Sulfonylurea screen qn-sendout at SOUTHERN HILLS MEDICAL CENTER
2127 CENTURY FARMS PKWY, ANTIOCH, TN · Tristarhealth · · NPI 1720032345
$345.55
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.
$345.55
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.
$0.01 with Aetna vs $304.08 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 |
|---|---|---|---|
| Aetna | COMM | $0.01 | ↓ -100% |
| Aetna | NewBusiness | $0.01 | ↓ -100% |
| Aetna | MGMCRPPO | $51.83 | ↓ -85% |
| Aetna | MGMCRSNP | $51.83 | ↓ -85% |
| Aetna | MGMCRHMO | $51.83 | ↓ -85% |
| Bright Health | HIX | $58.74 | ↓ -83% |
| Oscar | HIX | $63.24 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $63.62 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $65.65 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $65.65 | ↓ -81% |
| Apex Health | MCR | $65.65 | ↓ -81% |
| Ambetter | CORE | $77.06 | ↓ -78% |
| Ambetter | Select | $80.17 | ↓ -77% |
| Bright Health | SmallGroup | $82.93 | ↓ -76% |
| Humana | TRICARE | $86.39 | ↓ -75% |
| Humana | NarrowExchangeNetwork | $86.44 | ↓ -75% |
| Humana | BroadNetwork | $86.44 | ↓ -75% |
| Humana | HumanaChoice | $86.44 | ↓ -75% |
| Humana | HumanaChoiceCare | $86.44 | ↓ -75% |
| Cigna | NewBusiness | $87.08 | ↓ -75% |
| Cigna | OAP | $98.83 | ↓ -71% |
| United | OptionsPPO | $102.63 | ↓ -70% |
| Cigna | PPO | $112.65 | ↓ -67% |
| Centurion | PRISON | $142.37 | ↓ -59% |
| United | GlobalBenefitPlan | $155.50 | ↓ -55% |
| Aetna | NAP | $172.78 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $172.78 | ↓ -50% |
| Signature Advantage | MCR | $172.78 | ↓ -50% |
| Multiplan | COMM | $200.42 | ↓ -42% |
| Employers Health Network | COMM | $241.88 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $259.16 | ↓ -25% |
| BGFH SingleSource | LEASEDNETWORK | $293.72 | ↓ -15% |
| Beech Street | COMM | $304.08 | ↓ -12% |
| Prime Health | COMMPPO | $304.08 | ↓ -12% |
Visitor-reported prices
Comments
Sulfonylurea screen qn-sendout at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $18.75 | $14.49 – $15.07 |
| Hancock County Hospital | SNEEDVILLE | $18.40 | $16.20 – $16.52 |
| Greeneville Community Hospital | GREENEVILLE | $18.75 | $15.73 – $15.73 |
| Bristol Regional Medical Center | BRISTOL | $18.75 | $14.74 – $15.03 |
| Franklin Woods Community Hospital | JOHNSON CITY | $18.75 | $15.73 – $16.36 |
| Holston Valley Medical Center | KINGSPORT | $18.75 | $14.31 – $15.03 |
| 62-0123940 BMH Collierville | Collierville | $64.89 | $0.01 – $53.19 |
| Indian Path Community Hospital | KINGSPORT | $18.75 | $13.84 – $14.39 |