New Patient Office Visit (level 5) at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$862.04
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.
$862.04
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.
$129.31 with Aetna vs $844.80 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 |
|---|---|---|---|
| Aetna | MGMCRHMO | $129.31 | ↓ -85% |
| Aetna | MGMCRPPO | $129.31 | ↓ -85% |
| Aetna | MGMCRSNP | $129.31 | ↓ -85% |
| BCBS | TENNCARE | $152.31 | ↓ -82% |
| Oscar | HIX | $157.75 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $158.70 | ↓ -82% |
| NHC Advantage, Inc. | MCRHMO | $163.79 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $163.79 | ↓ -81% |
| BCBS | COVERKIDS | $164.91 | ↓ -81% |
| United | OptionsPPO | $212.92 | ↓ -75% |
| Humana | TRICARE | $215.51 | ↓ -75% |
| Aetna | NewBusiness | $241.37 | ↓ -72% |
| Aetna | COMM | $284.47 | ↓ -67% |
| BCBS | BlueCare | $303.57 | ↓ -65% |
| Centurion | PRISON | $355.16 | ↓ -59% |
| United | GlobalBenefitPlan | $387.92 | ↓ -55% |
| Aetna | NAP | $431.02 | ↓ -50% |
| Signature Advantage | MCR | $431.02 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $431.02 | ↓ -50% |
| Humana BH | COMM | $560.33 | ↓ -35% |
| Employers Health Network | COMM | $603.43 | ↓ -30% |
| MHNet | COMM | $646.53 | ↓ -25% |
| Odom's TN Pride Sausage | WORKERSCOMP | $646.53 | ↓ -25% |
| Multiplan | COMM | $706.87 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $732.73 | ↓ -15% |
| Prime Health | COMMPPO | $758.60 | ↓ -12% |
| Beech Street | COMM | $758.60 | ↓ -12% |
| TriWest Healthcare | FED | $844.80 | ↓ -2% |
| BCBS | NetworkP | not published by hospital | — |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $105.04 – $153.26 |
| CHI Memorial Hospital Hixson | Hixson | $287.72 | $94.76 – $680.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $136.85 | $105.04 – $146.79 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $411.16 | $94.76 – $680.40 |
| Johnson City Medical Center | JOHNSON CITY | $65.55 | $121.85 – $158.86 |
| Hancock County Hospital | SNEEDVILLE | $64.17 | $85.65 – $121.85 |
| Greeneville Community Hospital | GREENEVILLE | $65.55 | $63.54 – $121.85 |
| Bristol Regional Medical Center | BRISTOL | $65.55 | $105.91 – $121.85 |