Endo cath bile duct s&i at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$3,737.13
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.
$3,737.13
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.
$89.88 with Humana vs $3,662.39 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 |
|---|---|---|---|
| Humana | HumanaChoice | $89.88 | ↓ -98% |
| Humana | HumanaChoiceCare | $89.88 | ↓ -98% |
| Humana | NarrowExchangeNetwork | $89.88 | ↓ -98% |
| Humana | BroadNetwork | $89.88 | ↓ -98% |
| BCBS | NetworkP | $112.00 | ↓ -97% |
| BCBS | TENNCARE | $119.29 | ↓ -97% |
| Aetna | COMM | $123.60 | ↓ -97% |
| Aetna | NewBusiness | $123.60 | ↓ -97% |
| BCBS | COVERKIDS | $129.08 | ↓ -97% |
| BCBS | BlueCare | $236.79 | ↓ -94% |
| Aetna | MGMCRPPO | $560.57 | ↓ -85% |
| Aetna | MGMCRHMO | $560.57 | ↓ -85% |
| Aetna | MGMCRSNP | $560.57 | ↓ -85% |
| Kentucky Labor Cabinet | WORKERSCOMP | $688.01 | ↓ -82% |
| NHC Advantage, Inc. | MCRHMO | $710.05 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $710.05 | ↓ -81% |
| United | OptionsPPO | $923.07 | ↓ -75% |
| Humana | TRICARE | $934.28 | ↓ -75% |
| Cigna | NewBusiness | $941.76 | ↓ -75% |
| Cigna | OAP | $1,068.82 | ↓ -71% |
| Cigna | PPO | $1,218.30 | ↓ -67% |
| Centurion | PRISON | $1,539.70 | ↓ -59% |
| United | GlobalBenefitPlan | $1,681.71 | ↓ -55% |
| Aetna | NAP | $1,868.57 | ↓ -50% |
| Signature Advantage | MCR | $1,868.57 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $1,868.57 | ↓ -50% |
| Humana BH | COMM | $2,429.13 | ↓ -35% |
| Employers Health Network | COMM | $2,615.99 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $2,802.85 | ↓ -25% |
| MHNet | COMM | $2,802.85 | ↓ -25% |
| Multiplan | COMM | $3,064.45 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $3,176.56 | ↓ -15% |
| Prime Health | COMMPPO | $3,288.67 | ↓ -12% |
| Beech Street | COMM | $3,288.67 | ↓ -12% |
| TriWest Healthcare | FED | $3,662.39 | ↓ -2% |
Visitor-reported prices
Comments
Endo cath bile duct s&i at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $84.90 | $73.58 – $222.88 |
| Johnson City Medical Center | JOHNSON CITY | $86.10 | $103.26 – $269.81 |
| Ascension Saint Thomas DeKalb | Smithville | $89.18 | $77.28 – $241.15 |
| Ascension Saint Thomas River Park | McMinnville | $84.90 | $73.58 – $241.15 |
| Greeneville Community Hospital | GREENEVILLE | $86.10 | $103.26 – $281.52 |
| Bristol Regional Medical Center | BRISTOL | $86.10 | $103.26 – $268.86 |
| Franklin Woods Community Hospital | JOHNSON CITY | $86.10 | $125.52 – $320.00 |
| Holston Valley Medical Center | KINGSPORT | $86.10 | $103.26 – $268.86 |