Ghs ot group caregiver training 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.
$14.84 with Wellpoint vs $85.72 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $14.84 | — |
| Bright Health | HIX | $14.87 | — |
| Oscar | HIX | $16.01 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $16.10 | — |
| NHC Advantage, Inc. | MCRHMO | $16.62 | — |
| Pruitt Health (AllyAlign) | MCR | $16.62 | — |
| Ambetter | CORE | $19.51 | — |
| Ambetter | Select | $20.29 | — |
| Devoted Health Plan | MCR | $20.61 | — |
| Humana | ChoicecareMGMCR | $20.61 | — |
| HealthSpring | DualEligible | $20.61 | — |
| HealthSpring | MCRHMO | $20.61 | — |
| HealthSpring | MCRPOS | $20.61 | — |
| HealthSpring | MCRPPO | $20.61 | — |
| United | VACCN | $20.61 | — |
| Amerigroup | MGMCR | $20.61 | — |
| Sarah Cannon Research | COMM | $20.61 | — |
| Alive Hospice | COMM | $20.61 | — |
| Odyssey Healthcare | COMM | $20.61 | — |
| Aetna | MGMCRSNP | $20.82 | — |
| Aetna | MGMCRPPO | $20.82 | — |
| Aetna | MGMCRHMO | $20.82 | — |
| Bright Health | SmallGroup | $20.99 | — |
| United | MGMCR | $21.02 | — |
| Zing | MGMCR | $21.23 | — |
| BCBS | MCR | $21.23 | — |
| WellCare | MCR | $21.23 | — |
| United | OptionsPPO | $21.61 | — |
| Evergreen HMO | MCR | $21.64 | — |
| American Health Advantage | MCRHMO | $21.64 | — |
| American Health Advantage | MCRPOS | $21.64 | — |
| American Health Advantage | MCRPPO | $21.64 | — |
| American Health Advantage | MCRSNP | $21.64 | — |
| American Health Advantage | MCRPFFS | $21.64 | — |
| Signature Advantage | MCR | $21.85 | — |
| Humana | TRICARE | $21.87 | — |
| Cigna | NewBusiness | $22.04 | — |
| ATRIO Golden Times | MCR | $22.67 | — |
| Bright Health | MCRNarrow | $23.70 | — |
| Aetna | NewBusiness | $24.49 | — |
| Cigna | OAP | $25.02 | — |
| Cigna | PPO | $28.52 | — |
| Aetna | COMM | $28.87 | — |
| Prime Health | WORKERSCOMP | $29.68 | — |
| NovaNET | WORKERSCOMP | $30.30 | — |
| CorVel Corporation | WORKERSCOMP | $30.30 | — |
| United | GlobalBenefitPlan | $39.36 | — |
| BGFH SingleSource | DIRECTNETWORK | $43.73 | — |
| Aetna | NAP | $43.73 | — |
| BCBS | NetworkP | $44.41 | — |
| Humana BH | COMM | $56.86 | — |
| Employers Health Network | COMM | $61.23 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $65.60 | — |
| MHNet | COMM | $65.60 | — |
| Multiplan | COMM | $71.73 | — |
| BGFH SingleSource | LEASEDNETWORK | $74.35 | — |
| Prime Health | COMMPPO | $76.97 | — |
| Beech Street | COMM | $76.97 | — |
| TriWest Healthcare | FED | $85.72 | — |
Visitor-reported prices
Comments
Ghs ot group caregiver training at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $18.33 – $46.74 |
| 62-1166050 BMH Carroll County | Huntingdon | $7.13 | $10.86 – $17.70 |
| 62-0123940 BMH Collierville | Collierville | $6.51 | $10.86 – $43.28 |
| 62-1138045 BMH Union City | Union City | $6.20 | $10.86 – $10.86 |
| Parkwest Medical Center | Knoxville | $78.30 | $10.97 – $24.38 |
| Roane County Medical Center | Harriman | $86.13 | $10.97 – $24.38 |
| Claiborne Medical Center | Tazewell | $73.08 | $10.97 – $24.38 |
| LeConte Medical Center | Sevierville | $75.69 | $10.97 – $24.38 |