Lens iol ant bicnvx 24.0 multi 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$70.42 with Kentucky Labor Cabinet vs $374.85 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 |
|---|---|---|---|
| Kentucky Labor Cabinet | WORKERSCOMP | $70.42 | — |
| Ambetter | Select | $88.74 | — |
| United | OptionsPPO | $94.48 | — |
| Humana | TRICARE | $95.63 | — |
| Cigna | NewBusiness | $96.39 | — |
| Wellpoint | MGMCD | $104.93 | — |
| Cigna | OAP | $109.39 | — |
| Cigna | PPO | $124.69 | — |
| Devoted Health Plan | MCR | $145.73 | — |
| Humana | ChoicecareMGMCR | $145.73 | — |
| HealthSpring | DualEligible | $145.73 | — |
| HealthSpring | MCRHMO | $145.73 | — |
| HealthSpring | MCRPOS | $145.73 | — |
| HealthSpring | MCRPPO | $145.73 | — |
| United | VACCN | $145.73 | — |
| Amerigroup | MGMCR | $145.73 | — |
| Sarah Cannon Research | COMM | $145.73 | — |
| Alive Hospice | COMM | $145.73 | — |
| Odyssey Healthcare | COMM | $145.73 | — |
| Aetna | MGMCRPPO | $147.19 | — |
| Aetna | MGMCRSNP | $147.19 | — |
| Aetna | MGMCRHMO | $147.19 | — |
| United | MGMCR | $148.64 | — |
| WellCare | MCR | $150.10 | — |
| Zing | MGMCR | $150.10 | — |
| BCBS | MCR | $150.10 | — |
| American Health Advantage | MCRHMO | $153.02 | — |
| American Health Advantage | MCRPOS | $153.02 | — |
| American Health Advantage | MCRPPO | $153.02 | — |
| American Health Advantage | MCRSNP | $153.02 | — |
| American Health Advantage | MCRPFFS | $153.02 | — |
| Evergreen HMO | MCR | $153.02 | — |
| Signature Advantage | MCR | $154.47 | — |
| Centurion | PRISON | $157.59 | — |
| ATRIO Golden Times | MCR | $160.30 | — |
| Bright Health | MCRNarrow | $167.59 | — |
| United | GlobalBenefitPlan | $172.13 | — |
| BGFH SingleSource | DIRECTNETWORK | $191.25 | — |
| Aetna | NAP | $191.25 | — |
| Prime Health | WORKERSCOMP | $209.85 | — |
| CorVel Corporation | WORKERSCOMP | $214.22 | — |
| NovaNET | WORKERSCOMP | $214.22 | — |
| Humana BH | COMM | $248.63 | — |
| Employers Health Network | COMM | $267.75 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $286.88 | — |
| MHNet | COMM | $286.88 | — |
| Multiplan | COMM | $313.65 | — |
| BGFH SingleSource | LEASEDNETWORK | $325.13 | — |
| Prime Health | COMMPPO | $336.60 | — |
| Beech Street | COMM | $336.60 | — |
| TriWest Healthcare | FED | $374.85 | — |
Visitor-reported prices
Comments
Lens iol ant bicnvx 24.0 multi at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $126.73 | $119.86 – $119.86 |
| Roane County Medical Center | Harriman | $445.50 | $145.73 – $1,215.00 |
| LeConte Medical Center | Sevierville | $391.50 | $283.50 – $1,215.00 |
| Fort Loudoun Medical Center | Lenoir City | $445.50 | $145.73 – $1,215.00 |
| Cumberland Medical Center, Inc. | Crossville | $432.00 | $283.50 – $1,215.00 |
| Morristown-Hamblen Hospital Association | Morristown | $405.00 | $145.73 – $1,215.00 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $145.73 – $214.22 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $141.36 – $214.22 |