Pt repositioning canalith procedure(s) per day 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.
$24.72 with Wellpoint vs $7,950.00 with NHC Advantage, Inc. — 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 | $24.72 | — |
| Bright Health | HIX | $32.05 | — |
| HealthSpring | DualEligible | $34.33 | — |
| HealthSpring | MCRHMO | $34.33 | — |
| HealthSpring | MCRPOS | $34.33 | — |
| HealthSpring | MCRPPO | $34.33 | — |
| Devoted Health Plan | MCR | $34.33 | — |
| Humana | ChoicecareMGMCR | $34.33 | — |
| United | VACCN | $34.33 | — |
| Amerigroup | MGMCR | $34.33 | — |
| Sarah Cannon Research | COMM | $34.33 | — |
| Odyssey Healthcare | COMM | $34.33 | — |
| Oscar | HIX | $34.50 | — |
| Aetna | MGMCRSNP | $34.67 | — |
| Aetna | MGMCRPPO | $34.67 | — |
| Aetna | MGMCRHMO | $34.67 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $34.70 | — |
| United | MGMCR | $35.02 | — |
| Zing | MGMCR | $35.36 | — |
| BCBS | MCR | $35.36 | — |
| WellCare | MCR | $35.36 | — |
| Apex Health | MCR | $35.81 | — |
| Pruitt Health (AllyAlign) | MCR | $35.81 | — |
| American Health Advantage | MCRSNP | $36.05 | — |
| American Health Advantage | MCRHMO | $36.05 | — |
| American Health Advantage | MCRPFFS | $36.05 | — |
| Evergreen HMO | MCR | $36.05 | — |
| American Health Advantage | MCRPPO | $36.05 | — |
| American Health Advantage | MCRPOS | $36.05 | — |
| Signature Advantage | MCR | $36.39 | — |
| ATRIO Golden Times | MCR | $37.76 | — |
| Bright Health | MCRNarrow | $39.48 | — |
| Ambetter | CORE | $42.04 | — |
| Ambetter | Select | $43.73 | — |
| Bright Health | SmallGroup | $45.24 | — |
| Humana | TRICARE | $47.13 | — |
| Cigna | NewBusiness | $47.50 | — |
| Prime Health | WORKERSCOMP | $49.43 | — |
| NovaNET | WORKERSCOMP | $50.46 | — |
| CorVel Corporation | WORKERSCOMP | $50.46 | — |
| Aetna | NewBusiness | $52.78 | — |
| Cigna | OAP | $53.91 | — |
| United | OptionsPPO | $55.98 | — |
| BCBS | TENNCARE | $58.48 | — |
| Cigna | PPO | $61.45 | — |
| Aetna | COMM | $62.20 | — |
| BCBS | COVERKIDS | $63.24 | — |
| United | GlobalBenefitPlan | $84.83 | — |
| BCBS | NetworkP | $85.00 | — |
| BGFH SingleSource | DIRECTNETWORK | $94.25 | — |
| Aetna | NAP | $94.25 | — |
| BCBS | BlueCare | $98.26 | — |
| Multiplan | COMM | $109.33 | — |
| Employers Health Network | COMM | $131.95 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $141.38 | — |
| BGFH SingleSource | LEASEDNETWORK | $160.22 | — |
| Beech Street | COMM | $165.88 | — |
| Prime Health | COMMPPO | $165.88 | — |
| NHC Advantage, Inc. | MCRHMO | $7,950.00 | — |
Visitor-reported prices
Comments
Pt repositioning canalith procedure(s) per day at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $53.82 | $34.00 – $38.42 |
| Johnson City Medical Center | JOHNSON CITY | $42.30 | $39.01 – $85.04 |
| Hancock County Hospital | SNEEDVILLE | $33.81 | $39.01 – $65.34 |
| Greeneville Community Hospital | GREENEVILLE | $42.30 | $36.28 – $85.04 |
| Bristol Regional Medical Center | BRISTOL | $42.30 | $36.28 – $93.62 |
| Franklin Woods Community Hospital | JOHNSON CITY | $42.30 | $36.67 – $85.04 |
| Holston Valley Medical Center | KINGSPORT | $42.30 | $36.28 – $93.62 |
| 62-0123940 BMH Collierville | Collierville | $49.14 | $34.00 – $38.42 |