Cladribine 10 mg/10 ml intravenous solution 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.
$12.47 with BCBS vs $249.51 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 |
|---|---|---|---|
| BCBS | NetworkP | $12.47 | — |
| Cigna | NewBusiness | $16.46 | — |
| Cigna | OAP | $18.72 | — |
| United | CorePayer | $19.66 | — |
| United | AllPayerAppendix | $19.66 | — |
| United | HeritageSelect | $19.66 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $46.87 | — |
| Ambetter | Select | $59.07 | — |
| United | OptionsPPO | $62.89 | — |
| Humana | TRICARE | $63.65 | — |
| Cigna | PPO | $83.00 | — |
| Centurion | PRISON | $104.90 | — |
| United | GlobalBenefitPlan | $114.57 | — |
| BGFH SingleSource | DIRECTNETWORK | $127.30 | — |
| Humana BH | COMM | $165.49 | — |
| Employers Health Network | COMM | $178.22 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $190.95 | — |
| Multiplan | COMM | $208.77 | — |
| BGFH SingleSource | LEASEDNETWORK | $216.41 | — |
| Prime Health | COMMPPO | $224.05 | — |
| Beech Street | COMM | $224.05 | — |
| TriWest Healthcare | FED | $249.51 | — |
Visitor-reported prices
Comments
Cladribine 10 mg/10 ml intravenous solution at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $75.23 | $13.52 – $61.69 |
| CHI Memorial Hospital Hixson | Hixson | $192.06 | $13.52 – $317.83 |
| 62-1166050 BMH Carroll County | Huntingdon | $223.42 | $9.80 – $22.54 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $274.46 | $13.52 – $317.83 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $75.23 | $13.52 – $61.69 |
| 62-0123940 BMH Collierville | Collierville | $203.99 | $10.71 – $22.54 |
| 62-1138045 BMH Union City | Union City | $194.27 | $9.80 – $22.54 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $781.75 | $7.42 – $159.65 |