Contrast x-ray of ankle at SKYLINE MADISON CAMPUS

3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476

Source: hospital's published price file ↗ · Published Mar 12, 2026 · Ingested Sep 16, 2026

not published by hospital

Cash price

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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

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$66.70 with BCBS vs $616.10 with United — 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 →

Payer
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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
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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 $66.70
BCBS TENNCARE $79.69
BCBS COVERKIDS $86.23
Humana NarrowExchangeNetwork $106.56
Humana BroadNetwork $106.56
Humana HumanaChoice $106.56
Humana HumanaChoiceCare $106.56
BCBS BlueCare $158.19
Aetna COMM $183.53
Aetna NewBusiness $183.53
Cigna NewBusiness $311.00
Cigna OAP $353.25
United HeritageSelect $616.10
United AllPayerAppendix $616.10
United CorePayer $616.10

Visitor-reported prices

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Contrast x-ray of ankle at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $194.49 $59.47 – $610.96
Ascension Saint Thomas Rutherford Murfreesboro $194.49 $59.47 – $610.96
Greeneville Community Hospital GREENEVILLE $69.30 $68.99 – $709.70
Bristol Regional Medical Center BRISTOL $69.30 $68.99 – $721.49
Holston Valley Medical Center KINGSPORT $69.30 $68.99 – $721.49
Hawkins County Memorial Hospital ROGERSVILLE $69.30 $68.99 – $690.02
Parkwest Medical Center Knoxville $338.40 $74.34 – $415.41
Roane County Medical Center Harriman $372.24 $74.34 – $415.41

All Tennessee hospitals for this procedure →