Abdominal MRI (with contrast) at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$12,017.96
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.
$12,017.96
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.
$322.16 with Humana vs $11,777.60 with TriWest Healthcare — 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 |
|---|---|---|---|
| Humana | BroadNetwork | $322.16 | ↓ -97% |
| Humana | HumanaChoice | $322.16 | ↓ -97% |
| Humana | HumanaChoiceCare | $322.16 | ↓ -97% |
| Humana | NarrowExchangeNetwork | $322.16 | ↓ -97% |
| BCBS | TENNCARE | $510.30 | ↓ -96% |
| BCBS | COVERKIDS | $552.19 | ↓ -95% |
| United | CorePayer | $616.10 | ↓ -95% |
| United | AllPayerAppendix | $616.10 | ↓ -95% |
| United | HeritageSelect | $616.10 | ↓ -95% |
| Aetna | COMM | $852.75 | ↓ -93% |
| Aetna | NewBusiness | $852.75 | ↓ -93% |
| BCBS | BlueCare | $1,012.98 | ↓ -92% |
| Kentucky Labor Cabinet | WORKERSCOMP | $2,212.51 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $2,283.41 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $2,283.41 | ↓ -81% |
| United | OptionsPPO | $2,968.44 | ↓ -75% |
| Humana | TRICARE | $3,004.49 | ↓ -75% |
| Cigna | PPO | $3,917.85 | ↓ -67% |
| United | GlobalBenefitPlan | $5,408.08 | ↓ -55% |
| Aetna | NAP | $6,008.98 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $6,008.98 | ↓ -50% |
| Humana BH | COMM | $7,811.67 | ↓ -35% |
| Employers Health Network | COMM | $8,412.57 | ↓ -30% |
| Multiplan | COMM | $9,854.73 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $10,215.27 | ↓ -15% |
| Beech Street | COMM | $10,575.80 | ↓ -12% |
| Prime Health | COMMPPO | $10,575.80 | ↓ -12% |
| TriWest Healthcare | FED | $11,777.60 | ↓ -2% |
Visitor-reported prices
Comments
Abdominal MRI (with contrast) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,085.64 | $307.82 – $1,102.45 |
| CHI Memorial Hospital Hixson | Hixson | $608.88 | $278.75 – $2,459.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $870.12 | $278.75 – $2,459.00 |
| Johnson City Medical Center | JOHNSON CITY | $636.75 | $325.55 – $709.70 |
| Hancock County Hospital | SNEEDVILLE | $624.68 | $217.92 – $786.00 |
| Greeneville Community Hospital | GREENEVILLE | $636.75 | $156.90 – $709.70 |
| Bristol Regional Medical Center | BRISTOL | $636.75 | $261.50 – $794.30 |
| Franklin Woods Community Hospital | JOHNSON CITY | $636.75 | $316.76 – $690.54 |