Echocardiograpy doppler follow up/limited study 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.
$49.17 with BCBS vs $4,700.00 with Aetna — 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 | $49.17 | — |
| BCBS | COVERKIDS | $53.24 | — |
| BCBS | BlueCare | $98.00 | — |
| Aetna | MGMCRHMO | $160.42 | — |
| Aetna | MGMCRSNP | $160.42 | — |
| Aetna | MGMCRPPO | $160.42 | — |
| Bright Health | HIX | $181.81 | — |
| Oscar | HIX | $195.71 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $196.89 | — |
| NHC Advantage, Inc. | MCRHMO | $203.20 | — |
| Pruitt Health (AllyAlign) | MCR | $203.20 | — |
| Ambetter | CORE | $238.49 | — |
| BCBS | NetworkP | $245.98 | — |
| Ambetter | Select | $248.12 | — |
| Bright Health | SmallGroup | $256.68 | — |
| United | OptionsPPO | $264.16 | — |
| Humana | TRICARE | $267.37 | — |
| Cigna | NewBusiness | $269.51 | — |
| Cigna | OAP | $305.87 | — |
| Cigna | PPO | $348.65 | — |
| Centurion | PRISON | $440.63 | — |
| United | GlobalBenefitPlan | $481.27 | — |
| Signature Advantage | MCR | $534.74 | — |
| Aetna | NAP | $534.74 | — |
| BGFH SingleSource | DIRECTNETWORK | $534.74 | — |
| Humana BH | COMM | $695.16 | — |
| Employers Health Network | COMM | $748.64 | — |
| MHNet | COMM | $802.11 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $802.11 | — |
| Multiplan | COMM | $876.97 | — |
| BGFH SingleSource | LEASEDNETWORK | $909.06 | — |
| Beech Street | COMM | $941.14 | — |
| Prime Health | COMMPPO | $941.14 | — |
| TriWest Healthcare | FED | $1,048.09 | — |
| Aetna | NewBusiness | $3,807.00 | — |
| Aetna | COMM | $4,700.00 | — |
Visitor-reported prices
Comments
Echocardiograpy doppler follow up/limited study at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $313.40 | $33.91 – $48.53 |
| CHI Memorial Hospital Hixson | Hixson | $231.18 | $50.47 – $989.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $125.81 | $26.68 – $33.91 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $330.37 | $50.47 – $989.00 |
| Johnson City Medical Center | JOHNSON CITY | $103.50 | $35.42 – $619.40 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $313.40 | $33.91 – $48.53 |
| Hancock County Hospital | SNEEDVILLE | $101.43 | $35.42 – $678.58 |
| Greeneville Community Hospital | GREENEVILLE | $103.50 | $35.42 – $646.27 |