Diagnostic digital breast tomosynthesis bil at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$1,022.43
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.
?
What you pay up front if you don't use insurance.
$1,022.43
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.
?
The hospital's undiscounted list price — almost no one pays this.
$82.62 with BCBS vs $1,001.98 with TriWest Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $82.62 | ↓ -92% |
| BCBS | TENNCARE | $91.79 | ↓ -91% |
| BCBS | COVERKIDS | $99.33 | ↓ -90% |
| Aetna | MGMCRHMO | $153.36 | ↓ -85% |
| Aetna | MGMCRSNP | $153.36 | ↓ -85% |
| Aetna | MGMCRPPO | $153.36 | ↓ -85% |
| United | AllPayerAppendix | $162.50 | ↓ -84% |
| United | CorePayer | $162.50 | ↓ -84% |
| United | HeritageSelect | $162.50 | ↓ -84% |
| BCBS | BlueCare | $182.21 | ↓ -82% |
| Humana | BroadNetwork | $186.28 | ↓ -82% |
| Humana | NarrowExchangeNetwork | $186.28 | ↓ -82% |
| Humana | HumanaChoiceCare | $186.28 | ↓ -82% |
| Humana | HumanaChoice | $186.28 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $188.23 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $194.26 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $194.26 | ↓ -81% |
| Aetna | COMM | $219.50 | ↓ -79% |
| Aetna | NewBusiness | $219.50 | ↓ -79% |
| United | OptionsPPO | $252.54 | ↓ -75% |
| Humana | TRICARE | $255.61 | ↓ -75% |
| Cigna | PPO | $333.31 | ↓ -67% |
| Cigna | NewBusiness | $356.44 | ↓ -65% |
| Cigna | OAP | $404.87 | ↓ -60% |
| United | GlobalBenefitPlan | $460.09 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $511.21 | ↓ -50% |
| Signature Advantage | MCR | $511.21 | ↓ -50% |
| Aetna | NAP | $511.21 | ↓ -50% |
| Humana BH | COMM | $664.58 | ↓ -35% |
| Employers Health Network | COMM | $715.70 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $766.82 | ↓ -25% |
| MHNet | COMM | $766.82 | ↓ -25% |
| Multiplan | COMM | $838.39 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $869.07 | ↓ -15% |
| Prime Health | COMMPPO | $899.74 | ↓ -12% |
| Beech Street | COMM | $899.74 | ↓ -12% |
| TriWest Healthcare | FED | $1,001.98 | ↓ -2% |
Visitor-reported prices
Comments
Diagnostic digital breast tomosynthesis bil at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $68.50 – $313.06 |
| 62-1166050 BMH Carroll County | Huntingdon | $24.15 | $68.50 – $131.44 |
| Greeneville Community Hospital | GREENEVILLE | $156.15 | $33.90 – $209.96 |
| Bristol Regional Medical Center | BRISTOL | $156.15 | $56.50 – $209.96 |
| Holston Valley Medical Center | KINGSPORT | $156.15 | $56.50 – $209.96 |
| 62-0123940 BMH Collierville | Collierville | $22.05 | $68.50 – $297.30 |
| 62-1138045 BMH Union City | Union City | $20.20 | $131.44 – $132.37 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $156.15 | $47.08 – $209.96 |