Mayo infectious disease hepatitis c chronic six biochemical assays 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.
$32.49 with Wellpoint vs $396.90 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $32.49 | — |
| Aetna | COMM | $57.39 | — |
| Aetna | NewBusiness | $57.39 | — |
| Humana | ChoicecareMGMCR | $72.19 | — |
| Sarah Cannon Research | COMM | $72.19 | — |
| BCBS | NetworkP | $72.19 | — |
| Devoted Health Plan | MCR | $72.19 | — |
| Bright Health | SmallGroup | $72.19 | — |
| Bright Health | HIX | $72.19 | — |
| HealthSpring | DualEligible | $72.19 | — |
| HealthSpring | MCRHMO | $72.19 | — |
| HealthSpring | MCRPOS | $72.19 | — |
| HealthSpring | MCRPPO | $72.19 | — |
| Odyssey Healthcare | COMM | $72.19 | — |
| United | HeritageSelect | $72.19 | — |
| United | CorePayer | $72.19 | — |
| Alive Hospice | COMM | $72.19 | — |
| Amerigroup | MGMCR | $72.19 | — |
| United | VACCN | $72.19 | — |
| United | AllPayerAppendix | $72.19 | — |
| Aetna | MGMCRHMO | $72.91 | — |
| Aetna | MGMCRPPO | $72.91 | — |
| Aetna | MGMCRSNP | $72.91 | — |
| United | MGMCR | $73.63 | — |
| BCBS | MCR | $74.36 | — |
| WellCare | MCR | $74.36 | — |
| Zing | MGMCR | $74.36 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $74.56 | — |
| Ambetter | Select | $75.08 | — |
| American Health Advantage | MCRHMO | $75.80 | — |
| Evergreen HMO | MCR | $75.80 | — |
| American Health Advantage | MCRPFFS | $75.80 | — |
| American Health Advantage | MCRSNP | $75.80 | — |
| American Health Advantage | MCRPPO | $75.80 | — |
| American Health Advantage | MCRPOS | $75.80 | — |
| Signature Advantage | MCR | $76.52 | — |
| Pruitt Health (AllyAlign) | MCR | $76.95 | — |
| NHC Advantage, Inc. | MCRHMO | $76.95 | — |
| Ambetter | CORE | $77.96 | — |
| ATRIO Golden Times | MCR | $79.41 | — |
| Bright Health | MCRNarrow | $83.02 | — |
| BCBS | TENNCARE | $85.04 | — |
| BCBS | COVERKIDS | $92.08 | — |
| United | OptionsPPO | $100.03 | — |
| Humana | TRICARE | $101.25 | — |
| Prime Health | WORKERSCOMP | $103.95 | — |
| CorVel Corporation | WORKERSCOMP | $106.12 | — |
| NovaNET | WORKERSCOMP | $106.12 | — |
| Cigna | NewBusiness | $128.61 | — |
| Cigna | PPO | $132.03 | — |
| Cigna | OAP | $146.06 | — |
| Centurion | PRISON | $166.86 | — |
| BCBS | BlueCare | $169.50 | — |
| United | GlobalBenefitPlan | $182.25 | — |
| Aetna | NAP | $202.50 | — |
| BGFH SingleSource | DIRECTNETWORK | $202.50 | — |
| Oscar | HIX | $216.57 | — |
| Humana BH | COMM | $263.25 | — |
| Employers Health Network | COMM | $283.50 | — |
| Humana | HumanaChoiceCare | $288.76 | — |
| Humana | HumanaChoice | $288.76 | — |
| Humana | NarrowExchangeNetwork | $288.76 | — |
| Humana | BroadNetwork | $288.76 | — |
| MHNet | COMM | $303.75 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $303.75 | — |
| Multiplan | COMM | $332.10 | — |
| BGFH SingleSource | LEASEDNETWORK | $344.25 | — |
| Beech Street | COMM | $356.40 | — |
| Prime Health | COMMPPO | $356.40 | — |
| TriWest Healthcare | FED | $396.90 | — |
Visitor-reported prices
Comments
Mayo infectious disease hepatitis c chronic six biochemical assays at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $60.80 | $25.99 – $226.00 |
| CHI Memorial Hospital Hixson | Hixson | $92.95 | $47.12 – $219.80 |
| 62-1166050 BMH Carroll County | Huntingdon | $54.05 | $58.65 – $144.38 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $132.83 | $47.12 – $219.80 |
| Johnson City Medical Center | JOHNSON CITY | $92.55 | $36.10 – $157.37 |
| Ascension Saint Thomas DeKalb | Smithville | $60.80 | $58.65 – $226.00 |
| Ascension Saint Thomas Highlands | Sparta | $60.80 | $58.65 – $226.00 |
| Ascension Saint Thomas River Park | McMinnville | $60.80 | $64.97 – $226.00 |