New Patient Office Visit (level 2) 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$54.29 with Aetna vs $354.68 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 |
|---|---|---|---|
| Aetna | MGMCRPPO | $54.29 | — |
| Aetna | MGMCRSNP | $54.29 | — |
| Aetna | MGMCRHMO | $54.29 | — |
| BCBS | TENNCARE | $59.51 | — |
| BCBS | COVERKIDS | $64.43 | — |
| Oscar | HIX | $66.23 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $66.63 | — |
| NHC Advantage, Inc. | MCRHMO | $68.76 | — |
| Pruitt Health (AllyAlign) | MCR | $68.76 | — |
| United | OptionsPPO | $89.39 | — |
| Humana | TRICARE | $90.48 | — |
| Aetna | NewBusiness | $101.34 | — |
| BCBS | BlueCare | $118.61 | — |
| Aetna | COMM | $119.43 | — |
| Centurion | PRISON | $149.11 | — |
| United | GlobalBenefitPlan | $162.86 | — |
| Signature Advantage | MCR | $180.96 | — |
| BGFH SingleSource | DIRECTNETWORK | $180.96 | — |
| Aetna | NAP | $180.96 | — |
| Humana BH | COMM | $235.25 | — |
| Employers Health Network | COMM | $253.34 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $271.44 | — |
| MHNet | COMM | $271.44 | — |
| Multiplan | COMM | $296.77 | — |
| BGFH SingleSource | LEASEDNETWORK | $307.63 | — |
| Prime Health | COMMPPO | $318.49 | — |
| Beech Street | COMM | $318.49 | — |
| TriWest Healthcare | FED | $354.68 | — |
| BCBS | NetworkP | not published by hospital | — |
Visitor-reported prices
Comments
New Patient Office Visit (level 2) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $41.04 – $45.55 |
| CHI Memorial Hospital Hixson | Hixson | $311.10 | $61.08 – $3,642.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $74.52 | $39.14 – $41.04 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $444.58 | $61.08 – $3,642.00 |
| Johnson City Medical Center | JOHNSON CITY | $27.75 | $47.61 – $64.91 |
| Hancock County Hospital | SNEEDVILLE | $27.37 | $36.06 – $47.61 |
| Greeneville Community Hospital | GREENEVILLE | $27.75 | $25.96 – $47.61 |
| Bristol Regional Medical Center | BRISTOL | $27.75 | $43.27 – $47.61 |