Aquatic exercise - group charge 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.
$10.87 with Wellpoint vs $326.00 with Aetna — 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 | $10.87 | — |
| Alive Hospice | COMM | $15.09 | — |
| HealthSpring | DualEligible | $15.09 | — |
| Amerigroup | MGMCR | $15.09 | — |
| HealthSpring | MCRHMO | $15.09 | — |
| HealthSpring | MCRPOS | $15.09 | — |
| HealthSpring | MCRPPO | $15.09 | — |
| Odyssey Healthcare | COMM | $15.09 | — |
| Sarah Cannon Research | COMM | $15.09 | — |
| Devoted Health Plan | MCR | $15.09 | — |
| United | VACCN | $15.09 | — |
| Humana | ChoicecareMGMCR | $15.09 | — |
| Aetna | MGMCRPPO | $15.24 | — |
| Aetna | MGMCRSNP | $15.24 | — |
| Aetna | MGMCRHMO | $15.24 | — |
| United | MGMCR | $15.39 | — |
| WellCare | MCR | $15.54 | — |
| Zing | MGMCR | $15.54 | — |
| BCBS | MCR | $15.54 | — |
| Evergreen HMO | MCR | $15.85 | — |
| American Health Advantage | MCRPFFS | $15.85 | — |
| American Health Advantage | MCRSNP | $15.85 | — |
| American Health Advantage | MCRPPO | $15.85 | — |
| American Health Advantage | MCRPOS | $15.85 | — |
| American Health Advantage | MCRHMO | $15.85 | — |
| Signature Advantage | MCR | $16.00 | — |
| ATRIO Golden Times | MCR | $16.60 | — |
| Bright Health | MCRNarrow | $17.36 | — |
| Prime Health | WORKERSCOMP | $21.73 | — |
| BCBS | TENNCARE | $22.10 | — |
| NovaNET | WORKERSCOMP | $22.19 | — |
| CorVel Corporation | WORKERSCOMP | $22.19 | — |
| BCBS | COVERKIDS | $23.93 | — |
| Bright Health | HIX | $34.68 | — |
| BCBS | NetworkP | $35.99 | — |
| Oscar | HIX | $37.33 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $37.55 | — |
| NHC Advantage, Inc. | MCRHMO | $38.76 | — |
| Pruitt Health (AllyAlign) | MCR | $38.76 | — |
| BCBS | BlueCare | $44.04 | — |
| Ambetter | CORE | $45.49 | — |
| Ambetter | Select | $47.32 | — |
| Bright Health | SmallGroup | $48.96 | — |
| United | OptionsPPO | $50.38 | — |
| Humana | TRICARE | $50.99 | — |
| Cigna | NewBusiness | $51.40 | — |
| Cigna | OAP | $58.34 | — |
| Cigna | PPO | $66.50 | — |
| United | GlobalBenefitPlan | $91.79 | — |
| BGFH SingleSource | DIRECTNETWORK | $101.99 | — |
| Aetna | NAP | $101.99 | — |
| Humana BH | COMM | $132.59 | — |
| Employers Health Network | COMM | $142.79 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $152.99 | — |
| MHNet | COMM | $152.99 | — |
| Multiplan | COMM | $167.26 | — |
| BGFH SingleSource | LEASEDNETWORK | $173.38 | — |
| Prime Health | COMMPPO | $179.50 | — |
| Beech Street | COMM | $179.50 | — |
| TriWest Healthcare | FED | $199.90 | — |
| Aetna | NewBusiness | $274.00 | — |
| Aetna | COMM | $326.00 | — |
Visitor-reported prices
Comments
Aquatic exercise - group charge at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $56.60 | $14.86 – $38.39 |
| CHI Memorial Hospital Hixson | Hixson | $64.24 | $22.68 – $189.52 |
| 62-1166050 BMH Carroll County | Huntingdon | $72.45 | $11.48 – $15.24 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $91.80 | $22.68 – $189.52 |
| Johnson City Medical Center | JOHNSON CITY | $16.80 | $17.15 – $44.87 |
| Ascension Saint Thomas DeKalb | Smithville | $33.29 | $14.86 – $38.39 |
| Ascension Saint Thomas Highlands | Sparta | $33.29 | $14.86 – $38.39 |
| Ascension Saint Thomas River Park | McMinnville | $31.70 | $14.86 – $38.39 |