Ot re-evaluation patient/family at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$570.71
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.
$570.71
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.
$41.20 with Wellpoint vs $559.30 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 | $41.20 | ↓ -93% |
| Humana | ChoicecareMGMCR | $57.23 | ↓ -90% |
| United | VACCN | $57.23 | ↓ -90% |
| Alive Hospice | COMM | $57.23 | ↓ -90% |
| HealthSpring | DualEligible | $57.23 | ↓ -90% |
| HealthSpring | MCRHMO | $57.23 | ↓ -90% |
| HealthSpring | MCRPOS | $57.23 | ↓ -90% |
| HealthSpring | MCRPPO | $57.23 | ↓ -90% |
| Amerigroup | MGMCR | $57.23 | ↓ -90% |
| Sarah Cannon Research | COMM | $57.23 | ↓ -90% |
| Odyssey Healthcare | COMM | $57.23 | ↓ -90% |
| Devoted Health Plan | MCR | $57.23 | ↓ -90% |
| Aetna | MGMCRSNP | $57.80 | ↓ -90% |
| Aetna | MGMCRHMO | $57.80 | ↓ -90% |
| Aetna | MGMCRPPO | $57.80 | ↓ -90% |
| United | MGMCR | $58.37 | ↓ -90% |
| WellCare | MCR | $58.94 | ↓ -90% |
| BCBS | MCR | $58.94 | ↓ -90% |
| Zing | MGMCR | $58.94 | ↓ -90% |
| Evergreen HMO | MCR | $60.09 | ↓ -89% |
| American Health Advantage | MCRHMO | $60.09 | ↓ -89% |
| American Health Advantage | MCRPOS | $60.09 | ↓ -89% |
| American Health Advantage | MCRPFFS | $60.09 | ↓ -89% |
| American Health Advantage | MCRSNP | $60.09 | ↓ -89% |
| American Health Advantage | MCRPPO | $60.09 | ↓ -89% |
| Signature Advantage | MCR | $60.66 | ↓ -89% |
| BCBS | TENNCARE | $61.96 | ↓ -89% |
| ATRIO Golden Times | MCR | $62.95 | ↓ -89% |
| Bright Health | MCRNarrow | $65.81 | ↓ -88% |
| BCBS | COVERKIDS | $67.09 | ↓ -88% |
| Prime Health | WORKERSCOMP | $82.41 | ↓ -86% |
| NovaNET | WORKERSCOMP | $84.12 | ↓ -85% |
| CorVel Corporation | WORKERSCOMP | $84.12 | ↓ -85% |
| Bright Health | HIX | $97.02 | ↓ -83% |
| Oscar | HIX | $104.44 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $105.07 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $108.43 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $108.43 | ↓ -81% |
| BCBS | BlueCare | $123.49 | ↓ -78% |
| Ambetter | CORE | $127.27 | ↓ -78% |
| Ambetter | Select | $132.40 | ↓ -77% |
| Bright Health | SmallGroup | $136.97 | ↓ -76% |
| United | OptionsPPO | $140.97 | ↓ -75% |
| BCBS | NetworkP | $142.14 | ↓ -75% |
| Humana | TRICARE | $142.68 | ↓ -75% |
| Cigna | NewBusiness | $143.82 | ↓ -75% |
| Cigna | OAP | $163.22 | ↓ -71% |
| Cigna | PPO | $186.05 | ↓ -67% |
| United | GlobalBenefitPlan | $256.82 | ↓ -55% |
| Aetna | NewBusiness | $274.00 | ↓ -52% |
| Aetna | NAP | $285.36 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $285.36 | ↓ -50% |
| Aetna | COMM | $326.00 | ↓ -43% |
| Humana BH | COMM | $370.96 | ↓ -35% |
| Employers Health Network | COMM | $399.50 | ↓ -30% |
| MHNet | COMM | $428.03 | ↓ -25% |
| Odom's TN Pride Sausage | WORKERSCOMP | $428.03 | ↓ -25% |
| Multiplan | COMM | $467.98 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $485.10 | ↓ -15% |
| Beech Street | COMM | $502.22 | ↓ -12% |
| Prime Health | COMMPPO | $502.22 | ↓ -12% |
| TriWest Healthcare | FED | $559.30 | ↓ -2% |
Visitor-reported prices
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Ot re-evaluation patient/family at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $43.22 | $42.73 – $112.79 |
| CHI Memorial Hospital Hixson | Hixson | $44.70 | $30.20 – $189.52 |
| 62-1166050 BMH Carroll County | Huntingdon | $106.49 | $41.88 – $42.73 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $63.88 | $31.71 – $189.52 |
| Johnson City Medical Center | JOHNSON CITY | $45.90 | $44.00 – $323.96 |
| Ascension Saint Thomas DeKalb | Smithville | $48.26 | $42.73 – $112.79 |
| Ascension Saint Thomas Highlands | Sparta | $48.26 | $42.73 – $112.79 |
| Ascension Saint Thomas River Park | McMinnville | $45.95 | $56.26 – $112.79 |