Tc-99m tilmanocept diag at SOUTHERN HILLS MEDICAL CENTER
2127 CENTURY FARMS PKWY, ANTIOCH, TN · Tristarhealth · · NPI 1720032345
$1,300.19
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.
$1,300.19
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.
$195.03 with Aetna vs $1,144.17 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 | MGMCRSNP | $195.03 | ↓ -85% |
| Aetna | MGMCRHMO | $195.03 | ↓ -85% |
| Aetna | MGMCRPPO | $195.03 | ↓ -85% |
| Oscar | HIX | $237.93 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $239.36 | ↓ -82% |
| Apex Health | MCR | $247.04 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $247.04 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $247.04 | ↓ -81% |
| Ambetter | Select | $301.64 | ↓ -77% |
| Humana | TRICARE | $325.05 | ↓ -75% |
| United | OptionsPPO | $386.16 | ↓ -70% |
| Cigna | PPO | $423.86 | ↓ -67% |
| Centurion | PRISON | $535.68 | ↓ -59% |
| United | GlobalBenefitPlan | $585.09 | ↓ -55% |
| Signature Advantage | MCR | $650.10 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $650.10 | ↓ -50% |
| Multiplan | COMM | $754.11 | ↓ -42% |
| BCBS | NetworkP | $793.88 | ↓ -39% |
| Cigna | NewBusiness | $836.76 | ↓ -36% |
| Employers Health Network | COMM | $910.13 | ↓ -30% |
| Cigna | OAP | $951.48 | ↓ -27% |
| Odom's TN Pride Sausage | WORKERSCOMP | $975.14 | ↓ -25% |
| BGFH SingleSource | LEASEDNETWORK | $1,105.16 | ↓ -15% |
| Beech Street | COMM | $1,144.17 | ↓ -12% |
| Prime Health | COMMPPO | $1,144.17 | ↓ -12% |
Visitor-reported prices
Comments
Tc-99m tilmanocept diag at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,108.52 | $577.85 – $1,810.57 |
| CHI Memorial Hospital Hixson | Hixson | $502.32 | $168.00 – $1,187.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $360.18 | $658.93 – $816.52 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $717.84 | $168.00 – $1,187.90 |
| Johnson City Medical Center | JOHNSON CITY | $168.30 | $216.00 – $1,122.00 |
| Ascension Saint Thomas DeKalb | Smithville | $1,108.52 | $120.00 – $1,810.57 |
| Ascension Saint Thomas Highlands | Sparta | $1,108.52 | $120.00 – $1,810.57 |
| Ascension Saint Thomas River Park | McMinnville | $1,108.52 | $120.00 – $1,810.57 |