Culture body fluid 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.
$3.88 with Wellpoint vs $213.39 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $3.88 | — |
| Aetna | COMM | $6.86 | — |
| Aetna | NewBusiness | $6.86 | — |
| Humana | ChoicecareMGMCR | $8.62 | — |
| Sarah Cannon Research | COMM | $8.62 | — |
| Devoted Health Plan | MCR | $8.62 | — |
| Bright Health | SmallGroup | $8.62 | — |
| Bright Health | HIX | $8.62 | — |
| HealthSpring | DualEligible | $8.62 | — |
| HealthSpring | MCRHMO | $8.62 | — |
| HealthSpring | MCRPOS | $8.62 | — |
| HealthSpring | MCRPPO | $8.62 | — |
| Odyssey Healthcare | COMM | $8.62 | — |
| Amerigroup | MGMCR | $8.62 | — |
| United | AllPayerAppendix | $8.62 | — |
| United | CorePayer | $8.62 | — |
| Alive Hospice | COMM | $8.62 | — |
| United | HeritageSelect | $8.62 | — |
| United | VACCN | $8.62 | — |
| Aetna | MGMCRSNP | $8.71 | — |
| Aetna | MGMCRHMO | $8.71 | — |
| Aetna | MGMCRPPO | $8.71 | — |
| United | MGMCR | $8.79 | — |
| BCBS | MCR | $8.88 | — |
| WellCare | MCR | $8.88 | — |
| Zing | MGMCR | $8.88 | — |
| Ambetter | Select | $8.96 | — |
| American Health Advantage | MCRHMO | $9.05 | — |
| American Health Advantage | MCRPFFS | $9.05 | — |
| American Health Advantage | MCRSNP | $9.05 | — |
| Evergreen HMO | MCR | $9.05 | — |
| American Health Advantage | MCRPOS | $9.05 | — |
| American Health Advantage | MCRPPO | $9.05 | — |
| Signature Advantage | MCR | $9.14 | — |
| Ambetter | CORE | $9.31 | — |
| ATRIO Golden Times | MCR | $9.48 | — |
| Bright Health | MCRNarrow | $9.91 | — |
| BCBS | NetworkP | $11.75 | — |
| Prime Health | WORKERSCOMP | $12.41 | — |
| NovaNET | WORKERSCOMP | $12.67 | — |
| CorVel Corporation | WORKERSCOMP | $12.67 | — |
| Cigna | NewBusiness | $15.58 | — |
| Cigna | OAP | $17.70 | — |
| BCBS | TENNCARE | $24.52 | — |
| Oscar | HIX | $25.86 | — |
| BCBS | COVERKIDS | $26.55 | — |
| Humana | BroadNetwork | $34.48 | — |
| Humana | NarrowExchangeNetwork | $34.48 | — |
| Humana | HumanaChoiceCare | $34.48 | — |
| Humana | HumanaChoice | $34.48 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $40.09 | — |
| Pruitt Health (AllyAlign) | MCR | $41.37 | — |
| NHC Advantage, Inc. | MCRHMO | $41.37 | — |
| BCBS | BlueCare | $48.87 | — |
| United | OptionsPPO | $53.78 | — |
| Humana | TRICARE | $54.44 | — |
| Cigna | PPO | $70.98 | — |
| Centurion | PRISON | $89.71 | — |
| United | GlobalBenefitPlan | $97.98 | — |
| Aetna | NAP | $108.87 | — |
| BGFH SingleSource | DIRECTNETWORK | $108.87 | — |
| Humana BH | COMM | $141.53 | — |
| Employers Health Network | COMM | $152.42 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $163.31 | — |
| MHNet | COMM | $163.31 | — |
| Multiplan | COMM | $178.55 | — |
| BGFH SingleSource | LEASEDNETWORK | $185.08 | — |
| Prime Health | COMMPPO | $191.61 | — |
| Beech Street | COMM | $191.61 | — |
| TriWest Healthcare | FED | $213.39 | — |
Visitor-reported prices
Comments
Culture body fluid at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $79.47 | $3.10 – $33.86 |
| CHI Memorial Hospital Hixson | Hixson | $21.91 | $7.65 – $46.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $93.15 | $7.50 – $17.24 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $31.31 | $7.65 – $46.20 |
| Johnson City Medical Center | JOHNSON CITY | $15.15 | $4.31 – $18.79 |
| Ascension Saint Thomas DeKalb | Smithville | $79.47 | $6.04 – $33.86 |
| Ascension Saint Thomas Highlands | Sparta | $79.47 | $6.04 – $33.86 |
| Ascension Saint Thomas River Park | McMinnville | $79.49 | $6.04 – $33.86 |