Methotrexate sodium (pf) 1 gram solution for injection 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.
$3.17 with BCBS vs $317.76 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 |
|---|---|---|---|
| BCBS | NetworkP | $3.17 | — |
| Cigna | NewBusiness | $3.20 | — |
| Cigna | OAP | $3.64 | — |
| United | CorePayer | $6.84 | — |
| United | AllPayerAppendix | $6.84 | — |
| United | HeritageSelect | $6.84 | — |
| Aetna | MGMCRHMO | $48.64 | — |
| Aetna | MGMCRSNP | $48.64 | — |
| Aetna | MGMCRPPO | $48.64 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $59.69 | — |
| Ambetter | Select | $75.23 | — |
| United | OptionsPPO | $80.09 | — |
| Humana | TRICARE | $81.06 | — |
| Cigna | PPO | $105.71 | — |
| Centurion | PRISON | $133.59 | — |
| United | GlobalBenefitPlan | $145.91 | — |
| Signature Advantage | MCR | $162.13 | — |
| BGFH SingleSource | DIRECTNETWORK | $162.13 | — |
| Humana BH | COMM | $210.76 | — |
| Employers Health Network | COMM | $226.97 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $243.19 | — |
| Multiplan | COMM | $265.88 | — |
| BGFH SingleSource | LEASEDNETWORK | $275.61 | — |
| Prime Health | COMMPPO | $285.34 | — |
| Beech Street | COMM | $285.34 | — |
| TriWest Healthcare | FED | $317.76 | — |
Visitor-reported prices
Comments
Methotrexate sodium (pf) 1 gram solution for injection at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $240.39 | $2.96 – $282.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $172.50 | $2.72 – $7.48 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $343.53 | $2.96 – $282.50 |
| Johnson City Medical Center | JOHNSON CITY | $78.43 | $4.96 – $5.20 |
| Ascension Saint Thomas Highlands | Sparta | $15.62 | $3.15 – $7.48 |
| Ascension Saint Thomas River Park | McMinnville | $15.62 | $3.15 – $7.48 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $15.62 | $3.15 – $7.48 |
| Greeneville Community Hospital | GREENEVILLE | $25.71 | $4.96 – $5.20 |