Below knee cuff suspension at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$492.00
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.
$492.00
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.
$61.70 with Wellpoint vs $482.16 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 | $61.70 | ↓ -87% |
| Devoted Health Plan | MCR | $85.69 | ↓ -83% |
| Humana | ChoicecareMGMCR | $85.69 | ↓ -83% |
| Alive Hospice | COMM | $85.69 | ↓ -83% |
| HealthSpring | DualEligible | $85.69 | ↓ -83% |
| HealthSpring | MCRHMO | $85.69 | ↓ -83% |
| HealthSpring | MCRPOS | $85.69 | ↓ -83% |
| HealthSpring | MCRPPO | $85.69 | ↓ -83% |
| Odyssey Healthcare | COMM | $85.69 | ↓ -83% |
| Amerigroup | MGMCR | $85.69 | ↓ -83% |
| Sarah Cannon Research | COMM | $85.69 | ↓ -83% |
| United | VACCN | $85.69 | ↓ -83% |
| Aetna | MGMCRSNP | $86.55 | ↓ -82% |
| Aetna | MGMCRHMO | $86.55 | ↓ -82% |
| Aetna | MGMCRPPO | $86.55 | ↓ -82% |
| United | MGMCR | $87.40 | ↓ -82% |
| BCBS | MCR | $88.26 | ↓ -82% |
| WellCare | MCR | $88.26 | ↓ -82% |
| Zing | MGMCR | $88.26 | ↓ -82% |
| American Health Advantage | MCRPOS | $89.97 | ↓ -82% |
| American Health Advantage | MCRPFFS | $89.97 | ↓ -82% |
| Evergreen HMO | MCR | $89.97 | ↓ -82% |
| American Health Advantage | MCRSNP | $89.97 | ↓ -82% |
| American Health Advantage | MCRPPO | $89.97 | ↓ -82% |
| American Health Advantage | MCRHMO | $89.97 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $90.58 | ↓ -82% |
| Signature Advantage | MCR | $90.83 | ↓ -82% |
| ATRIO Golden Times | MCR | $94.26 | ↓ -81% |
| Bright Health | MCRNarrow | $98.54 | ↓ -80% |
| Ambetter | Select | $114.14 | ↓ -77% |
| United | OptionsPPO | $121.52 | ↓ -75% |
| Humana | TRICARE | $123.00 | ↓ -75% |
| Prime Health | WORKERSCOMP | $123.39 | ↓ -75% |
| NovaNET | WORKERSCOMP | $125.96 | ↓ -74% |
| CorVel Corporation | WORKERSCOMP | $125.96 | ↓ -74% |
| Cigna | PPO | $160.39 | ↓ -67% |
| Centurion | PRISON | $202.70 | ↓ -59% |
| United | GlobalBenefitPlan | $221.40 | ↓ -55% |
| Aetna | NAP | $246.00 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $246.00 | ↓ -50% |
| Humana BH | COMM | $319.80 | ↓ -35% |
| Employers Health Network | COMM | $344.40 | ↓ -30% |
| MHNet | COMM | $369.00 | ↓ -25% |
| Odom's TN Pride Sausage | WORKERSCOMP | $369.00 | ↓ -25% |
| Multiplan | COMM | $403.44 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $418.20 | ↓ -15% |
| Beech Street | COMM | $432.96 | ↓ -12% |
| Prime Health | COMMPPO | $432.96 | ↓ -12% |
| TriWest Healthcare | FED | $482.16 | ↓ -2% |
Visitor-reported prices
Comments
Below knee cuff suspension at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $85.69 – $125.96 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $83.12 – $125.96 |
| HORIZON MEDICAL CENTER | DICKSON | not published | $77.12 – $125.96 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH | not published | $61.70 – $125.96 |
| STONECREST MEDICAL CENTER | Smyrna | not published | $77.12 – $125.96 |
| SUMMIT MEDICAL CENTER | MT JULIET | not published | $77.12 – $125.96 |
| Parkwest Medical Center | Knoxville | not published | $41.06 – $89.97 |
| Roane County Medical Center | Harriman | not published | $85.69 – $89.97 |