Antibody bacterium, not elsewhere specified at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$185.67
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.
$185.67
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.
$5.80 with Wellpoint vs $181.96 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $5.80 | ↓ -97% |
| Aetna | COMM | $10.24 | ↓ -94% |
| Aetna | NewBusiness | $10.24 | ↓ -94% |
| Humana | ChoicecareMGMCR | $12.88 | ↓ -93% |
| Sarah Cannon Research | COMM | $12.88 | ↓ -93% |
| Devoted Health Plan | MCR | $12.88 | ↓ -93% |
| Bright Health | SmallGroup | $12.88 | ↓ -93% |
| Bright Health | HIX | $12.88 | ↓ -93% |
| HealthSpring | DualEligible | $12.88 | ↓ -93% |
| HealthSpring | MCRHMO | $12.88 | ↓ -93% |
| HealthSpring | MCRPOS | $12.88 | ↓ -93% |
| HealthSpring | MCRPPO | $12.88 | ↓ -93% |
| Odyssey Healthcare | COMM | $12.88 | ↓ -93% |
| Amerigroup | MGMCR | $12.88 | ↓ -93% |
| United | AllPayerAppendix | $12.88 | ↓ -93% |
| United | CorePayer | $12.88 | ↓ -93% |
| Alive Hospice | COMM | $12.88 | ↓ -93% |
| United | HeritageSelect | $12.88 | ↓ -93% |
| United | VACCN | $12.88 | ↓ -93% |
| Aetna | MGMCRSNP | $13.01 | ↓ -93% |
| Aetna | MGMCRHMO | $13.01 | ↓ -93% |
| Aetna | MGMCRPPO | $13.01 | ↓ -93% |
| United | MGMCR | $13.14 | ↓ -93% |
| BCBS | MCR | $13.27 | ↓ -93% |
| WellCare | MCR | $13.27 | ↓ -93% |
| Zing | MGMCR | $13.27 | ↓ -93% |
| Ambetter | Select | $13.40 | ↓ -93% |
| American Health Advantage | MCRPPO | $13.52 | ↓ -93% |
| Evergreen HMO | MCR | $13.52 | ↓ -93% |
| American Health Advantage | MCRPFFS | $13.52 | ↓ -93% |
| American Health Advantage | MCRSNP | $13.52 | ↓ -93% |
| American Health Advantage | MCRHMO | $13.52 | ↓ -93% |
| American Health Advantage | MCRPOS | $13.52 | ↓ -93% |
| Signature Advantage | MCR | $13.65 | ↓ -93% |
| Ambetter | CORE | $13.91 | ↓ -93% |
| ATRIO Golden Times | MCR | $14.17 | ↓ -92% |
| Bright Health | MCRNarrow | $14.81 | ↓ -92% |
| BCBS | NetworkP | $17.58 | ↓ -91% |
| Prime Health | WORKERSCOMP | $18.55 | ↓ -90% |
| CorVel Corporation | WORKERSCOMP | $18.93 | ↓ -90% |
| NovaNET | WORKERSCOMP | $18.93 | ↓ -90% |
| Cigna | NewBusiness | $23.06 | ↓ -88% |
| Cigna | OAP | $26.19 | ↓ -86% |
| BCBS | TENNCARE | $30.74 | ↓ -83% |
| BCBS | COVERKIDS | $33.28 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $34.18 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $35.28 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $35.28 | ↓ -81% |
| Oscar | HIX | $38.64 | ↓ -79% |
| United | OptionsPPO | $45.86 | ↓ -75% |
| Humana | TRICARE | $46.42 | ↓ -75% |
| Humana | HumanaChoice | $51.52 | ↓ -72% |
| Humana | NarrowExchangeNetwork | $51.52 | ↓ -72% |
| Humana | HumanaChoiceCare | $51.52 | ↓ -72% |
| Humana | BroadNetwork | $51.52 | ↓ -72% |
| Cigna | PPO | $60.53 | ↓ -67% |
| BCBS | BlueCare | $61.27 | ↓ -67% |
| Centurion | PRISON | $76.50 | ↓ -59% |
| United | GlobalBenefitPlan | $83.55 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $92.83 | ↓ -50% |
| Aetna | NAP | $92.83 | ↓ -50% |
| Humana BH | COMM | $120.69 | ↓ -35% |
| Employers Health Network | COMM | $129.97 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $139.25 | ↓ -25% |
| MHNet | COMM | $139.25 | ↓ -25% |
| Multiplan | COMM | $152.25 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $157.82 | ↓ -15% |
| Prime Health | COMMPPO | $163.39 | ↓ -12% |
| Beech Street | COMM | $163.39 | ↓ -12% |
| TriWest Healthcare | FED | $181.96 | ↓ -2% |
Visitor-reported prices
Comments
Antibody bacterium, not elsewhere specified at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $10.86 | $4.64 – $49.66 |
| CHI Memorial Hospital Hixson | Hixson | $22.80 | $11.45 – $53.90 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $32.58 | $11.45 – $53.90 |
| Johnson City Medical Center | JOHNSON CITY | $22.50 | $6.44 – $28.08 |
| Ascension Saint Thomas DeKalb | Smithville | $10.86 | $9.04 – $49.66 |
| Ascension Saint Thomas Highlands | Sparta | $10.86 | $9.04 – $49.66 |
| Ascension Saint Thomas River Park | McMinnville | $10.86 | $9.04 – $49.66 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $10.86 | $11.59 – $49.66 |