X-ray sinus tract/fistula/abscess at SOUTHERN HILLS MEDICAL CENTER
2127 CENTURY FARMS PKWY, ANTIOCH, TN · Tristarhealth · · NPI 1720032345
$567.97
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.
$567.97
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.
$30.45 with BCBS vs $499.81 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 |
|---|---|---|---|
| BCBS | NetworkP | $30.45 | ↓ -95% |
| BCBS | TENNCARE | $47.16 | ↓ -92% |
| BCBS | COVERKIDS | $51.02 | ↓ -91% |
| BCBS | BlueCare | $78.90 | ↓ -86% |
| Aetna | COMM | $81.98 | ↓ -86% |
| Aetna | NewBusiness | $81.98 | ↓ -86% |
| Humana | NarrowExchangeNetwork | $97.24 | ↓ -83% |
| Humana | HumanaChoiceCare | $97.24 | ↓ -83% |
| Humana | HumanaChoice | $97.24 | ↓ -83% |
| Humana | BroadNetwork | $97.24 | ↓ -83% |
| Kentucky Labor Cabinet | WORKERSCOMP | $104.56 | ↓ -82% |
| Apex Health | MCR | $107.91 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $107.91 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $107.91 | ↓ -81% |
| Cigna | NewBusiness | $112.64 | ↓ -80% |
| Cigna | OAP | $127.95 | ↓ -77% |
| Humana | TRICARE | $141.99 | ↓ -75% |
| United | OptionsPPO | $168.69 | ↓ -70% |
| Cigna | PPO | $185.16 | ↓ -67% |
| Centurion | PRISON | $234.00 | ↓ -59% |
| United | GlobalBenefitPlan | $255.59 | ↓ -55% |
| Aetna | NAP | $283.99 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $283.99 | ↓ -50% |
| United | AllPayerAppendix | $313.62 | ↓ -45% |
| United | HeritageSelect | $313.62 | ↓ -45% |
| United | CorePayer | $313.62 | ↓ -45% |
| Multiplan | COMM | $329.42 | ↓ -42% |
| Employers Health Network | COMM | $397.58 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $425.98 | ↓ -25% |
| BGFH SingleSource | LEASEDNETWORK | $482.77 | ↓ -15% |
| Beech Street | COMM | $499.81 | ↓ -12% |
| Prime Health | COMMPPO | $499.81 | ↓ -12% |
Visitor-reported prices
Comments
X-ray sinus tract/fistula/abscess at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $174.78 | $29.66 – $770.53 |
| CHI Memorial Hospital Hixson | Hixson | $234.44 | $44.14 – $554.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $166.52 | $29.66 – $1,001.32 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $335.02 | $44.14 – $554.40 |
| Johnson City Medical Center | JOHNSON CITY | $153.90 | $34.41 – $1,111.55 |
| Ascension Saint Thomas DeKalb | Smithville | $183.54 | $29.66 – $770.53 |
| Ascension Saint Thomas Highlands | Sparta | $183.54 | $29.66 – $770.53 |
| Ascension Saint Thomas River Park | McMinnville | $174.78 | $36.66 – $770.53 |