Lacosamide 200 mg/20 ml intravenous solution 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

$95.94

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.

$95.94

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.

$0.25 with Cigna vs $94.02 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
Cigna NewBusiness $0.25 ↓ -100%
Cigna OAP $0.28 ↓ -100%
Aetna MGMCRHMO $14.39 ↓ -85%
Aetna MGMCRPPO $14.39 ↓ -85%
Aetna MGMCRSNP $14.39 ↓ -85%
Kentucky Labor Cabinet WORKERSCOMP $17.66 ↓ -82%
BCBS NetworkP $22.07 ↓ -77%
Ambetter Select $22.26 ↓ -77%
United OptionsPPO $23.70 ↓ -75%
Humana TRICARE $23.98 ↓ -75%
Cigna PPO $31.28 ↓ -67%
Centurion PRISON $39.53 ↓ -59%
United GlobalBenefitPlan $43.17 ↓ -55%
Signature Advantage MCR $47.97 ↓ -50%
BGFH SingleSource DIRECTNETWORK $47.97 ↓ -50%
Humana BH COMM $62.36 ↓ -35%
Employers Health Network COMM $67.16 ↓ -30%
Odom's TN Pride Sausage WORKERSCOMP $71.95 ↓ -25%
Multiplan COMM $78.67 ↓ -18%
BGFH SingleSource LEASEDNETWORK $81.55 ↓ -15%
Prime Health COMMPPO $84.43 ↓ -12%
Beech Street COMM $84.43 ↓ -12%
TriWest Healthcare FED $94.02 ↓ -2%

Visitor-reported prices

visitor-reported
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Lacosamide 200 mg/20 ml intravenous solution at other Tennessee hospitals

Hospital City Cash price Negotiated range
CHI Memorial Hospital Hixson Hixson $93.34 $0.05 – $0.25
62-1166050 BMH Carroll County Huntingdon $877.68 $0.20 – $0.32
CHI Memorial Hospital Chattanooga Chattanooga $133.39 $0.06 – $0.25
Johnson City Medical Center JOHNSON CITY $213.59 $0.14 – $0.35
Hancock County Hospital SNEEDVILLE $37.67 $0.08 – $0.35
Greeneville Community Hospital GREENEVILLE $213.59 $0.05 – $0.35
Bristol Regional Medical Center BRISTOL $325.25 $0.09 – $0.35
Franklin Woods Community Hospital JOHNSON CITY $213.59 $0.14 – $0.35

All Tennessee hospitals for this procedure →