MRA without fol w/cont, lwr ext 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.
$616.10 with United vs $5,475.81 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 |
|---|---|---|---|
| United | CorePayer | $616.10 | — |
| United | HeritageSelect | $616.10 | — |
| United | AllPayerAppendix | $616.10 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $1,145.56 | — |
| Apex Health | MCR | $1,182.28 | — |
| NHC Advantage, Inc. | MCRHMO | $1,182.28 | — |
| Pruitt Health (AllyAlign) | MCR | $1,182.28 | — |
| Humana | TRICARE | $1,555.63 | — |
| Aetna | NewBusiness | $1,742.30 | — |
| United | OptionsPPO | $1,848.09 | — |
| Cigna | PPO | $2,028.54 | — |
| Aetna | COMM | $2,053.43 | — |
| United | GlobalBenefitPlan | $2,800.13 | — |
| Aetna | NAP | $3,111.26 | — |
| BGFH SingleSource | DIRECTNETWORK | $3,111.26 | — |
| Multiplan | COMM | $3,609.06 | — |
| Employers Health Network | COMM | $4,355.76 | — |
| BGFH SingleSource | LEASEDNETWORK | $5,289.13 | — |
| Beech Street | COMM | $5,475.81 | — |
| Prime Health | COMMPPO | $5,475.81 | — |
Visitor-reported prices
Comments
MRA without fol w/cont, lwr ext at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $943.64 | $562.19 – $1,721.36 |
| CHI Memorial Hospital Hixson | Hixson | $2,265.59 | $338.16 – $5,357.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,237.65 | $338.16 – $5,357.80 |
| Johnson City Medical Center | JOHNSON CITY | $668.55 | $325.55 – $709.70 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $943.64 | $562.19 – $1,780.72 |
| Hancock County Hospital | SNEEDVILLE | $656.19 | $267.02 – $786.00 |
| Greeneville Community Hospital | GREENEVILLE | $668.55 | $192.25 – $709.70 |
| Bristol Regional Medical Center | BRISTOL | $668.55 | $320.42 – $794.30 |