Mr safety determination physician/other qhp at SOUTHERN HILLS MEDICAL CENTER
2127 CENTURY FARMS PKWY, ANTIOCH, TN · Tristarhealth · · NPI 1720032345
$220.13
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.
$220.13
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.
$38.41 with BCBS vs $193.71 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 | $38.41 | ↓ -83% |
| Kentucky Labor Cabinet | WORKERSCOMP | $40.53 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $41.82 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $41.82 | ↓ -81% |
| Apex Health | MCR | $41.82 | ↓ -81% |
| Humana | TRICARE | $55.03 | ↓ -75% |
| Aetna | NewBusiness | $61.64 | ↓ -72% |
| United | OptionsPPO | $65.38 | ↓ -70% |
| Cigna | PPO | $71.76 | ↓ -67% |
| Aetna | COMM | $72.64 | ↓ -67% |
| United | GlobalBenefitPlan | $99.06 | ↓ -55% |
| Aetna | NAP | $110.06 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $110.06 | ↓ -50% |
| United | CorePayer | $118.87 | ↓ -46% |
| United | HeritageSelect | $118.87 | ↓ -46% |
| United | AllPayerAppendix | $118.87 | ↓ -46% |
| Multiplan | COMM | $127.68 | ↓ -42% |
| Cigna | NewBusiness | $144.22 | ↓ -34% |
| Employers Health Network | COMM | $154.09 | ↓ -30% |
| Cigna | OAP | $163.81 | ↓ -26% |
| BGFH SingleSource | LEASEDNETWORK | $187.11 | ↓ -15% |
| Beech Street | COMM | $193.71 | ↓ -12% |
| Prime Health | COMMPPO | $193.71 | ↓ -12% |
Visitor-reported prices
Comments
Mr safety determination physician/other qhp at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $75.90 | $46.24 – $118.06 |
| Johnson City Medical Center | JOHNSON CITY | $39.90 | $36.93 – $177.03 |
| Ascension Saint Thomas DeKalb | Smithville | $75.90 | $70.15 – $116.35 |
| Ascension Saint Thomas Highlands | Sparta | $75.90 | $70.15 – $116.35 |
| Ascension Saint Thomas River Park | McMinnville | $75.90 | $70.15 – $116.35 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $75.90 | $66.62 – $118.06 |
| Hancock County Hospital | SNEEDVILLE | $39.10 | $36.93 – $170.00 |
| Greeneville Community Hospital | GREENEVILLE | $39.90 | $31.70 – $177.03 |