Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes at SOUTHERN HILLS MEDICAL CENTER
2127 CENTURY FARMS PKWY, ANTIOCH, TN · Tristarhealth · · NPI 1720032345
$610.22
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.
$610.22
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.
$14.82 with Wellpoint vs $536.99 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 | $14.82 | ↓ -98% |
| Humana | ChoicecareMGMCR | $20.59 | ↓ -97% |
| Devoted Health Plan | MCR | $20.59 | ↓ -97% |
| HealthSpring | DualEligible | $20.59 | ↓ -97% |
| HealthSpring | MCRHMO | $20.59 | ↓ -97% |
| HealthSpring | MCRPOS | $20.59 | ↓ -97% |
| HealthSpring | MCRPPO | $20.59 | ↓ -97% |
| United | VACCN | $20.59 | ↓ -97% |
| Amerigroup | MGMCR | $20.59 | ↓ -97% |
| Sarah Cannon Research | COMM | $20.59 | ↓ -97% |
| Odyssey Healthcare | COMM | $20.59 | ↓ -97% |
| Aetna | MGMCRSNP | $20.80 | ↓ -97% |
| Aetna | MGMCRHMO | $20.80 | ↓ -97% |
| Aetna | MGMCRPPO | $20.80 | ↓ -97% |
| United | MGMCR | $21.00 | ↓ -97% |
| Zing | MGMCR | $21.21 | ↓ -97% |
| WellCare | MCR | $21.21 | ↓ -97% |
| BCBS | MCR | $21.21 | ↓ -97% |
| American Health Advantage | MCRPPO | $21.62 | ↓ -96% |
| Evergreen HMO | MCR | $21.62 | ↓ -96% |
| American Health Advantage | MCRPFFS | $21.62 | ↓ -96% |
| American Health Advantage | MCRSNP | $21.62 | ↓ -96% |
| American Health Advantage | MCRPOS | $21.62 | ↓ -96% |
| American Health Advantage | MCRHMO | $21.62 | ↓ -96% |
| Signature Advantage | MCR | $21.83 | ↓ -96% |
| ATRIO Golden Times | MCR | $22.65 | ↓ -96% |
| Bright Health | MCRNarrow | $23.68 | ↓ -96% |
| Prime Health | WORKERSCOMP | $29.65 | ↓ -95% |
| CorVel Corporation | WORKERSCOMP | $30.27 | ↓ -95% |
| NovaNET | WORKERSCOMP | $30.27 | ↓ -95% |
| BCBS | TENNCARE | $33.42 | ↓ -95% |
| BCBS | COVERKIDS | $36.14 | ↓ -94% |
| BCBS | NetworkP | $43.71 | ↓ -93% |
| BCBS | BlueCare | $56.15 | ↓ -91% |
| Bright Health | HIX | $103.74 | ↓ -83% |
| Oscar | HIX | $111.67 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $112.34 | ↓ -82% |
| NHC Advantage, Inc. | MCRHMO | $115.94 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $115.94 | ↓ -81% |
| Apex Health | MCR | $115.94 | ↓ -81% |
| Ambetter | CORE | $136.08 | ↓ -78% |
| Ambetter | Select | $141.57 | ↓ -77% |
| Bright Health | SmallGroup | $146.45 | ↓ -76% |
| Humana | TRICARE | $152.56 | ↓ -75% |
| Cigna | NewBusiness | $153.78 | ↓ -75% |
| Cigna | OAP | $174.52 | ↓ -71% |
| United | OptionsPPO | $181.24 | ↓ -70% |
| Cigna | PPO | $198.93 | ↓ -67% |
| Aetna | NewBusiness | $274.00 | ↓ -55% |
| United | GlobalBenefitPlan | $274.60 | ↓ -55% |
| Aetna | NAP | $305.11 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $305.11 | ↓ -50% |
| Aetna | COMM | $326.00 | ↓ -47% |
| Multiplan | COMM | $353.93 | ↓ -42% |
| Employers Health Network | COMM | $427.15 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $457.67 | ↓ -25% |
| BGFH SingleSource | LEASEDNETWORK | $518.69 | ↓ -15% |
| Beech Street | COMM | $536.99 | ↓ -12% |
| Prime Health | COMMPPO | $536.99 | ↓ -12% |
Visitor-reported prices
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Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $42.78 | $18.05 – $51.29 |
| CHI Memorial Hospital Hixson | Hixson | $72.52 | $15.63 – $189.52 |
| 62-1166050 BMH Carroll County | Huntingdon | $31.74 | $14.37 – $19.43 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $103.64 | $15.63 – $189.52 |
| Johnson City Medical Center | JOHNSON CITY | $22.65 | $20.59 – $44.89 |
| Ascension Saint Thomas DeKalb | Smithville | $28.16 | $18.05 – $51.29 |
| Ascension Saint Thomas Highlands | Sparta | $28.16 | $18.05 – $51.29 |
| Ascension Saint Thomas River Park | McMinnville | $28.16 | $18.05 – $51.29 |