Epoetin alfa, 100 units esrd at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$23.28
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.
$23.28
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.
$1.00 with Cigna vs $22.81 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 |
|---|---|---|---|
| Cigna | NewBusiness | $1.00 | ↓ -96% |
| Cigna | OAP | $1.14 | ↓ -95% |
| United | CorePayer | $2.04 | ↓ -91% |
| United | HeritageSelect | $2.04 | ↓ -91% |
| United | AllPayerAppendix | $2.04 | ↓ -91% |
| Aetna | MGMCRSNP | $3.49 | ↓ -85% |
| Aetna | MGMCRHMO | $3.49 | ↓ -85% |
| Aetna | MGMCRPPO | $3.49 | ↓ -85% |
| Bright Health | HIX | $3.96 | ↓ -83% |
| Oscar | HIX | $4.26 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $4.29 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $4.42 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $4.42 | ↓ -81% |
| Ambetter | CORE | $5.19 | ↓ -78% |
| BCBS | NetworkP | $5.35 | ↓ -77% |
| Ambetter | Select | $5.40 | ↓ -77% |
| Bright Health | SmallGroup | $5.59 | ↓ -76% |
| United | OptionsPPO | $5.75 | ↓ -75% |
| Humana | TRICARE | $5.82 | ↓ -75% |
| Cigna | PPO | $7.59 | ↓ -67% |
| Centurion | PRISON | $9.59 | ↓ -59% |
| United | GlobalBenefitPlan | $10.48 | ↓ -55% |
| Signature Advantage | MCR | $11.64 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $11.64 | ↓ -50% |
| Humana BH | COMM | $15.13 | ↓ -35% |
| Employers Health Network | COMM | $16.30 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $17.46 | ↓ -25% |
| MHNet | COMM | $17.46 | ↓ -25% |
| Multiplan | COMM | $19.09 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $19.79 | ↓ -15% |
| Beech Street | COMM | $20.49 | ↓ -12% |
| Prime Health | COMMPPO | $20.49 | ↓ -12% |
| TriWest Healthcare | FED | $22.81 | ↓ -2% |
Visitor-reported prices
Comments
Epoetin alfa, 100 units esrd at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $69.98 | $0.86 – $140.80 |
| HORIZON MEDICAL CENTER | DICKSON | $8.76 | $1.00 – $2.04 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $1.00 – $2.04 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $1.00 – $2.04 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD | not published | $1.00 – $2.04 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH | not published | $1.00 – $2.04 |
| SUMMIT MEDICAL CENTER | MT JULIET | not published | $1.00 – $2.04 |
| Parkwest Medical Center | Knoxville | not published | $0.82 – $0.89 |