Dialysis one evaluation 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$116.16 with BCBS vs $3,581.84 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 | TENNCARE | $116.16 | — |
| BCBS | COVERKIDS | $125.77 | — |
| BCBS | BlueCare | $231.52 | — |
| Bright Health | HIX | $621.34 | — |
| Oscar | HIX | $668.85 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $672.87 | — |
| NHC Advantage, Inc. | MCRHMO | $694.44 | — |
| Pruitt Health (AllyAlign) | MCR | $694.44 | — |
| Ambetter | CORE | $815.05 | — |
| BCBS | NetworkP | $840.64 | — |
| Ambetter | Select | $847.95 | — |
| Bright Health | SmallGroup | $877.19 | — |
| United | OptionsPPO | $902.77 | — |
| Humana | TRICARE | $913.74 | — |
| Cigna | NewBusiness | $921.04 | — |
| Aetna | NewBusiness | $1,023.38 | — |
| Cigna | OAP | $1,045.31 | — |
| Cigna | PPO | $1,191.51 | — |
| Aetna | COMM | $1,206.13 | — |
| Centurion | PRISON | $1,505.84 | — |
| United | GlobalBenefitPlan | $1,644.72 | — |
| BGFH SingleSource | DIRECTNETWORK | $1,827.47 | — |
| Aetna | NAP | $1,827.47 | — |
| Humana BH | COMM | $2,375.71 | — |
| Employers Health Network | COMM | $2,558.46 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $2,741.20 | — |
| MHNet | COMM | $2,741.20 | — |
| Multiplan | COMM | $2,997.05 | — |
| BGFH SingleSource | LEASEDNETWORK | $3,106.70 | — |
| Beech Street | COMM | $3,216.35 | — |
| Prime Health | COMMPPO | $3,216.35 | — |
| TriWest Healthcare | FED | $3,581.84 | — |
Visitor-reported prices
Comments
Dialysis one evaluation at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $753.99 | $80.11 – $570.93 |
| CHI Memorial Hospital Hixson | Hixson | $570.99 | $119.23 – $1,350.30 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $815.97 | $119.23 – $1,350.30 |
| Johnson City Medical Center | JOHNSON CITY | $194.55 | $72.41 – $1,125.46 |
| Ascension Saint Thomas DeKalb | Smithville | $753.99 | $80.11 – $562.70 |
| Ascension Saint Thomas Highlands | Sparta | $753.99 | $80.11 – $562.70 |
| Ascension Saint Thomas River Park | McMinnville | $855.18 | $119.69 – $562.70 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $753.99 | $80.11 – $570.93 |