Caregiver training strategies&tq ea addl 15 min 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.
$17.72 with Bright Health vs $102.13 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 |
|---|---|---|---|
| Bright Health | HIX | $17.72 | — |
| Wellpoint | MGMCD | $18.23 | — |
| Oscar | HIX | $19.07 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $19.19 | — |
| NHC Advantage, Inc. | MCRHMO | $19.80 | — |
| Pruitt Health (AllyAlign) | MCR | $19.80 | — |
| Ambetter | CORE | $23.24 | — |
| Ambetter | Select | $24.18 | — |
| Bright Health | SmallGroup | $25.01 | — |
| Devoted Health Plan | MCR | $25.32 | — |
| Humana | ChoicecareMGMCR | $25.32 | — |
| HealthSpring | DualEligible | $25.32 | — |
| HealthSpring | MCRHMO | $25.32 | — |
| HealthSpring | MCRPOS | $25.32 | — |
| HealthSpring | MCRPPO | $25.32 | — |
| United | VACCN | $25.32 | — |
| Amerigroup | MGMCR | $25.32 | — |
| Sarah Cannon Research | COMM | $25.32 | — |
| Alive Hospice | COMM | $25.32 | — |
| Odyssey Healthcare | COMM | $25.32 | — |
| Aetna | MGMCRSNP | $25.57 | — |
| Aetna | MGMCRPPO | $25.57 | — |
| Aetna | MGMCRHMO | $25.57 | — |
| United | OptionsPPO | $25.74 | — |
| United | MGMCR | $25.83 | — |
| Humana | TRICARE | $26.05 | — |
| Zing | MGMCR | $26.08 | — |
| BCBS | MCR | $26.08 | — |
| WellCare | MCR | $26.08 | — |
| Cigna | NewBusiness | $26.26 | — |
| Evergreen HMO | MCR | $26.59 | — |
| American Health Advantage | MCRHMO | $26.59 | — |
| American Health Advantage | MCRPOS | $26.59 | — |
| American Health Advantage | MCRPPO | $26.59 | — |
| American Health Advantage | MCRSNP | $26.59 | — |
| American Health Advantage | MCRPFFS | $26.59 | — |
| Signature Advantage | MCR | $26.84 | — |
| ATRIO Golden Times | MCR | $27.85 | — |
| Bright Health | MCRNarrow | $29.12 | — |
| Aetna | NewBusiness | $29.18 | — |
| Cigna | OAP | $29.80 | — |
| Cigna | PPO | $33.97 | — |
| Aetna | COMM | $34.39 | — |
| Prime Health | WORKERSCOMP | $36.46 | — |
| NovaNET | WORKERSCOMP | $37.22 | — |
| CorVel Corporation | WORKERSCOMP | $37.22 | — |
| United | GlobalBenefitPlan | $46.89 | — |
| BGFH SingleSource | DIRECTNETWORK | $52.10 | — |
| Aetna | NAP | $52.10 | — |
| BCBS | NetworkP | $53.63 | — |
| Humana BH | COMM | $67.74 | — |
| Employers Health Network | COMM | $72.95 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $78.16 | — |
| MHNet | COMM | $78.16 | — |
| Multiplan | COMM | $85.45 | — |
| BGFH SingleSource | LEASEDNETWORK | $88.58 | — |
| Prime Health | COMMPPO | $91.70 | — |
| Beech Street | COMM | $91.70 | — |
| TriWest Healthcare | FED | $102.13 | — |
Visitor-reported prices
Comments
Caregiver training strategies&tq ea addl 15 min at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $22.14 – $57.27 |
| 62-1166050 BMH Carroll County | Huntingdon | $17.94 | $21.69 – $24.99 |
| Johnson City Medical Center | JOHNSON CITY | $33.60 | $25.16 – $87.66 |
| Hancock County Hospital | SNEEDVILLE | $33.12 | $25.16 – $99.88 |
| Greeneville Community Hospital | GREENEVILLE | $33.60 | $23.55 – $95.12 |
| Bristol Regional Medical Center | BRISTOL | $33.60 | $23.55 – $89.20 |
| Franklin Woods Community Hospital | JOHNSON CITY | $33.60 | $23.80 – $95.12 |
| Holston Valley Medical Center | KINGSPORT | $33.60 | $23.55 – $89.20 |