Perq transcath septal reduxn 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.
$891.53 with BCBS vs $7,950.00 with Pruitt Health (AllyAlign) — 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 | TENNCARE | $891.53 | — |
| BCBS | COVERKIDS | $965.31 | — |
| BCBS | BlueCare | $1,776.92 | — |
| Bright Health | HIX | $3,114.00 | — |
| United | CorePayer | $3,800.00 | — |
| United | HeritageSelect | $4,053.00 | — |
| Bright Health | SmallGroup | $4,247.00 | — |
| United | AllPayerAppendix | $5,066.00 | — |
| Aetna | NewBusiness | $5,956.00 | — |
| Aetna | COMM | $7,602.00 | — |
| NHC Advantage, Inc. | MCRHMO | $7,950.00 | — |
| Pruitt Health (AllyAlign) | MCR | $7,950.00 | — |
Visitor-reported prices
Comments
Perq transcath septal reduxn at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $3,710.36 | $614.85 – $16,047.00 |
| Johnson City Medical Center | JOHNSON CITY | $2,874.45 | $11,227.00 – $19,245.50 |
| Franklin Woods Community Hospital | JOHNSON CITY | $2,874.45 | $11,227.00 – $20,883.80 |
| 62-0123940 BMH Collierville | Collierville | $7,075.74 | $614.85 – $737.26 |
| Indian Path Community Hospital | KINGSPORT | $2,874.45 | $11,227.00 – $18,377.04 |
| Sycamore Shoals Hospital | ELIZABETHTON | $2,874.45 | $11,227.00 – $20,883.80 |
| Parkwest Medical Center | Knoxville | $873.90 | $611.73 – $2,621.70 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $614.85 – $16,047.00 |