Shoulder MRI (without contrast) 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.
$254.04 with Humana vs $7,136.67 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 |
|---|---|---|---|
| Humana | NarrowExchangeNetwork | $254.04 | — |
| Humana | BroadNetwork | $254.04 | — |
| Humana | HumanaChoice | $254.04 | — |
| Humana | HumanaChoiceCare | $254.04 | — |
| United | HeritageSelect | $313.62 | — |
| United | AllPayerAppendix | $313.62 | — |
| United | CorePayer | $313.62 | — |
| BCBS | TENNCARE | $504.63 | — |
| BCBS | COVERKIDS | $545.89 | — |
| Aetna | NewBusiness | $559.65 | — |
| Aetna | COMM | $559.65 | — |
| BCBS | BlueCare | $844.23 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $1,493.02 | — |
| Pruitt Health (AllyAlign) | MCR | $1,540.87 | — |
| Apex Health | MCR | $1,540.87 | — |
| NHC Advantage, Inc. | MCRHMO | $1,540.87 | — |
| Humana | TRICARE | $2,027.46 | — |
| United | OptionsPPO | $2,408.63 | — |
| Cigna | PPO | $2,643.81 | — |
| United | GlobalBenefitPlan | $3,649.43 | — |
| Aetna | NAP | $4,054.93 | — |
| BGFH SingleSource | DIRECTNETWORK | $4,054.93 | — |
| Multiplan | COMM | $4,703.71 | — |
| Employers Health Network | COMM | $5,676.90 | — |
| BGFH SingleSource | LEASEDNETWORK | $6,893.37 | — |
| Beech Street | COMM | $7,136.67 | — |
| Prime Health | COMMPPO | $7,136.67 | — |
Visitor-reported prices
Comments
Shoulder MRI (without contrast) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $861.18 | $197.99 – $629.71 |
| CHI Memorial Hospital Hixson | Hixson | $957.27 | $186.96 – $2,459.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $1,034.08 | $192.03 – $441.44 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,367.99 | $186.96 – $2,459.00 |
| Johnson City Medical Center | JOHNSON CITY | $636.75 | $220.67 – $485.38 |
| Ascension Saint Thomas DeKalb | Smithville | $936.15 | $167.52 – $629.71 |
| Ascension Saint Thomas Highlands | Sparta | $936.15 | $167.52 – $629.71 |
| Ascension Saint Thomas River Park | McMinnville | $891.57 | $167.52 – $629.71 |