Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes 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.
$27.43 with Wellpoint vs $266.19 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $27.43 | — |
| BCBS | TENNCARE | $36.77 | — |
| Humana | ChoicecareMGMCR | $38.09 | — |
| HealthSpring | DualEligible | $38.09 | — |
| HealthSpring | MCRHMO | $38.09 | — |
| HealthSpring | MCRPOS | $38.09 | — |
| HealthSpring | MCRPPO | $38.09 | — |
| Odyssey Healthcare | COMM | $38.09 | — |
| Alive Hospice | COMM | $38.09 | — |
| Sarah Cannon Research | COMM | $38.09 | — |
| United | VACCN | $38.09 | — |
| Devoted Health Plan | MCR | $38.09 | — |
| Amerigroup | MGMCR | $38.09 | — |
| Aetna | MGMCRPPO | $38.48 | — |
| Aetna | MGMCRSNP | $38.48 | — |
| Aetna | MGMCRHMO | $38.48 | — |
| United | MGMCR | $38.86 | — |
| BCBS | MCR | $39.24 | — |
| WellCare | MCR | $39.24 | — |
| Zing | MGMCR | $39.24 | — |
| BCBS | COVERKIDS | $39.82 | — |
| Evergreen HMO | MCR | $40.00 | — |
| American Health Advantage | MCRPFFS | $40.00 | — |
| American Health Advantage | MCRPOS | $40.00 | — |
| American Health Advantage | MCRHMO | $40.00 | — |
| American Health Advantage | MCRSNP | $40.00 | — |
| American Health Advantage | MCRPPO | $40.00 | — |
| Signature Advantage | MCR | $40.38 | — |
| ATRIO Golden Times | MCR | $41.90 | — |
| Bright Health | MCRNarrow | $43.81 | — |
| Bright Health | HIX | $46.18 | — |
| Oscar | HIX | $49.71 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $50.01 | — |
| Pruitt Health (AllyAlign) | MCR | $51.61 | — |
| NHC Advantage, Inc. | MCRHMO | $51.61 | — |
| Prime Health | WORKERSCOMP | $54.86 | — |
| NovaNET | WORKERSCOMP | $56.00 | — |
| CorVel Corporation | WORKERSCOMP | $56.00 | — |
| Ambetter | CORE | $60.57 | — |
| Ambetter | Select | $63.02 | — |
| Bright Health | SmallGroup | $65.19 | — |
| United | OptionsPPO | $67.09 | — |
| Humana | TRICARE | $67.91 | — |
| Cigna | NewBusiness | $68.45 | — |
| BCBS | BlueCare | $73.29 | — |
| Aetna | NewBusiness | $76.05 | — |
| Cigna | OAP | $77.68 | — |
| Cigna | PPO | $88.55 | — |
| Aetna | COMM | $89.63 | — |
| BCBS | NetworkP | $93.13 | — |
| United | GlobalBenefitPlan | $122.23 | — |
| BGFH SingleSource | DIRECTNETWORK | $135.81 | — |
| Aetna | NAP | $135.81 | — |
| Humana BH | COMM | $176.55 | — |
| Employers Health Network | COMM | $190.13 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $203.72 | — |
| MHNet | COMM | $203.72 | — |
| Multiplan | COMM | $222.73 | — |
| BGFH SingleSource | LEASEDNETWORK | $230.88 | — |
| Beech Street | COMM | $239.03 | — |
| Prime Health | COMMPPO | $239.03 | — |
| TriWest Healthcare | FED | $266.19 | — |
Visitor-reported prices
Comments
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $50.82 | $25.36 – $82.75 |
| CHI Memorial Hospital Hixson | Hixson | $26.64 | $18.00 – $189.52 |
| 62-1166050 BMH Carroll County | Huntingdon | $39.79 | $25.36 – $31.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $38.07 | $18.90 – $189.52 |
| Johnson City Medical Center | JOHNSON CITY | $36.60 | $29.42 – $94.37 |
| Ascension Saint Thomas DeKalb | Smithville | $54.56 | $25.36 – $82.75 |
| Ascension Saint Thomas Highlands | Sparta | $54.56 | $25.36 – $82.75 |
| Ascension Saint Thomas River Park | McMinnville | $51.95 | $37.89 – $82.75 |