Rbc count only automated at SOUTHERN HILLS MEDICAL CENTER
2127 CENTURY FARMS PKWY, ANTIOCH, TN · Tristarhealth · · NPI 1720032345
$12.08
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.
$12.08
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.
$1.36 with Wellpoint vs $13.76 with BCBS — 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 | $1.36 | ↓ -89% |
| Kentucky Labor Cabinet | WORKERSCOMP | $2.22 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $2.30 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $2.30 | ↓ -81% |
| Apex Health | MCR | $2.30 | ↓ -81% |
| Aetna | COMM | $2.41 | ↓ -80% |
| Aetna | NewBusiness | $2.41 | ↓ -80% |
| HealthSpring | MCRHMO | $3.02 | ↓ -75% |
| HealthSpring | MCRPOS | $3.02 | ↓ -75% |
| HealthSpring | MCRPPO | $3.02 | ↓ -75% |
| Amerigroup | MGMCR | $3.02 | ↓ -75% |
| Humana | TRICARE | $3.02 | ↓ -75% |
| Odyssey Healthcare | COMM | $3.02 | ↓ -75% |
| Humana | ChoicecareMGMCR | $3.02 | ↓ -75% |
| Sarah Cannon Research | COMM | $3.02 | ↓ -75% |
| Devoted Health Plan | MCR | $3.02 | ↓ -75% |
| HealthSpring | DualEligible | $3.02 | ↓ -75% |
| United | VACCN | $3.02 | ↓ -75% |
| United | AllPayerAppendix | $3.02 | ↓ -75% |
| Bright Health | SmallGroup | $3.02 | ↓ -75% |
| Bright Health | HIX | $3.02 | ↓ -75% |
| United | CorePayer | $3.02 | ↓ -75% |
| United | HeritageSelect | $3.02 | ↓ -75% |
| Aetna | MGMCRPPO | $3.05 | ↓ -75% |
| Aetna | MGMCRSNP | $3.05 | ↓ -75% |
| Aetna | MGMCRHMO | $3.05 | ↓ -75% |
| United | MGMCR | $3.08 | ↓ -75% |
| Zing | MGMCR | $3.11 | ↓ -74% |
| BCBS | MCR | $3.11 | ↓ -74% |
| WellCare | MCR | $3.11 | ↓ -74% |
| Ambetter | Select | $3.14 | ↓ -74% |
| Evergreen HMO | MCR | $3.17 | ↓ -74% |
| American Health Advantage | MCRHMO | $3.17 | ↓ -74% |
| American Health Advantage | MCRPOS | $3.17 | ↓ -74% |
| American Health Advantage | MCRPPO | $3.17 | ↓ -74% |
| American Health Advantage | MCRSNP | $3.17 | ↓ -74% |
| American Health Advantage | MCRPFFS | $3.17 | ↓ -74% |
| Signature Advantage | MCR | $3.20 | ↓ -74% |
| Ambetter | CORE | $3.26 | ↓ -73% |
| ATRIO Golden Times | MCR | $3.32 | ↓ -73% |
| Bright Health | MCRNarrow | $3.47 | ↓ -71% |
| United | OptionsPPO | $3.59 | ↓ -70% |
| BCBS | NetworkP | $3.93 | ↓ -67% |
| Cigna | PPO | $3.94 | ↓ -67% |
| Prime Health | WORKERSCOMP | $4.35 | ↓ -64% |
| NovaNET | WORKERSCOMP | $4.44 | ↓ -63% |
| CorVel Corporation | WORKERSCOMP | $4.44 | ↓ -63% |
| Centurion | PRISON | $4.98 | ↓ -59% |
| Cigna | NewBusiness | $5.19 | ↓ -57% |
| United | GlobalBenefitPlan | $5.44 | ↓ -55% |
| Cigna | OAP | $5.90 | ↓ -51% |
| Aetna | NAP | $6.04 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $6.04 | ↓ -50% |
| Multiplan | COMM | $7.01 | ↓ -42% |
| BCBS | TENNCARE | $8.19 | ↓ -32% |
| Employers Health Network | COMM | $8.46 | ↓ -30% |
| BCBS | COVERKIDS | $8.85 | ↓ -27% |
| Odom's TN Pride Sausage | WORKERSCOMP | $9.06 | ↓ -25% |
| Oscar | HIX | $9.06 | ↓ -25% |
| BGFH SingleSource | LEASEDNETWORK | $10.27 | ↓ -15% |
| Prime Health | COMMPPO | $10.63 | ↓ -12% |
| Beech Street | COMM | $10.63 | ↓ -12% |
| Humana | HumanaChoice | $12.08 | ↑ +0% |
| Humana | NarrowExchangeNetwork | $12.08 | ↑ +0% |
| Humana | BroadNetwork | $12.08 | ↑ +0% |
| Humana | HumanaChoiceCare | $12.08 | ↑ +0% |
| BCBS | BlueCare | $13.76 | ↑ +14% |
Visitor-reported prices
Comments
Rbc count only automated at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $37.20 | $1.09 – $11.28 |
| CHI Memorial Hospital Hixson | Hixson | $20.72 | $2.68 – $49.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $29.61 | $2.68 – $49.00 |
| Johnson City Medical Center | JOHNSON CITY | $5.25 | $1.51 – $6.58 |
| Ascension Saint Thomas DeKalb | Smithville | $37.20 | $2.12 – $11.28 |
| Ascension Saint Thomas Highlands | Sparta | $37.20 | $2.12 – $11.28 |
| Ascension Saint Thomas River Park | McMinnville | $37.20 | $2.12 – $11.28 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $37.20 | $2.72 – $11.28 |