewBusiness | $789.61 | ↓ -75% |
| Aetna | NewBusiness | $877.34 | ↓ -72% |
| Cigna | OAP | $896.14 | ↓ -71% |
| United | OptionsPPO | $930.61 | ↓ -70% |
| Cigna | PPO | $1,021.48 | ↓ -67% |
| Aetna | COMM | $1,034.01 | ↓ -67% |
| Centurion | PRISON | $1,290.94 | ↓ -59% |
| United | GlobalBenefitPlan | $1,410.01 | ↓ -55% |
| Aetna | NAP | $1,566.68 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $1,566.68 | ↓ -50% |
| Multiplan | COMM | $1,817.35 | ↓ -42% |
| Employers Health Network | COMM | $2,193.35 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $2,350.02 | ↓ -25% |
| BGFH SingleSource | LEASEDNETWORK | $2,663.36 | ↓ -15% |
| Prime Health | COMMPPO | $2,757.36 | ↓ -12% |
| Beech Street | COMM | $2,757.36 | ↓ -12% |
Visitor-reported prices
Comments
Initiation & management bipap/cpap initial day at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $229.20 | $48.41 – $272.71 |
| CHI Memorial Hospital Hixson | Hixson | $145.04 | $72.05 – $343.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $137.08 | $48.41 – $371.44 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $207.27 | $72.05 – $343.00 |
| Johnson City Medical Center | JOHNSON CITY | $234.75 | $56.16 – $445.45 |
| Ascension Saint Thomas DeKalb | Smithville | $240.77 | $48.41 – $268.77 |
| Ascension Saint Thomas Highlands | Sparta | $240.77 | $48.41 – $268.77 |
| Ascension Saint Thomas River Park | McMinnville | $481.11 | $49.40 – $268.77 |