Nr lnr acclrtr tx max 5 sessions at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$15,222.40
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.
$15,222.40
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.
$1,100.58 with BCBS vs $33,163.00 with Cigna — 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 | $1,100.58 | ↓ -93% |
| BCBS | TENNCARE | $1,561.57 | ↓ -90% |
| BCBS | COVERKIDS | $1,689.76 | ↓ -89% |
| Aetna | COMM | $1,723.64 | ↓ -89% |
| Aetna | NewBusiness | $1,723.64 | ↓ -89% |
| Kentucky Labor Cabinet | WORKERSCOMP | $2,802.44 | ↓ -82% |
| BCBS | BlueCare | $3,099.83 | ↓ -80% |
| United | OptionsPPO | $3,759.93 | ↓ -75% |
| Humana | TRICARE | $3,805.60 | ↓ -75% |
| Cigna | PPO | $4,962.50 | ↓ -67% |
| Centurion | PRISON | $6,271.63 | ↓ -59% |
| United | GlobalBenefitPlan | $6,850.08 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $7,611.20 | ↓ -50% |
| Aetna | NAP | $7,611.20 | ↓ -50% |
| NHC Advantage, Inc. | MCRHMO | $9,500.00 | ↓ -38% |
| Pruitt Health (AllyAlign) | MCR | $9,500.00 | ↓ -38% |
| Humana BH | COMM | $9,894.56 | ↓ -35% |
| Bright Health | HIX | $10,540.00 | ↓ -31% |
| Employers Health Network | COMM | $10,655.68 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $11,416.80 | ↓ -25% |
| MHNet | COMM | $11,416.80 | ↓ -25% |
| Multiplan | COMM | $12,482.37 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $12,939.04 | ↓ -15% |
| Beech Street | COMM | $13,395.71 | ↓ -12% |
| Prime Health | COMMPPO | $13,395.71 | ↓ -12% |
| Bright Health | SmallGroup | $14,372.00 | ↓ -6% |
| TriWest Healthcare | FED | $14,917.95 | ↓ -2% |
| Oscar | HIX | $16,402.00 | ↑ +8% |
| Ambetter | Select | $17,160.00 | ↑ +13% |
| Ambetter | CORE | $17,846.00 | ↑ +17% |
| United | CorePayer | $17,936.00 | ↑ +18% |
| United | HeritageSelect | $19,131.00 | ↑ +26% |
| United | AllPayerAppendix | $23,914.00 | ↑ +57% |
| Humana | HumanaChoiceCare | $23,949.00 | ↑ +57% |
| Humana | NarrowExchangeNetwork | $23,949.00 | ↑ +57% |
| Humana | HumanaChoice | $23,949.00 | ↑ +57% |
| Humana | BroadNetwork | $23,949.00 | ↑ +57% |
| Cigna | NewBusiness | $29,183.00 | ↑ +92% |
| Cigna | OAP | $33,163.00 | ↑ +118% |
Visitor-reported prices
Comments
Nr lnr acclrtr tx max 5 sessions at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,646.52 | $1,165.35 – $3,696.77 |
| CHI Memorial Hospital Hixson | Hixson | $2,306.73 | $800.00 – $5,455.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,296.44 | $800.00 – $5,455.10 |
| Johnson City Medical Center | JOHNSON CITY | $2,930.25 | $1,351.81 – $3,637.35 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,646.52 | $1,165.35 – $3,696.77 |
| Greeneville Community Hospital | GREENEVILLE | $2,930.25 | $594.46 – $3,637.35 |
| Bristol Regional Medical Center | BRISTOL | $2,930.25 | $990.77 – $4,070.97 |
| Franklin Woods Community Hospital | JOHNSON CITY | $2,930.25 | $1,401.11 – $3,539.14 |