Homovanillic acid (hva) at SKYLINE MADISON CAMPUS

3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476

Source: hospital's published price file ↗ · Published Mar 12, 2026 · Ingested Sep 16, 2026

$209.69

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$209.69

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$10.08 with Wellpoint vs $205.50 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 →

Payer
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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
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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 $10.08 ↓ -95%
Aetna COMM $17.82 ↓ -92%
Aetna NewBusiness $17.82 ↓ -92%
Humana ChoicecareMGMCR $22.41 ↓ -89%
Sarah Cannon Research COMM $22.41 ↓ -89%
Devoted Health Plan MCR $22.41 ↓ -89%
Bright Health SmallGroup $22.41 ↓ -89%
Bright Health HIX $22.41 ↓ -89%
HealthSpring DualEligible $22.41 ↓ -89%
HealthSpring MCRHMO $22.41 ↓ -89%
HealthSpring MCRPOS $22.41 ↓ -89%
HealthSpring MCRPPO $22.41 ↓ -89%
Odyssey Healthcare COMM $22.41 ↓ -89%
Amerigroup MGMCR $22.41 ↓ -89%
United AllPayerAppendix $22.41 ↓ -89%
United CorePayer $22.41 ↓ -89%
Alive Hospice COMM $22.41 ↓ -89%
United HeritageSelect $22.41 ↓ -89%
United VACCN $22.41 ↓ -89%
Aetna MGMCRSNP $22.63 ↓ -89%
Aetna MGMCRHMO $22.63 ↓ -89%
Aetna MGMCRPPO $22.63 ↓ -89%
United MGMCR $22.86 ↓ -89%
BCBS MCR $23.08 ↓ -89%
WellCare MCR $23.08 ↓ -89%
Zing MGMCR $23.08 ↓ -89%
Ambetter Select $23.31 ↓ -89%
American Health Advantage MCRPOS $23.53 ↓ -89%
American Health Advantage MCRPFFS $23.53 ↓ -89%
American Health Advantage MCRSNP $23.53 ↓ -89%
American Health Advantage MCRPPO $23.53 ↓ -89%
American Health Advantage MCRHMO $23.53 ↓ -89%
Evergreen HMO MCR $23.53 ↓ -89%
Signature Advantage MCR $23.75 ↓ -89%
Ambetter CORE $24.20 ↓ -88%
ATRIO Golden Times MCR $24.65 ↓ -88%
Bright Health MCRNarrow $25.77 ↓ -88%
BCBS NetworkP $26.40 ↓ -87%
Prime Health WORKERSCOMP $32.27 ↓ -85%
NovaNET WORKERSCOMP $32.94 ↓ -84%
CorVel Corporation WORKERSCOMP $32.94 ↓ -84%
Kentucky Labor Cabinet WORKERSCOMP $38.60 ↓ -82%
Cigna NewBusiness $39.80 ↓ -81%
Pruitt Health (AllyAlign) MCR $39.84 ↓ -81%
NHC Advantage, Inc. MCRHMO $39.84 ↓ -81%
Cigna OAP $45.20 ↓ -78%
United OptionsPPO $51.79 ↓ -75%
Humana TRICARE $52.42 ↓ -75%
BCBS TENNCARE $55.07 ↓ -74%
BCBS COVERKIDS $59.63 ↓ -72%
Oscar HIX $67.23 ↓ -68%
Cigna PPO $68.36 ↓ -67%
Centurion PRISON $86.39 ↓ -59%
Humana NarrowExchangeNetwork $89.64 ↓ -57%
Humana HumanaChoiceCare $89.64 ↓ -57%
Humana BroadNetwork $89.64 ↓ -57%
Humana HumanaChoice $89.64 ↓ -57%
United GlobalBenefitPlan $94.36 ↓ -55%
BGFH SingleSource DIRECTNETWORK $104.84 ↓ -50%
Aetna NAP $104.84 ↓ -50%
BCBS BlueCare $109.76 ↓ -48%
Humana BH COMM $136.30 ↓ -35%
Employers Health Network COMM $146.78 ↓ -30%
Odom's TN Pride Sausage WORKERSCOMP $157.27 ↓ -25%
MHNet COMM $157.27 ↓ -25%
Multiplan COMM $171.95 ↓ -18%
BGFH SingleSource LEASEDNETWORK $178.24 ↓ -15%
Beech Street COMM $184.53 ↓ -12%
Prime Health COMMPPO $184.53 ↓ -12%
TriWest Healthcare FED $205.50 ↓ -2%

Visitor-reported prices

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Homovanillic acid (hva) at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville not published $8.07 – $74.51
CHI Memorial Hospital Hixson Hixson $29.01 $17.19 – $68.60
62-1166050 BMH Carroll County Huntingdon $50.14 $19.50 – $44.82
CHI Memorial Hospital Chattanooga Chattanooga $41.46 $17.19 – $68.60
Johnson City Medical Center JOHNSON CITY $33.90 $11.21 – $48.85
Hancock County Hospital SNEEDVILLE $33.35 $13.70 – $49.08
Greeneville Community Hospital GREENEVILLE $33.90 $9.86 – $48.85
Bristol Regional Medical Center BRISTOL $33.90 $11.21 – $53.78

All Tennessee hospitals for this procedure →