Mayo avwpr vw factor activity at SOUTHERN HILLS MEDICAL CENTER
2127 CENTURY FARMS PKWY, ANTIOCH, TN · Tristarhealth · · NPI 1720032345
$171.49
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.
$171.49
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.
$13.89 with Wellpoint vs $150.91 with Prime Health — 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 | $13.89 | ↓ -92% |
| Aetna | COMM | $24.54 | ↓ -86% |
| Aetna | NewBusiness | $24.54 | ↓ -86% |
| Humana | ChoicecareMGMCR | $30.86 | ↓ -82% |
| Devoted Health Plan | MCR | $30.86 | ↓ -82% |
| Bright Health | SmallGroup | $30.86 | ↓ -82% |
| HealthSpring | DualEligible | $30.86 | ↓ -82% |
| HealthSpring | MCRHMO | $30.86 | ↓ -82% |
| HealthSpring | MCRPOS | $30.86 | ↓ -82% |
| HealthSpring | MCRPPO | $30.86 | ↓ -82% |
| United | HeritageSelect | $30.86 | ↓ -82% |
| Odyssey Healthcare | COMM | $30.86 | ↓ -82% |
| Sarah Cannon Research | COMM | $30.86 | ↓ -82% |
| Bright Health | HIX | $30.86 | ↓ -82% |
| United | VACCN | $30.86 | ↓ -82% |
| United | AllPayerAppendix | $30.86 | ↓ -82% |
| Amerigroup | MGMCR | $30.86 | ↓ -82% |
| United | CorePayer | $30.86 | ↓ -82% |
| Aetna | MGMCRPPO | $31.17 | ↓ -82% |
| Aetna | MGMCRSNP | $31.17 | ↓ -82% |
| Aetna | MGMCRHMO | $31.17 | ↓ -82% |
| BCBS | NetworkP | $31.30 | ↓ -82% |
| United | MGMCR | $31.48 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $31.57 | ↓ -82% |
| WellCare | MCR | $31.79 | ↓ -81% |
| Zing | MGMCR | $31.79 | ↓ -81% |
| BCBS | MCR | $31.79 | ↓ -81% |
| Ambetter | Select | $32.09 | ↓ -81% |
| Evergreen HMO | MCR | $32.40 | ↓ -81% |
| American Health Advantage | MCRHMO | $32.40 | ↓ -81% |
| American Health Advantage | MCRPOS | $32.40 | ↓ -81% |
| American Health Advantage | MCRPPO | $32.40 | ↓ -81% |
| American Health Advantage | MCRSNP | $32.40 | ↓ -81% |
| American Health Advantage | MCRPFFS | $32.40 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $32.58 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $32.58 | ↓ -81% |
| Apex Health | MCR | $32.58 | ↓ -81% |
| Signature Advantage | MCR | $32.71 | ↓ -81% |
| Ambetter | CORE | $33.33 | ↓ -81% |
| ATRIO Golden Times | MCR | $33.95 | ↓ -80% |
| Bright Health | MCRNarrow | $35.49 | ↓ -79% |
| Humana | TRICARE | $42.87 | ↓ -75% |
| Prime Health | WORKERSCOMP | $44.44 | ↓ -74% |
| NovaNET | WORKERSCOMP | $45.36 | ↓ -74% |
| CorVel Corporation | WORKERSCOMP | $45.36 | ↓ -74% |
| BCBS | TENNCARE | $46.84 | ↓ -73% |
| BCBS | COVERKIDS | $50.65 | ↓ -70% |
| United | OptionsPPO | $50.93 | ↓ -70% |
| Cigna | NewBusiness | $54.78 | ↓ -68% |
| Cigna | PPO | $55.91 | ↓ -67% |
| Cigna | OAP | $62.22 | ↓ -64% |
| Centurion | PRISON | $70.65 | ↓ -59% |
| United | GlobalBenefitPlan | $77.17 | ↓ -55% |
| BCBS | BlueCare | $78.69 | ↓ -54% |
| Aetna | NAP | $85.75 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $85.75 | ↓ -50% |
| Oscar | HIX | $92.58 | ↓ -46% |
| Multiplan | COMM | $99.46 | ↓ -42% |
| Employers Health Network | COMM | $120.04 | ↓ -30% |
| Humana | HumanaChoice | $123.44 | ↓ -28% |
| Humana | HumanaChoiceCare | $123.44 | ↓ -28% |
| Humana | NarrowExchangeNetwork | $123.44 | ↓ -28% |
| Humana | BroadNetwork | $123.44 | ↓ -28% |
| Odom's TN Pride Sausage | WORKERSCOMP | $128.62 | ↓ -25% |
| BGFH SingleSource | LEASEDNETWORK | $145.77 | ↓ -15% |
| Beech Street | COMM | $150.91 | ↓ -12% |
| Prime Health | COMMPPO | $150.91 | ↓ -12% |
Visitor-reported prices
Comments
Mayo avwpr vw factor activity at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $26.00 | $11.11 – $97.06 |
| CHI Memorial Hospital Hixson | Hixson | $164.88 | $20.38 – $389.90 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $235.62 | $20.38 – $389.90 |
| Johnson City Medical Center | JOHNSON CITY | $40.20 | $15.43 – $67.27 |
| Ascension Saint Thomas DeKalb | Smithville | $26.00 | $16.09 – $97.06 |
| Ascension Saint Thomas Highlands | Sparta | $26.00 | $16.09 – $97.06 |
| Ascension Saint Thomas River Park | McMinnville | $26.00 | $16.09 – $97.06 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $26.00 | $27.23 – $97.06 |