Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$7.58 with Wellpoint vs $214.39 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $7.58 | — |
| Humana | ChoicecareMGMCR | $10.53 | — |
| Devoted Health Plan | MCR | $10.53 | — |
| HealthSpring | DualEligible | $10.53 | — |
| HealthSpring | MCRHMO | $10.53 | — |
| HealthSpring | MCRPOS | $10.53 | — |
| HealthSpring | MCRPPO | $10.53 | — |
| United | VACCN | $10.53 | — |
| Amerigroup | MGMCR | $10.53 | — |
| Sarah Cannon Research | COMM | $10.53 | — |
| Alive Hospice | COMM | $10.53 | — |
| Odyssey Healthcare | COMM | $10.53 | — |
| Aetna | MGMCRHMO | $10.63 | — |
| Aetna | MGMCRSNP | $10.63 | — |
| Aetna | MGMCRPPO | $10.63 | — |
| United | MGMCR | $10.74 | — |
| BCBS | MCR | $10.84 | — |
| WellCare | MCR | $10.84 | — |
| Zing | MGMCR | $10.84 | — |
| American Health Advantage | MCRPFFS | $11.05 | — |
| American Health Advantage | MCRPPO | $11.05 | — |
| American Health Advantage | MCRPOS | $11.05 | — |
| American Health Advantage | MCRSNP | $11.05 | — |
| American Health Advantage | MCRHMO | $11.05 | — |
| Evergreen HMO | MCR | $11.05 | — |
| Signature Advantage | MCR | $11.16 | — |
| ATRIO Golden Times | MCR | $11.58 | — |
| Bright Health | MCRNarrow | $12.10 | — |
| Prime Health | WORKERSCOMP | $15.16 | — |
| CorVel Corporation | WORKERSCOMP | $15.47 | — |
| NovaNET | WORKERSCOMP | $15.47 | — |
| BCBS | NetworkP | $25.09 | — |
| Bright Health | HIX | $37.19 | — |
| Oscar | HIX | $40.03 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $40.28 | — |
| NHC Advantage, Inc. | MCRHMO | $41.57 | — |
| Pruitt Health (AllyAlign) | MCR | $41.57 | — |
| Ambetter | CORE | $48.79 | — |
| Ambetter | Select | $50.75 | — |
| Bright Health | SmallGroup | $52.50 | — |
| United | OptionsPPO | $54.04 | — |
| Humana | TRICARE | $54.69 | — |
| Cigna | NewBusiness | $55.13 | — |
| Aetna | NewBusiness | $61.26 | — |
| Cigna | OAP | $62.57 | — |
| Cigna | PPO | $71.32 | — |
| Aetna | COMM | $72.19 | — |
| United | GlobalBenefitPlan | $98.45 | — |
| BGFH SingleSource | DIRECTNETWORK | $109.39 | — |
| Aetna | NAP | $109.39 | — |
| Humana BH | COMM | $142.20 | — |
| Employers Health Network | COMM | $153.14 | — |
| MHNet | COMM | $164.08 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $164.08 | — |
| Multiplan | COMM | $179.39 | — |
| BGFH SingleSource | LEASEDNETWORK | $185.95 | — |
| Beech Street | COMM | $192.52 | — |
| Prime Health | COMMPPO | $192.52 | — |
| TriWest Healthcare | FED | $214.39 | — |
Visitor-reported prices
Comments
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $35.10 | $10.42 – $30.06 |
| CHI Memorial Hospital Hixson | Hixson | $65.42 | $15.51 – $189.52 |
| 62-1166050 BMH Carroll County | Huntingdon | $46.23 | $8.29 – $10.42 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $93.49 | $15.51 – $189.52 |
| Johnson City Medical Center | JOHNSON CITY | $15.90 | $11.96 – $35.54 |
| Ascension Saint Thomas DeKalb | Smithville | $47.69 | $10.42 – $30.06 |
| Ascension Saint Thomas Highlands | Sparta | $47.69 | $10.42 – $30.06 |
| Ascension Saint Thomas River Park | McMinnville | $45.41 | $11.13 – $30.06 |