Sirolimus, oral at SOUTHERN HILLS MEDICAL CENTER
2127 CENTURY FARMS PKWY, ANTIOCH, TN · Tristarhealth · · NPI 1720032345
$273.48
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.
$273.48
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.
$1.66 with Cigna vs $240.66 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 |
|---|---|---|---|
| Cigna | NewBusiness | $1.66 | ↓ -99% |
| Cigna | OAP | $1.89 | ↓ -99% |
| United | HeritageSelect | $2.57 | ↓ -99% |
| United | AllPayerAppendix | $2.57 | ↓ -99% |
| United | CorePayer | $2.57 | ↓ -99% |
| Aetna | MGMCRHMO | $41.02 | ↓ -85% |
| Aetna | MGMCRPPO | $41.02 | ↓ -85% |
| Aetna | MGMCRSNP | $41.02 | ↓ -85% |
| Kentucky Labor Cabinet | WORKERSCOMP | $50.35 | ↓ -82% |
| BCBS | NetworkP | $62.90 | ↓ -77% |
| Ambetter | Select | $63.45 | ↓ -77% |
| Humana | TRICARE | $68.37 | ↓ -75% |
| United | OptionsPPO | $81.22 | ↓ -70% |
| Cigna | PPO | $89.15 | ↓ -67% |
| Centurion | PRISON | $112.67 | ↓ -59% |
| United | GlobalBenefitPlan | $123.07 | ↓ -55% |
| Signature Advantage | MCR | $136.74 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $136.74 | ↓ -50% |
| Multiplan | COMM | $158.62 | ↓ -42% |
| Employers Health Network | COMM | $191.44 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $205.11 | ↓ -25% |
| BGFH SingleSource | LEASEDNETWORK | $232.46 | ↓ -15% |
| Beech Street | COMM | $240.66 | ↓ -12% |
| Prime Health | COMMPPO | $240.66 | ↓ -12% |
Visitor-reported prices
Comments
Sirolimus, oral at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $24.63 | $1.63 – $2.92 |
| 62-1166050 BMH Carroll County | Huntingdon | $279.97 | $1.33 – $3.23 |
| Johnson City Medical Center | JOHNSON CITY | $5.90 | $1.53 – $85.67 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $13.29 | $1.63 – $13.98 |
| Holston Valley Medical Center | KINGSPORT | $5.58 | $1.53 – $7.55 |
| 62-0123940 BMH Collierville | Collierville | $255.62 | $1.33 – $1.33 |
| 62-1138045 BMH Union City | Union City | $243.45 | $1.33 – $3.23 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $68.86 | $1.66 – $2.57 |