Pet fdg brain metoblic eval sb 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.
$269.08 with Humana vs $3,832.82 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 |
|---|---|---|---|
| Humana | BroadNetwork | $269.08 | — |
| Humana | HumanaChoice | $269.08 | — |
| Humana | HumanaChoiceCare | $269.08 | — |
| Humana | NarrowExchangeNetwork | $269.08 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $720.02 | — |
| Pruitt Health (AllyAlign) | MCR | $743.10 | — |
| NHC Advantage, Inc. | MCRHMO | $743.10 | — |
| United | OptionsPPO | $966.03 | — |
| Humana | TRICARE | $977.76 | — |
| BCBS | NetworkP | $999.40 | — |
| BCBS | TENNCARE | $1,242.62 | — |
| Cigna | PPO | $1,275.00 | — |
| BCBS | COVERKIDS | $1,344.63 | — |
| Centurion | PRISON | $1,611.35 | — |
| United | GlobalBenefitPlan | $1,759.97 | — |
| United | HeritageSelect | $1,859.25 | — |
| United | CorePayer | $1,859.25 | — |
| United | AllPayerAppendix | $1,859.25 | — |
| BGFH SingleSource | DIRECTNETWORK | $1,955.52 | — |
| Aetna | NAP | $1,955.52 | — |
| BCBS | BlueCare | $2,466.70 | — |
| Humana BH | COMM | $2,542.18 | — |
| Aetna | NewBusiness | $2,672.00 | — |
| Aetna | COMM | $2,672.00 | — |
| Employers Health Network | COMM | $2,737.73 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $2,933.28 | — |
| MHNet | COMM | $2,933.28 | — |
| Multiplan | COMM | $3,207.05 | — |
| BGFH SingleSource | LEASEDNETWORK | $3,324.38 | — |
| Beech Street | COMM | $3,441.72 | — |
| Prime Health | COMMPPO | $3,441.72 | — |
| TriWest Healthcare | FED | $3,832.82 | — |
Visitor-reported prices
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Pet fdg brain metoblic eval sb at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $927.33 – $3,581.20 |
| CHI Memorial Hospital Hixson | Hixson | $1,395.64 | $839.59 – $3,300.50 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,994.45 | $839.59 – $3,300.50 |
| Johnson City Medical Center | JOHNSON CITY | $1,529.85 | $367.92 – $2,908.87 |
| Greeneville Community Hospital | GREENEVILLE | $1,529.85 | $367.92 – $2,908.87 |
| Bristol Regional Medical Center | BRISTOL | $1,529.85 | $367.92 – $3,255.65 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,529.85 | $367.92 – $2,830.34 |
| Holston Valley Medical Center | KINGSPORT | $1,529.85 | $367.92 – $3,255.65 |