Diffusing capacity at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$490.17
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.
$490.17
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.
$51.18 with BCBS vs $480.37 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 | TENNCARE | $51.18 | ↓ -90% |
| BCBS | COVERKIDS | $55.42 | ↓ -89% |
| Aetna | MGMCRSNP | $73.53 | ↓ -85% |
| Aetna | MGMCRPPO | $73.53 | ↓ -85% |
| Aetna | MGMCRHMO | $73.53 | ↓ -85% |
| Bright Health | HIX | $83.33 | ↓ -83% |
| BCBS | NetworkP | $89.47 | ↓ -82% |
| Oscar | HIX | $89.70 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $90.24 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $93.13 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $93.13 | ↓ -81% |
| BCBS | BlueCare | $102.02 | ↓ -79% |
| Ambetter | CORE | $109.31 | ↓ -78% |
| Ambetter | Select | $113.72 | ↓ -77% |
| Bright Health | SmallGroup | $117.64 | ↓ -76% |
| United | OptionsPPO | $121.07 | ↓ -75% |
| Humana | TRICARE | $122.54 | ↓ -75% |
| Cigna | NewBusiness | $123.52 | ↓ -75% |
| Aetna | NewBusiness | $137.25 | ↓ -72% |
| Cigna | OAP | $140.19 | ↓ -71% |
| Cigna | PPO | $159.80 | ↓ -67% |
| Aetna | COMM | $161.76 | ↓ -67% |
| Centurion | PRISON | $201.95 | ↓ -59% |
| United | GlobalBenefitPlan | $220.58 | ↓ -55% |
| Aetna | NAP | $245.09 | ↓ -50% |
| Signature Advantage | MCR | $245.09 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $245.09 | ↓ -50% |
| Humana BH | COMM | $318.61 | ↓ -35% |
| Employers Health Network | COMM | $343.12 | ↓ -30% |
| MHNet | COMM | $367.63 | ↓ -25% |
| Odom's TN Pride Sausage | WORKERSCOMP | $367.63 | ↓ -25% |
| Multiplan | COMM | $401.94 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $416.64 | ↓ -15% |
| Beech Street | COMM | $431.35 | ↓ -12% |
| Prime Health | COMMPPO | $431.35 | ↓ -12% |
| TriWest Healthcare | FED | $480.37 | ↓ -2% |
Visitor-reported prices
Comments
Diffusing capacity at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $250.89 | $35.30 – $92.92 |
| CHI Memorial Hospital Hixson | Hixson | $208.68 | $52.54 – $493.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $69.46 | $35.30 – $91.11 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $298.22 | $52.54 – $493.50 |
| Johnson City Medical Center | JOHNSON CITY | $100.35 | $40.95 – $125.63 |
| Ascension Saint Thomas DeKalb | Smithville | $263.46 | $31.15 – $92.92 |
| Ascension Saint Thomas Highlands | Sparta | $263.46 | $31.15 – $92.92 |
| Ascension Saint Thomas River Park | McMinnville | $263.46 | $31.15 – $92.92 |