Hepatitis d quantification 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$19.28 with Wellpoint vs $128.52 with Oscar — 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $19.28 | — |
| Humana | ChoicecareMGMCR | $42.84 | — |
| HealthSpring | DualEligible | $42.84 | — |
| HealthSpring | MCRHMO | $42.84 | — |
| HealthSpring | MCRPOS | $42.84 | — |
| HealthSpring | MCRPPO | $42.84 | — |
| Devoted Health Plan | MCR | $42.84 | — |
| United | VACCN | $42.84 | — |
| United | AllPayerAppendix | $42.84 | — |
| United | CorePayer | $42.84 | — |
| United | HeritageSelect | $42.84 | — |
| Amerigroup | MGMCR | $42.84 | — |
| BCBS | NetworkP | $42.84 | — |
| Sarah Cannon Research | COMM | $42.84 | — |
| Alive Hospice | COMM | $42.84 | — |
| Odyssey Healthcare | COMM | $42.84 | — |
| Aetna | MGMCRSNP | $43.27 | — |
| Aetna | MGMCRPPO | $43.27 | — |
| Aetna | MGMCRHMO | $43.27 | — |
| United | MGMCR | $43.70 | — |
| WellCare | MCR | $44.13 | — |
| Zing | MGMCR | $44.13 | — |
| BCBS | MCR | $44.13 | — |
| Ambetter | Select | $44.55 | — |
| Evergreen HMO | MCR | $44.98 | — |
| American Health Advantage | MCRHMO | $44.98 | — |
| American Health Advantage | MCRPOS | $44.98 | — |
| American Health Advantage | MCRPPO | $44.98 | — |
| American Health Advantage | MCRSNP | $44.98 | — |
| American Health Advantage | MCRPFFS | $44.98 | — |
| Signature Advantage | MCR | $45.41 | — |
| Ambetter | CORE | $46.27 | — |
| ATRIO Golden Times | MCR | $47.12 | — |
| Bright Health | MCRNarrow | $49.27 | — |
| Prime Health | WORKERSCOMP | $61.69 | — |
| CorVel Corporation | WORKERSCOMP | $62.97 | — |
| NovaNET | WORKERSCOMP | $62.97 | — |
| Cigna | NewBusiness | $76.14 | — |
| Cigna | OAP | $86.47 | — |
| Oscar | HIX | $128.52 | — |
Visitor-reported prices
Comments
Hepatitis d quantification at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $38.56 – $75.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $30.82 | $34.80 – $85.68 |
| Johnson City Medical Center | JOHNSON CITY | $75.15 | $21.42 – $93.39 |
| Hancock County Hospital | SNEEDVILLE | $73.83 | $21.42 – $94.55 |
| Greeneville Community Hospital | GREENEVILLE | $75.15 | $15.42 – $93.39 |
| Bristol Regional Medical Center | BRISTOL | $75.15 | $21.42 – $102.82 |
| Franklin Woods Community Hospital | JOHNSON CITY | $75.15 | $21.42 – $93.39 |
| Holston Valley Medical Center | KINGSPORT | $75.15 | $21.42 – $102.82 |