Pq biliary strict dil s&i at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$6,563.50
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.
?
What you pay up front if you don't use insurance.
$6,563.50
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.
?
The hospital's undiscounted list price — almost no one pays this.
$72.20 with BCBS vs $6,432.23 with TriWest Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | NetworkP | $72.20 | ↓ -99% |
| BCBS | TENNCARE | $154.45 | ↓ -98% |
| Aetna | NewBusiness | $160.50 | ↓ -98% |
| Aetna | COMM | $160.50 | ↓ -98% |
| Humana | NarrowExchangeNetwork | $162.80 | ↓ -98% |
| Humana | BroadNetwork | $162.80 | ↓ -98% |
| Humana | HumanaChoice | $162.80 | ↓ -98% |
| Humana | HumanaChoiceCare | $162.80 | ↓ -98% |
| BCBS | COVERKIDS | $167.13 | ↓ -97% |
| BCBS | BlueCare | $306.59 | ↓ -95% |
| Aetna | MGMCRPPO | $984.52 | ↓ -85% |
| Aetna | MGMCRHMO | $984.52 | ↓ -85% |
| Aetna | MGMCRSNP | $984.52 | ↓ -85% |
| Kentucky Labor Cabinet | WORKERSCOMP | $1,208.34 | ↓ -82% |
| NHC Advantage, Inc. | MCRHMO | $1,247.07 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $1,247.07 | ↓ -81% |
| United | OptionsPPO | $1,621.18 | ↓ -75% |
| Humana | TRICARE | $1,640.88 | ↓ -75% |
| Cigna | NewBusiness | $1,654.00 | ↓ -75% |
| Cigna | OAP | $1,877.16 | ↓ -71% |
| Cigna | PPO | $2,139.70 | ↓ -67% |
| Centurion | PRISON | $2,704.16 | ↓ -59% |
| United | GlobalBenefitPlan | $2,953.57 | ↓ -55% |
| Aetna | NAP | $3,281.75 | ↓ -50% |
| Signature Advantage | MCR | $3,281.75 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $3,281.75 | ↓ -50% |
| Humana BH | COMM | $4,266.27 | ↓ -35% |
| Employers Health Network | COMM | $4,594.45 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $4,922.63 | ↓ -25% |
| MHNet | COMM | $4,922.63 | ↓ -25% |
| Multiplan | COMM | $5,382.07 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $5,578.98 | ↓ -15% |
| Prime Health | COMMPPO | $5,775.88 | ↓ -12% |
| Beech Street | COMM | $5,775.88 | ↓ -12% |
| TriWest Healthcare | FED | $6,432.23 | ↓ -2% |
Visitor-reported prices
Comments
Pq biliary strict dil s&i at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $86.93 – $154.50 |
| CHI Memorial Hospital Hixson | Hixson | $564.18 | $129.66 – $1,334.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $806.24 | $129.66 – $1,334.20 |
| Johnson City Medical Center | JOHNSON CITY | $183.60 | $133.70 – $269.81 |
| Hancock County Hospital | SNEEDVILLE | $171.81 | $133.70 – $295.60 |
| Greeneville Community Hospital | GREENEVILLE | $183.60 | $133.70 – $281.52 |
| Bristol Regional Medical Center | BRISTOL | $183.60 | $133.70 – $268.86 |
| Franklin Woods Community Hospital | JOHNSON CITY | $183.60 | $162.52 – $320.00 |