Oral everolimus at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$216.75
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.
$216.75
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.
$3.13 with United vs $212.41 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 |
|---|---|---|---|
| United | CorePayer | $3.13 | ↓ -99% |
| United | AllPayerAppendix | $3.13 | ↓ -99% |
| United | HeritageSelect | $3.13 | ↓ -99% |
| Aetna | MGMCRPPO | $32.51 | ↓ -85% |
| Aetna | MGMCRHMO | $32.51 | ↓ -85% |
| Aetna | MGMCRSNP | $32.51 | ↓ -85% |
| Kentucky Labor Cabinet | WORKERSCOMP | $39.90 | ↓ -82% |
| BCBS | NetworkP | $49.85 | ↓ -77% |
| Ambetter | Select | $50.29 | ↓ -77% |
| United | OptionsPPO | $53.54 | ↓ -75% |
| Humana | TRICARE | $54.19 | ↓ -75% |
| Cigna | NewBusiness | $54.62 | ↓ -75% |
| Cigna | OAP | $61.99 | ↓ -71% |
| Cigna | PPO | $70.66 | ↓ -67% |
| Centurion | PRISON | $89.30 | ↓ -59% |
| United | GlobalBenefitPlan | $97.54 | ↓ -55% |
| Signature Advantage | MCR | $108.38 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $108.38 | ↓ -50% |
| Humana BH | COMM | $140.89 | ↓ -35% |
| Employers Health Network | COMM | $151.72 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $162.56 | ↓ -25% |
| Multiplan | COMM | $177.74 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $184.24 | ↓ -15% |
| Prime Health | COMMPPO | $190.74 | ↓ -12% |
| Beech Street | COMM | $190.74 | ↓ -12% |
| TriWest Healthcare | FED | $212.41 | ↓ -2% |
Visitor-reported prices
Comments
Oral everolimus at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $15.62 | $2.68 – $4.79 |
| 62-1166050 BMH Carroll County | Huntingdon | $8.43 | $2.21 – $2.21 |
| 62-0123940 BMH Collierville | Collierville | $7.70 | $2.21 – $2.21 |
| 62-1138045 BMH Union City | Union City | $7.33 | $2.21 – $2.21 |
| Parkwest Medical Center | Knoxville | $6.02 | $1.25 – $18.06 |
| Roane County Medical Center | Harriman | $6.62 | $1.25 – $18.06 |
| LeConte Medical Center | Sevierville | $5.82 | $1.25 – $18.06 |
| Fort Loudoun Medical Center | Lenoir City | $6.62 | $1.25 – $18.06 |