Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at SOUTHERN HILLS MEDICAL CENTER
2127 CENTURY FARMS PKWY, ANTIOCH, TN · Tristarhealth · · NPI 1720032345
$78.84
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.
$78.84
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.
$0.01 with BCBS vs $69.38 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 |
|---|---|---|---|
| BCBS | NetworkP | $0.01 | ↓ -100% |
| United | CorePayer | $0.03 | ↓ -100% |
| United | AllPayerAppendix | $0.03 | ↓ -100% |
| United | HeritageSelect | $0.03 | ↓ -100% |
| Aetna | MGMCRSNP | $11.83 | ↓ -85% |
| Aetna | MGMCRHMO | $11.83 | ↓ -85% |
| Aetna | MGMCRPPO | $11.83 | ↓ -85% |
| Kentucky Labor Cabinet | WORKERSCOMP | $14.51 | ↓ -82% |
| Ambetter | Select | $18.29 | ↓ -77% |
| Humana | TRICARE | $19.71 | ↓ -75% |
| Cigna | NewBusiness | $19.87 | ↓ -75% |
| Cigna | OAP | $22.55 | ↓ -71% |
| United | OptionsPPO | $23.42 | ↓ -70% |
| Cigna | PPO | $25.70 | ↓ -67% |
| Centurion | PRISON | $32.48 | ↓ -59% |
| United | GlobalBenefitPlan | $35.48 | ↓ -55% |
| Signature Advantage | MCR | $39.42 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $39.42 | ↓ -50% |
| Multiplan | COMM | $45.73 | ↓ -42% |
| Employers Health Network | COMM | $55.19 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $59.13 | ↓ -25% |
| BGFH SingleSource | LEASEDNETWORK | $67.01 | ↓ -15% |
| Beech Street | COMM | $69.38 | ↓ -12% |
| Prime Health | COMMPPO | $69.38 | ↓ -12% |
Visitor-reported prices
Comments
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $26.77 | $15.98 – $55.93 |
| 62-1166050 BMH Carroll County | Huntingdon | $15.52 | $0.00 – $0.01 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $38.26 | $16.78 – $55.93 |
| 62-0123940 BMH Collierville | Collierville | $14.17 | $0.00 – $0.01 |
| 62-1138045 BMH Union City | Union City | $13.50 | $0.00 – $0.01 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | $171.10 | $0.01 – $0.03 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | $37.53 | $0.01 – $0.03 |
| HORIZON MEDICAL CENTER | DICKSON | $91.27 | $0.01 – $0.03 |