M/phmtrc alysishquant/semiq at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$398.65
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.
$398.65
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.
$43.53 with BCBS vs $390.68 with TriWest Healthcare — 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 |
|---|---|---|---|
| BCBS | NetworkP | $43.53 | ↓ -89% |
| BCBS | TENNCARE | $51.29 | ↓ -87% |
| BCBS | COVERKIDS | $55.53 | ↓ -86% |
| Aetna | MGMCRHMO | $59.80 | ↓ -85% |
| Aetna | MGMCRSNP | $59.80 | ↓ -85% |
| Aetna | MGMCRPPO | $59.80 | ↓ -85% |
| Bright Health | HIX | $67.77 | ↓ -83% |
| Oscar | HIX | $72.95 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $73.39 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $75.74 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $75.74 | ↓ -81% |
| Aetna | NewBusiness | $85.75 | ↓ -78% |
| Aetna | COMM | $85.75 | ↓ -78% |
| United | CorePayer | $85.84 | ↓ -78% |
| United | AllPayerAppendix | $85.84 | ↓ -78% |
| United | HeritageSelect | $85.84 | ↓ -78% |
| Ambetter | CORE | $88.90 | ↓ -78% |
| Ambetter | Select | $92.49 | ↓ -77% |
| Bright Health | SmallGroup | $95.68 | ↓ -76% |
| United | OptionsPPO | $98.47 | ↓ -75% |
| Humana | TRICARE | $99.66 | ↓ -75% |
| BCBS | BlueCare | $102.22 | ↓ -74% |
| Humana | NarrowExchangeNetwork | $124.76 | ↓ -69% |
| Humana | HumanaChoiceCare | $124.76 | ↓ -69% |
| Humana | HumanaChoice | $124.76 | ↓ -69% |
| Humana | BroadNetwork | $124.76 | ↓ -69% |
| Cigna | PPO | $129.96 | ↓ -67% |
| Centurion | PRISON | $164.24 | ↓ -59% |
| Cigna | NewBusiness | $168.75 | ↓ -58% |
| United | GlobalBenefitPlan | $179.39 | ↓ -55% |
| Cigna | OAP | $191.65 | ↓ -52% |
| Aetna | NAP | $199.32 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $199.32 | ↓ -50% |
| Signature Advantage | MCR | $199.32 | ↓ -50% |
| Humana BH | COMM | $259.12 | ↓ -35% |
| Employers Health Network | COMM | $279.06 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $298.99 | ↓ -25% |
| MHNet | COMM | $298.99 | ↓ -25% |
| Multiplan | COMM | $326.89 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $338.85 | ↓ -15% |
| Beech Street | COMM | $350.81 | ↓ -12% |
| Prime Health | COMMPPO | $350.81 | ↓ -12% |
| TriWest Healthcare | FED | $390.68 | ↓ -2% |
Visitor-reported prices
Comments
M/phmtrc alysishquant/semiq at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $35.37 – $243.36 |
| Hancock County Hospital | SNEEDVILLE | $32.66 | $24.35 – $142.00 |
| Greeneville Community Hospital | GREENEVILLE | $33.30 | $17.53 – $207.59 |
| Bristol Regional Medical Center | BRISTOL | $33.30 | $29.21 – $207.59 |
| Holston Valley Medical Center | KINGSPORT | $33.30 | $29.21 – $207.59 |
| 62-0123940 BMH Collierville | Collierville | $110.25 | $35.37 – $282.02 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $33.30 | $24.35 – $207.59 |
| Parkwest Medical Center | Knoxville | $163.17 | $34.98 – $353.72 |