Microsatellite instability 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.
$134.01 with Kentucky Labor Cabinet vs $1,394.24 with Humana — 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 |
|---|---|---|---|
| Kentucky Labor Cabinet | WORKERSCOMP | $134.01 | — |
| Apex Health | MCR | $138.30 | — |
| NHC Advantage, Inc. | MCRHMO | $138.30 | — |
| Pruitt Health (AllyAlign) | MCR | $138.30 | — |
| Wellpoint | MGMCD | $156.85 | — |
| Humana | TRICARE | $181.98 | — |
| United | OptionsPPO | $216.19 | — |
| Cigna | PPO | $237.30 | — |
| Aetna | NewBusiness | $277.11 | — |
| Aetna | COMM | $277.11 | — |
| Centurion | PRISON | $299.90 | — |
| United | GlobalBenefitPlan | $327.56 | — |
| BCBS | TENNCARE | $328.38 | — |
| Bright Health | SmallGroup | $348.56 | — |
| Odyssey Healthcare | COMM | $348.56 | — |
| Humana | ChoicecareMGMCR | $348.56 | — |
| Sarah Cannon Research | COMM | $348.56 | — |
| HealthSpring | DualEligible | $348.56 | — |
| HealthSpring | MCRHMO | $348.56 | — |
| HealthSpring | MCRPOS | $348.56 | — |
| HealthSpring | MCRPPO | $348.56 | — |
| Devoted Health Plan | MCR | $348.56 | — |
| United | VACCN | $348.56 | — |
| United | AllPayerAppendix | $348.56 | — |
| United | CorePayer | $348.56 | — |
| United | HeritageSelect | $348.56 | — |
| Amerigroup | MGMCR | $348.56 | — |
| Bright Health | HIX | $348.56 | — |
| Aetna | MGMCRHMO | $352.05 | — |
| Aetna | MGMCRSNP | $352.05 | — |
| Aetna | MGMCRPPO | $352.05 | — |
| BCBS | COVERKIDS | $355.11 | — |
| United | MGMCR | $355.53 | — |
| BCBS | MCR | $359.02 | — |
| WellCare | MCR | $359.02 | — |
| Zing | MGMCR | $359.02 | — |
| Ambetter | Select | $362.50 | — |
| Aetna | NAP | $363.96 | — |
| BGFH SingleSource | DIRECTNETWORK | $363.96 | — |
| Evergreen HMO | MCR | $365.99 | — |
| American Health Advantage | MCRHMO | $365.99 | — |
| American Health Advantage | MCRPOS | $365.99 | — |
| American Health Advantage | MCRPPO | $365.99 | — |
| American Health Advantage | MCRSNP | $365.99 | — |
| American Health Advantage | MCRPFFS | $365.99 | — |
| Signature Advantage | MCR | $369.47 | — |
| Ambetter | CORE | $376.45 | — |
| ATRIO Golden Times | MCR | $383.42 | — |
| BCBS | NetworkP | $395.04 | — |
| Bright Health | MCRNarrow | $400.84 | — |
| Multiplan | COMM | $422.19 | — |
| Prime Health | WORKERSCOMP | $501.93 | — |
| Employers Health Network | COMM | $509.54 | — |
| CorVel Corporation | WORKERSCOMP | $512.38 | — |
| NovaNET | WORKERSCOMP | $512.38 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $545.94 | — |
| BCBS | BlueCare | $551.76 | — |
| BGFH SingleSource | LEASEDNETWORK | $618.73 | — |
| Cigna | NewBusiness | $621.74 | — |
| Prime Health | COMMPPO | $640.57 | — |
| Beech Street | COMM | $640.57 | — |
| Cigna | OAP | $706.09 | — |
| Oscar | HIX | $1,045.68 | — |
| Humana | HumanaChoice | $1,394.24 | — |
| Humana | HumanaChoiceCare | $1,394.24 | — |
| Humana | BroadNetwork | $1,394.24 | — |
| Humana | NarrowExchangeNetwork | $1,394.24 | — |
Visitor-reported prices
Comments
Microsatellite instability at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $507.00 | $167.53 – $759.86 |
| Hancock County Hospital | SNEEDVILLE | $497.49 | $187.24 – $767.97 |
| Greeneville Community Hospital | GREENEVILLE | $507.00 | $142.21 – $759.86 |
| Bristol Regional Medical Center | BRISTOL | $507.00 | $170.32 – $836.54 |
| Franklin Woods Community Hospital | JOHNSON CITY | $507.00 | $174.28 – $759.86 |
| Holston Valley Medical Center | KINGSPORT | $507.00 | $165.36 – $836.54 |
| 62-0123940 BMH Collierville | Collierville | $178.71 | $190.92 – $697.12 |
| Indian Path Community Hospital | KINGSPORT | $507.00 | $159.97 – $836.54 |