Anca screen with reflex to titer -quest at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
not published by hospital
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.
not published by hospital
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.
$6.77 with Wellpoint vs $60.20 with Humana — 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $6.77 | — |
| BCBS | NetworkP | $8.25 | — |
| Aetna | COMM | $11.97 | — |
| Aetna | NewBusiness | $11.97 | — |
| BCBS | TENNCARE | $14.47 | — |
| HealthSpring | MCRHMO | $15.05 | — |
| HealthSpring | MCRPOS | $15.05 | — |
| HealthSpring | MCRPPO | $15.05 | — |
| Odyssey Healthcare | COMM | $15.05 | — |
| Amerigroup | MGMCR | $15.05 | — |
| Humana | ChoicecareMGMCR | $15.05 | — |
| Alive Hospice | COMM | $15.05 | — |
| Sarah Cannon Research | COMM | $15.05 | — |
| HealthSpring | DualEligible | $15.05 | — |
| United | HeritageSelect | $15.05 | — |
| Bright Health | SmallGroup | $15.05 | — |
| Bright Health | HIX | $15.05 | — |
| Devoted Health Plan | MCR | $15.05 | — |
| United | VACCN | $15.05 | — |
| United | AllPayerAppendix | $15.05 | — |
| United | CorePayer | $15.05 | — |
| Aetna | MGMCRHMO | $15.20 | — |
| Aetna | MGMCRPPO | $15.20 | — |
| Aetna | MGMCRSNP | $15.20 | — |
| United | MGMCR | $15.35 | — |
| Zing | MGMCR | $15.50 | — |
| WellCare | MCR | $15.50 | — |
| BCBS | MCR | $15.50 | — |
| Ambetter | Select | $15.65 | — |
| BCBS | COVERKIDS | $15.67 | — |
| American Health Advantage | MCRPPO | $15.80 | — |
| Evergreen HMO | MCR | $15.80 | — |
| American Health Advantage | MCRPFFS | $15.80 | — |
| American Health Advantage | MCRHMO | $15.80 | — |
| American Health Advantage | MCRPOS | $15.80 | — |
| American Health Advantage | MCRSNP | $15.80 | — |
| Signature Advantage | MCR | $15.95 | — |
| Ambetter | CORE | $16.26 | — |
| ATRIO Golden Times | MCR | $16.56 | — |
| Bright Health | MCRNarrow | $17.31 | — |
| Prime Health | WORKERSCOMP | $21.67 | — |
| NovaNET | WORKERSCOMP | $22.12 | — |
| CorVel Corporation | WORKERSCOMP | $22.12 | — |
| Cigna | NewBusiness | $27.10 | — |
| BCBS | BlueCare | $28.84 | — |
| Cigna | OAP | $30.78 | — |
| Oscar | HIX | $45.15 | — |
| Humana | HumanaChoice | $60.20 | — |
| Humana | HumanaChoiceCare | $60.20 | — |
| Humana | NarrowExchangeNetwork | $60.20 | — |
| Humana | BroadNetwork | $60.20 | — |
Visitor-reported prices
Comments
Anca screen with reflex to titer -quest at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $5.42 – $58.71 |
| CHI Memorial Hospital Hixson | Hixson | $104.79 | $13.38 – $247.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $149.75 | $13.38 – $247.80 |
| Johnson City Medical Center | JOHNSON CITY | $25.35 | $7.53 – $32.81 |
| Hancock County Hospital | SNEEDVILLE | $24.84 | $10.67 – $33.20 |
| Greeneville Community Hospital | GREENEVILLE | $25.35 | $6.77 – $32.81 |
| Bristol Regional Medical Center | BRISTOL | $25.35 | $7.53 – $36.12 |
| Franklin Woods Community Hospital | JOHNSON CITY | $25.35 | $7.53 – $32.81 |