CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Tristar Southern Hills Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$86
about 0.6× the $136 Medicare rate · typically $73–$214
modeled estimate · not a bill or quote
What this hospital charges insurers
$90
About the fair price
about $4 over the fair price · 0.7× Medicare
Medicare pays $136 Fair price $86 This hospital $90 Cash price $1,115 Hospital's list price $1,115

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $42 Priciest $90

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (30-39 min) is about $86 (about 0.6× the $136 Medicare rate). Tristar Southern Hills Medical Center charges insurers about $90, or about $1,115 in cash — about the fair price. Located in Nashville, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $331 - $502 244%
Blue Cross Blue Shieldmajor $84 - $141 62%
Aetnamajor $167 - $557 123%
Humanamajor $279 206%
Health Net $780 575%
Oscar Health $204 150%
+ 8 smaller / regional plans $205 - $947
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 391 Wallace Rd, Nashville, TN 37211
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals