Homogenization tissue at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$16.78
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.
$16.78
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.
$2.65 with Wellpoint vs $28.84 with BCBS — 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 | $2.65 | ↓ -84% |
| Kentucky Labor Cabinet | WORKERSCOMP | $3.09 | ↓ -82% |
| NHC Advantage, Inc. | MCRHMO | $3.19 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $3.19 | ↓ -81% |
| United | OptionsPPO | $4.14 | ↓ -75% |
| Humana | TRICARE | $4.20 | ↓ -75% |
| Aetna | COMM | $4.67 | ↓ -72% |
| Aetna | NewBusiness | $4.67 | ↓ -72% |
| Cigna | PPO | $5.47 | ↓ -67% |
| HealthSpring | DualEligible | $5.88 | ↓ -65% |
| HealthSpring | MCRHMO | $5.88 | ↓ -65% |
| HealthSpring | MCRPOS | $5.88 | ↓ -65% |
| HealthSpring | MCRPPO | $5.88 | ↓ -65% |
| Sarah Cannon Research | COMM | $5.88 | ↓ -65% |
| Devoted Health Plan | MCR | $5.88 | ↓ -65% |
| Alive Hospice | COMM | $5.88 | ↓ -65% |
| Humana | ChoicecareMGMCR | $5.88 | ↓ -65% |
| Bright Health | HIX | $5.88 | ↓ -65% |
| United | CorePayer | $5.88 | ↓ -65% |
| United | HeritageSelect | $5.88 | ↓ -65% |
| Amerigroup | MGMCR | $5.88 | ↓ -65% |
| Bright Health | SmallGroup | $5.88 | ↓ -65% |
| United | VACCN | $5.88 | ↓ -65% |
| United | AllPayerAppendix | $5.88 | ↓ -65% |
| Odyssey Healthcare | COMM | $5.88 | ↓ -65% |
| Aetna | MGMCRHMO | $5.94 | ↓ -65% |
| Aetna | MGMCRPPO | $5.94 | ↓ -65% |
| Aetna | MGMCRSNP | $5.94 | ↓ -65% |
| United | MGMCR | $6.00 | ↓ -64% |
| BCBS | MCR | $6.06 | ↓ -64% |
| WellCare | MCR | $6.06 | ↓ -64% |
| Zing | MGMCR | $6.06 | ↓ -64% |
| Ambetter | Select | $6.12 | ↓ -64% |
| Evergreen HMO | MCR | $6.17 | ↓ -63% |
| American Health Advantage | MCRHMO | $6.17 | ↓ -63% |
| American Health Advantage | MCRPOS | $6.17 | ↓ -63% |
| American Health Advantage | MCRSNP | $6.17 | ↓ -63% |
| American Health Advantage | MCRPPO | $6.17 | ↓ -63% |
| American Health Advantage | MCRPFFS | $6.17 | ↓ -63% |
| Signature Advantage | MCR | $6.23 | ↓ -63% |
| Ambetter | CORE | $6.35 | ↓ -62% |
| ATRIO Golden Times | MCR | $6.47 | ↓ -61% |
| Bright Health | MCRNarrow | $6.76 | ↓ -60% |
| Centurion | PRISON | $6.91 | ↓ -59% |
| United | GlobalBenefitPlan | $7.55 | ↓ -55% |
| BCBS | NetworkP | $8.03 | ↓ -52% |
| Aetna | NAP | $8.39 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $8.39 | ↓ -50% |
| Prime Health | WORKERSCOMP | $8.47 | ↓ -50% |
| CorVel Corporation | WORKERSCOMP | $8.64 | ↓ -49% |
| NovaNET | WORKERSCOMP | $8.64 | ↓ -49% |
| Cigna | NewBusiness | $10.39 | ↓ -38% |
| Humana BH | COMM | $10.91 | ↓ -35% |
| Employers Health Network | COMM | $11.75 | ↓ -30% |
| Cigna | OAP | $11.80 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $12.59 | ↓ -25% |
| MHNet | COMM | $12.59 | ↓ -25% |
| Multiplan | COMM | $13.76 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $14.26 | ↓ -15% |
| BCBS | TENNCARE | $14.47 | ↓ -14% |
| Beech Street | COMM | $14.77 | ↓ -12% |
| Prime Health | COMMPPO | $14.77 | ↓ -12% |
| BCBS | COVERKIDS | $15.67 | ↓ -7% |
| TriWest Healthcare | FED | $16.44 | ↓ -2% |
| Oscar | HIX | $17.64 | ↑ +5% |
| Humana | HumanaChoiceCare | $23.52 | ↑ +40% |
| Humana | HumanaChoice | $23.52 | ↑ +40% |
| Humana | BroadNetwork | $23.52 | ↑ +40% |
| Humana | NarrowExchangeNetwork | $23.52 | ↑ +40% |
| BCBS | BlueCare | $28.84 | ↑ +72% |
Visitor-reported prices
Comments
Homogenization tissue at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $57.96 | $2.12 – $22.59 |
| 62-1166050 BMH Carroll County | Huntingdon | $7.82 | $5.12 – $11.76 |
| Ascension Saint Thomas DeKalb | Smithville | $57.96 | $4.13 – $22.59 |
| Ascension Saint Thomas Highlands | Sparta | $57.96 | $4.13 – $22.59 |
| Ascension Saint Thomas River Park | McMinnville | $57.96 | $4.13 – $22.59 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $57.96 | $5.29 – $22.59 |
| Hancock County Hospital | SNEEDVILLE | $10.12 | $4.17 – $12.99 |
| Greeneville Community Hospital | GREENEVILLE | $10.20 | $2.65 – $12.82 |