C-1 esterase, berinert at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$432.70
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.
$432.70
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.
$79.66 with Kentucky Labor Cabinet vs $424.05 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 |
|---|---|---|---|
| Kentucky Labor Cabinet | WORKERSCOMP | $79.66 | ↓ -82% |
| Cigna | NewBusiness | $84.04 | ↓ -81% |
| BCBS | NetworkP | $88.36 | ↓ -80% |
| Cigna | OAP | $95.56 | ↓ -78% |
| Ambetter | Select | $100.39 | ↓ -77% |
| United | OptionsPPO | $106.88 | ↓ -75% |
| Humana | TRICARE | $108.17 | ↓ -75% |
| Cigna | PPO | $141.06 | ↓ -67% |
| Centurion | PRISON | $178.27 | ↓ -59% |
| United | GlobalBenefitPlan | $194.72 | ↓ -55% |
| United | AllPayerAppendix | $201.03 | ↓ -54% |
| United | HeritageSelect | $201.03 | ↓ -54% |
| United | CorePayer | $201.03 | ↓ -54% |
| BGFH SingleSource | DIRECTNETWORK | $216.35 | ↓ -50% |
| Humana BH | COMM | $281.25 | ↓ -35% |
| Employers Health Network | COMM | $302.89 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $324.52 | ↓ -25% |
| Multiplan | COMM | $354.81 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $367.80 | ↓ -15% |
| Prime Health | COMMPPO | $380.78 | ↓ -12% |
| Beech Street | COMM | $380.78 | ↓ -12% |
| TriWest Healthcare | FED | $424.05 | ↓ -2% |
Visitor-reported prices
Comments
C-1 esterase, berinert at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $4,105.03 | $27.01 – $9,707.84 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $5,866.31 | $27.01 – $9,707.84 |
| Johnson City Medical Center | JOHNSON CITY | $3,781.75 | $27.21 – $6,080.25 |
| Bristol Regional Medical Center | BRISTOL | $3,781.75 | $18.14 – $6,187.35 |
| Franklin Woods Community Hospital | JOHNSON CITY | $3,781.75 | $27.21 – $6,597.85 |
| Holston Valley Medical Center | KINGSPORT | $3,781.75 | $18.14 – $6,187.35 |
| Johnson County Community Hospital | MOUNTAIN CITY | $5,798.68 | $27.21 – $6,861.76 |
| Sycamore Shoals Hospital | ELIZABETHTON | $3,781.75 | $27.21 – $6,597.85 |