Chromosome analysis 15-20 cell count 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.
$56.47 with Wellpoint vs $642.68 with BCBS — 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 | $56.47 | — |
| Aetna | COMM | $99.77 | — |
| Aetna | NewBusiness | $99.77 | — |
| Alive Hospice | COMM | $125.49 | — |
| Sarah Cannon Research | COMM | $125.49 | — |
| Bright Health | SmallGroup | $125.49 | — |
| Bright Health | HIX | $125.49 | — |
| HealthSpring | DualEligible | $125.49 | — |
| HealthSpring | MCRHMO | $125.49 | — |
| HealthSpring | MCRPOS | $125.49 | — |
| HealthSpring | MCRPPO | $125.49 | — |
| Devoted Health Plan | MCR | $125.49 | — |
| Odyssey Healthcare | COMM | $125.49 | — |
| Amerigroup | MGMCR | $125.49 | — |
| Humana | ChoicecareMGMCR | $125.49 | — |
| United | VACCN | $125.49 | — |
| United | AllPayerAppendix | $125.49 | — |
| United | CorePayer | $125.49 | — |
| United | HeritageSelect | $125.49 | — |
| Aetna | MGMCRPPO | $126.74 | — |
| Aetna | MGMCRSNP | $126.74 | — |
| Aetna | MGMCRHMO | $126.74 | — |
| United | MGMCR | $128.00 | — |
| Zing | MGMCR | $129.25 | — |
| WellCare | MCR | $129.25 | — |
| BCBS | MCR | $129.25 | — |
| Ambetter | Select | $130.51 | — |
| American Health Advantage | MCRSNP | $131.76 | — |
| American Health Advantage | MCRPFFS | $131.76 | — |
| American Health Advantage | MCRPPO | $131.76 | — |
| Evergreen HMO | MCR | $131.76 | — |
| American Health Advantage | MCRHMO | $131.76 | — |
| American Health Advantage | MCRPOS | $131.76 | — |
| Signature Advantage | MCR | $133.02 | — |
| Ambetter | CORE | $135.53 | — |
| ATRIO Golden Times | MCR | $138.04 | — |
| Bright Health | MCRNarrow | $144.31 | — |
| BCBS | NetworkP | $170.04 | — |
| Prime Health | WORKERSCOMP | $180.71 | — |
| CorVel Corporation | WORKERSCOMP | $184.47 | — |
| NovaNET | WORKERSCOMP | $184.47 | — |
| Cigna | NewBusiness | $223.78 | — |
| Cigna | OAP | $254.14 | — |
| BCBS | TENNCARE | $322.45 | — |
| BCBS | COVERKIDS | $349.14 | — |
| Oscar | HIX | $376.47 | — |
| Humana | HumanaChoice | $501.96 | — |
| Humana | HumanaChoiceCare | $501.96 | — |
| Humana | BroadNetwork | $501.96 | — |
| Humana | NarrowExchangeNetwork | $501.96 | — |
| BCBS | BlueCare | $642.68 | — |
Visitor-reported prices
Comments
Chromosome analysis 15-20 cell count at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $45.18 – $481.98 |
| CHI Memorial Hospital Hixson | Hixson | $38.19 | $90.30 – $235.92 |
| 62-1166050 BMH Carroll County | Huntingdon | $105.80 | $109.18 – $250.98 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $54.57 | $27.09 – $235.92 |
| Johnson City Medical Center | JOHNSON CITY | $218.25 | $45.56 – $273.57 |
| Ascension Saint Thomas DeKalb | Smithville | $657.29 | $87.39 – $481.98 |
| Ascension Saint Thomas Highlands | Sparta | $657.29 | $87.39 – $481.98 |
| Ascension Saint Thomas River Park | McMinnville | $657.29 | $87.39 – $481.98 |