Nalbuphine 10 mg/ml injection solution at SOUTHERN HILLS MEDICAL CENTER
2127 CENTURY FARMS PKWY, ANTIOCH, TN · Tristarhealth · · NPI 1720032345
$157.92
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.
$157.92
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.
$3.77 with BCBS vs $138.97 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 |
|---|---|---|---|
| BCBS | NetworkP | $3.77 | ↓ -98% |
| Cigna | NewBusiness | $4.00 | ↓ -97% |
| Cigna | OAP | $4.55 | ↓ -97% |
| United | AllPayerAppendix | $9.14 | ↓ -94% |
| United | CorePayer | $9.14 | ↓ -94% |
| United | HeritageSelect | $9.14 | ↓ -94% |
| Aetna | MGMCRPPO | $23.69 | ↓ -85% |
| Aetna | MGMCRSNP | $23.69 | ↓ -85% |
| Aetna | MGMCRHMO | $23.69 | ↓ -85% |
| Kentucky Labor Cabinet | WORKERSCOMP | $29.07 | ↓ -82% |
| Ambetter | Select | $36.64 | ↓ -77% |
| Humana | TRICARE | $39.48 | ↓ -75% |
| United | OptionsPPO | $46.90 | ↓ -70% |
| Cigna | PPO | $51.48 | ↓ -67% |
| Centurion | PRISON | $65.06 | ↓ -59% |
| United | GlobalBenefitPlan | $71.06 | ↓ -55% |
| Signature Advantage | MCR | $78.96 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $78.96 | ↓ -50% |
| Multiplan | COMM | $91.59 | ↓ -42% |
| Employers Health Network | COMM | $110.54 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $118.44 | ↓ -25% |
| BGFH SingleSource | LEASEDNETWORK | $134.23 | ↓ -15% |
| Beech Street | COMM | $138.97 | ↓ -12% |
| Prime Health | COMMPPO | $138.97 | ↓ -12% |
Visitor-reported prices
Comments
Nalbuphine 10 mg/ml injection solution at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $9.59 | $3.94 – $7.04 |
| CHI Memorial Hospital Hixson | Hixson | $22.99 | $3.55 – $54.35 |
| 62-1166050 BMH Carroll County | Huntingdon | $115.85 | $3.40 – $5.16 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $32.85 | $3.55 – $54.35 |
| Johnson City Medical Center | JOHNSON CITY | $87.20 | $2.15 – $6.51 |
| Ascension Saint Thomas DeKalb | Smithville | $9.59 | $3.94 – $7.18 |
| Ascension Saint Thomas Highlands | Sparta | $9.59 | $3.94 – $7.04 |
| Ascension Saint Thomas River Park | McMinnville | $9.59 | $3.94 – $7.04 |