Leucovorin calcium 100 mg solution for injection (1 mg rounding) 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

$12.25

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.

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

$12.25

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.

$1.84 with Aetna vs $12.01 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
Aetna MGMCRPPO $1.84 ↓ -85%
Aetna MGMCRHMO $1.84 ↓ -85%
Aetna MGMCRSNP $1.84 ↓ -85%
Kentucky Labor Cabinet WORKERSCOMP $2.26 ↓ -82%
Ambetter Select $2.84 ↓ -77%
United OptionsPPO $3.03 ↓ -75%
Humana TRICARE $3.06 ↓ -75%
Cigna PPO $3.99 ↓ -67%
BCBS NetworkP $4.28 ↓ -65%
Centurion PRISON $5.05 ↓ -59%
Cigna NewBusiness $5.50 ↓ -55%
United GlobalBenefitPlan $5.51 ↓ -55%
BGFH SingleSource DIRECTNETWORK $6.13 ↓ -50%
Signature Advantage MCR $6.13 ↓ -50%
Cigna OAP $6.25 ↓ -49%
Humana BH COMM $7.96 ↓ -35%
Employers Health Network COMM $8.57 ↓ -30%
Odom's TN Pride Sausage WORKERSCOMP $9.19 ↓ -25%
Multiplan COMM $10.04 ↓ -18%
United HeritageSelect $10.18 ↓ -17%
United CorePayer $10.18 ↓ -17%
United AllPayerAppendix $10.18 ↓ -17%
BGFH SingleSource LEASEDNETWORK $10.41 ↓ -15%
Prime Health COMMPPO $10.78 ↓ -12%
Beech Street COMM $10.78 ↓ -12%
TriWest Healthcare FED $12.01 ↓ -2%

Visitor-reported prices

visitor-reported
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Leucovorin calcium 100 mg solution for injection (1 mg rounding) at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $21.50 $5.40 – $26.12
CHI Memorial Hospital Hixson Hixson $45.76 $4.54 – $47.96
62-1166050 BMH Carroll County Huntingdon $55.01 $4.07 – $26.12
CHI Memorial Hospital Chattanooga Chattanooga $65.39 $4.54 – $47.96
Johnson City Medical Center JOHNSON CITY $113.74 $0.78 – $4.36
Ascension Saint Thomas River Park McMinnville $21.50 $5.40 – $26.12
Ascension Saint Thomas Rutherford Murfreesboro $21.50 $5.40 – $26.12
Bristol Regional Medical Center BRISTOL $113.74 $3.09 – $21.95

All Tennessee hospitals for this procedure →