St analysis behavior qualitative voice/resonance at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$727.13
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.
$727.13
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.
$75.64 with Wellpoint vs $712.59 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 | $75.64 | ↓ -90% |
| Humana | ChoicecareMGMCR | $105.05 | ↓ -86% |
| Devoted Health Plan | MCR | $105.05 | ↓ -86% |
| Alive Hospice | COMM | $105.05 | ↓ -86% |
| Amerigroup | MGMCR | $105.05 | ↓ -86% |
| Sarah Cannon Research | COMM | $105.05 | ↓ -86% |
| United | VACCN | $105.05 | ↓ -86% |
| HealthSpring | DualEligible | $105.05 | ↓ -86% |
| HealthSpring | MCRHMO | $105.05 | ↓ -86% |
| HealthSpring | MCRPOS | $105.05 | ↓ -86% |
| HealthSpring | MCRPPO | $105.05 | ↓ -86% |
| Odyssey Healthcare | COMM | $105.05 | ↓ -86% |
| Aetna | MGMCRPPO | $106.10 | ↓ -85% |
| Aetna | MGMCRSNP | $106.10 | ↓ -85% |
| Aetna | MGMCRHMO | $106.10 | ↓ -85% |
| United | MGMCR | $107.15 | ↓ -85% |
| BCBS | MCR | $108.20 | ↓ -85% |
| WellCare | MCR | $108.20 | ↓ -85% |
| Zing | MGMCR | $108.20 | ↓ -85% |
| American Health Advantage | MCRSNP | $110.30 | ↓ -85% |
| American Health Advantage | MCRHMO | $110.30 | ↓ -85% |
| Evergreen HMO | MCR | $110.30 | ↓ -85% |
| American Health Advantage | MCRPPO | $110.30 | ↓ -85% |
| American Health Advantage | MCRPFFS | $110.30 | ↓ -85% |
| American Health Advantage | MCRPOS | $110.30 | ↓ -85% |
| Signature Advantage | MCR | $111.35 | ↓ -85% |
| BCBS | TENNCARE | $115.30 | ↓ -84% |
| ATRIO Golden Times | MCR | $115.56 | ↓ -84% |
| Bright Health | MCRNarrow | $120.81 | ↓ -83% |
| Bright Health | HIX | $123.61 | ↓ -83% |
| BCBS | COVERKIDS | $124.85 | ↓ -83% |
| Oscar | HIX | $133.06 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $133.86 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $138.15 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $138.15 | ↓ -81% |
| Prime Health | WORKERSCOMP | $151.27 | ↓ -79% |
| NovaNET | WORKERSCOMP | $154.42 | ↓ -79% |
| CorVel Corporation | WORKERSCOMP | $154.42 | ↓ -79% |
| Ambetter | CORE | $162.15 | ↓ -78% |
| Ambetter | Select | $168.69 | ↓ -77% |
| Bright Health | SmallGroup | $174.51 | ↓ -76% |
| United | OptionsPPO | $179.60 | ↓ -75% |
| Humana | TRICARE | $181.78 | ↓ -75% |
| Cigna | NewBusiness | $183.24 | ↓ -75% |
| Cigna | OAP | $207.96 | ↓ -71% |
| BCBS | NetworkP | $221.34 | ↓ -70% |
| BCBS | BlueCare | $229.81 | ↓ -68% |
| Cigna | PPO | $237.04 | ↓ -67% |
| Aetna | NewBusiness | $274.00 | ↓ -62% |
| Aetna | COMM | $326.00 | ↓ -55% |
| United | GlobalBenefitPlan | $327.21 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $363.56 | ↓ -50% |
| Aetna | NAP | $363.56 | ↓ -50% |
| Humana BH | COMM | $472.63 | ↓ -35% |
| Employers Health Network | COMM | $508.99 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $545.35 | ↓ -25% |
| MHNet | COMM | $545.35 | ↓ -25% |
| Multiplan | COMM | $596.25 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $618.06 | ↓ -15% |
| Beech Street | COMM | $639.87 | ↓ -12% |
| Prime Health | COMMPPO | $639.87 | ↓ -12% |
| TriWest Healthcare | FED | $712.59 | ↓ -2% |
Visitor-reported prices
Comments
St analysis behavior qualitative voice/resonance at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $73.91 – $209.92 |
| CHI Memorial Hospital Hixson | Hixson | $84.36 | $57.00 – $199.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $69.00 | $60.36 – $79.52 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $120.56 | $59.85 – $199.50 |
| Johnson City Medical Center | JOHNSON CITY | $92.55 | $44.00 – $355.49 |
| Greeneville Community Hospital | GREENEVILLE | $92.55 | $37.00 – $385.76 |
| Bristol Regional Medical Center | BRISTOL | $92.55 | $57.00 – $361.76 |
| Franklin Woods Community Hospital | JOHNSON CITY | $92.55 | $46.00 – $385.76 |