Hc i-131 sodium iodide cap dx per mci at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$292.93
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.
$292.93
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.
$43.94 with Aetna vs $287.07 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 |
|---|---|---|---|
| Aetna | MGMCRPPO | $43.94 | ↓ -85% |
| Aetna | MGMCRSNP | $43.94 | ↓ -85% |
| Aetna | MGMCRHMO | $43.94 | ↓ -85% |
| Oscar | HIX | $53.61 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $53.93 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $55.66 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $55.66 | ↓ -81% |
| BCBS | NetworkP | $67.37 | ↓ -77% |
| Ambetter | Select | $67.96 | ↓ -77% |
| United | OptionsPPO | $72.35 | ↓ -75% |
| Humana | TRICARE | $73.23 | ↓ -75% |
| Cigna | PPO | $95.50 | ↓ -67% |
| Cigna | NewBusiness | $100.77 | ↓ -66% |
| Cigna | OAP | $114.59 | ↓ -61% |
| Centurion | PRISON | $120.69 | ↓ -59% |
| United | GlobalBenefitPlan | $131.82 | ↓ -55% |
| Signature Advantage | MCR | $146.47 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $146.47 | ↓ -50% |
| Humana BH | COMM | $190.40 | ↓ -35% |
| Employers Health Network | COMM | $205.05 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $219.70 | ↓ -25% |
| MHNet | COMM | $219.70 | ↓ -25% |
| Multiplan | COMM | $240.20 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $248.99 | ↓ -15% |
| Prime Health | COMMPPO | $257.78 | ↓ -12% |
| Beech Street | COMM | $257.78 | ↓ -12% |
| United | HeritageSelect | $258.45 | ↓ -12% |
| United | CorePayer | $258.45 | ↓ -12% |
| United | AllPayerAppendix | $258.45 | ↓ -12% |
| TriWest Healthcare | FED | $287.07 | ↓ -2% |
Visitor-reported prices
Comments
Hc i-131 sodium iodide cap dx per mci at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $49.58 | $80.97 – $123.65 |
| CHI Memorial Hospital Hixson | Hixson | $64.83 | $43.80 – $153.30 |
| 62-1166050 BMH Carroll County | Huntingdon | $89.31 | $95.43 – $98.34 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $92.64 | $45.99 – $153.30 |
| Johnson City Medical Center | JOHNSON CITY | $35.70 | $40.68 – $141.31 |
| Ascension Saint Thomas DeKalb | Smithville | $178.56 | $118.58 – $291.65 |
| Ascension Saint Thomas Highlands | Sparta | $178.56 | $118.58 – $291.65 |
| Ascension Saint Thomas River Park | McMinnville | $178.53 | $118.58 – $291.60 |