Electrophysiology evaluation at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$21,511.63
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.
$21,511.63
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.
$411.80 with BCBS vs $30,393.00 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 | $411.80 | ↓ -98% |
| BCBS | COVERKIDS | $445.88 | ↓ -98% |
| BCBS | BlueCare | $820.76 | ↓ -96% |
| Kentucky Labor Cabinet | WORKERSCOMP | $3,960.29 | ↓ -82% |
| NHC Advantage, Inc. | MCRHMO | $4,087.21 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $4,087.21 | ↓ -81% |
| BCBS | NetworkP | $4,947.67 | ↓ -77% |
| Bright Health | HIX | $5,094.00 | ↓ -76% |
| United | OptionsPPO | $5,313.37 | ↓ -75% |
| Humana | TRICARE | $5,377.91 | ↓ -75% |
| Bright Health | SmallGroup | $6,946.00 | ↓ -68% |
| Cigna | PPO | $7,012.79 | ↓ -67% |
| Oscar | HIX | $8,071.00 | ↓ -62% |
| United | GlobalBenefitPlan | $9,680.23 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $10,755.82 | ↓ -50% |
| Aetna | NAP | $10,755.82 | ↓ -50% |
| Cigna | NewBusiness | $10,808.00 | ↓ -50% |
| Cigna | OAP | $12,282.00 | ↓ -43% |
| Humana BH | COMM | $13,982.56 | ↓ -35% |
| United | CorePayer | $14,993.00 | ↓ -30% |
| Employers Health Network | COMM | $15,058.14 | ↓ -30% |
| Ambetter | Select | $15,600.00 | ↓ -27% |
| United | HeritageSelect | $15,992.00 | ↓ -26% |
| MHNet | COMM | $16,133.72 | ↓ -25% |
| Ambetter | CORE | $16,224.00 | ↓ -25% |
| Multiplan | COMM | $17,639.54 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $18,284.89 | ↓ -15% |
| Beech Street | COMM | $18,930.23 | ↓ -12% |
| Prime Health | COMMPPO | $18,930.23 | ↓ -12% |
| United | AllPayerAppendix | $19,990.00 | ↓ -7% |
| TriWest Healthcare | FED | $21,081.40 | ↓ -2% |
| Aetna | NewBusiness | $25,919.00 | ↑ +20% |
| Aetna | COMM | $30,393.00 | ↑ +41% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $6,179.09 | $284.00 – $720.41 |
| CHI Memorial Hospital Hixson | Hixson | $2,890.74 | $422.68 – $6,836.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $4,131.02 | $422.68 – $6,836.20 |
| Johnson City Medical Center | JOHNSON CITY | $1,142.25 | $329.44 – $15,866.48 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $6,179.09 | $284.00 – $720.41 |
| Greeneville Community Hospital | GREENEVILLE | $1,142.25 | $329.44 – $15,866.48 |
| Bristol Regional Medical Center | BRISTOL | $1,142.25 | $329.44 – $16,130.18 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,142.25 | $400.44 – $15,438.09 |