St evaluation swallow function at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$608.76
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.
$608.76
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.
$47.10 with BCBS vs $596.58 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 |
|---|---|---|---|
| BCBS | TENNCARE | $47.10 | ↓ -92% |
| BCBS | COVERKIDS | $50.99 | ↓ -92% |
| Wellpoint | MGMCD | $58.28 | ↓ -90% |
| HealthSpring | DualEligible | $80.95 | ↓ -87% |
| HealthSpring | MCRHMO | $80.95 | ↓ -87% |
| HealthSpring | MCRPOS | $80.95 | ↓ -87% |
| HealthSpring | MCRPPO | $80.95 | ↓ -87% |
| Alive Hospice | COMM | $80.95 | ↓ -87% |
| Sarah Cannon Research | COMM | $80.95 | ↓ -87% |
| Devoted Health Plan | MCR | $80.95 | ↓ -87% |
| Odyssey Healthcare | COMM | $80.95 | ↓ -87% |
| Humana | ChoicecareMGMCR | $80.95 | ↓ -87% |
| United | VACCN | $80.95 | ↓ -87% |
| Amerigroup | MGMCR | $80.95 | ↓ -87% |
| Aetna | MGMCRSNP | $81.76 | ↓ -87% |
| Aetna | MGMCRHMO | $81.76 | ↓ -87% |
| Aetna | MGMCRPPO | $81.76 | ↓ -87% |
| United | MGMCR | $82.57 | ↓ -86% |
| BCBS | MCR | $83.38 | ↓ -86% |
| Zing | MGMCR | $83.38 | ↓ -86% |
| WellCare | MCR | $83.38 | ↓ -86% |
| American Health Advantage | MCRPOS | $85.00 | ↓ -86% |
| Evergreen HMO | MCR | $85.00 | ↓ -86% |
| American Health Advantage | MCRPFFS | $85.00 | ↓ -86% |
| American Health Advantage | MCRHMO | $85.00 | ↓ -86% |
| American Health Advantage | MCRSNP | $85.00 | ↓ -86% |
| American Health Advantage | MCRPPO | $85.00 | ↓ -86% |
| Signature Advantage | MCR | $85.81 | ↓ -86% |
| ATRIO Golden Times | MCR | $89.05 | ↓ -85% |
| Bright Health | MCRNarrow | $93.09 | ↓ -85% |
| BCBS | BlueCare | $93.87 | ↓ -85% |
| Bright Health | HIX | $103.49 | ↓ -83% |
| Oscar | HIX | $111.40 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $112.07 | ↓ -82% |
| NHC Advantage, Inc. | MCRHMO | $115.66 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $115.66 | ↓ -81% |
| Prime Health | WORKERSCOMP | $116.57 | ↓ -81% |
| NovaNET | WORKERSCOMP | $119.00 | ↓ -80% |
| CorVel Corporation | WORKERSCOMP | $119.00 | ↓ -80% |
| Ambetter | CORE | $135.75 | ↓ -78% |
| Ambetter | Select | $141.23 | ↓ -77% |
| Bright Health | SmallGroup | $146.10 | ↓ -76% |
| United | OptionsPPO | $150.36 | ↓ -75% |
| Humana | TRICARE | $152.19 | ↓ -75% |
| Cigna | NewBusiness | $153.41 | ↓ -75% |
| Aetna | NewBusiness | $170.45 | ↓ -72% |
| BCBS | NetworkP | $171.54 | ↓ -72% |
| Cigna | OAP | $174.11 | ↓ -71% |
| Cigna | PPO | $198.46 | ↓ -67% |
| Aetna | COMM | $200.89 | ↓ -67% |
| United | GlobalBenefitPlan | $273.94 | ↓ -55% |
| Aetna | NAP | $304.38 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $304.38 | ↓ -50% |
| Humana BH | COMM | $395.69 | ↓ -35% |
| Employers Health Network | COMM | $426.13 | ↓ -30% |
| MHNet | COMM | $456.57 | ↓ -25% |
| Odom's TN Pride Sausage | WORKERSCOMP | $456.57 | ↓ -25% |
| Multiplan | COMM | $499.18 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $517.45 | ↓ -15% |
| Prime Health | COMMPPO | $535.71 | ↓ -12% |
| Beech Street | COMM | $535.71 | ↓ -12% |
| TriWest Healthcare | FED | $596.58 | ↓ -2% |
Visitor-reported prices
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St evaluation swallow function at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $111.96 | $32.48 – $186.35 |
| CHI Memorial Hospital Hixson | Hixson | $156.29 | $48.34 – $369.60 |
| 62-1166050 BMH Carroll County | Huntingdon | $131.56 | $32.48 – $72.77 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $223.35 | $48.34 – $369.60 |
| Johnson City Medical Center | JOHNSON CITY | $82.20 | $37.68 – $355.49 |
| Ascension Saint Thomas DeKalb | Smithville | $154.29 | $32.48 – $186.35 |
| Ascension Saint Thomas Highlands | Sparta | $154.29 | $32.48 – $186.35 |
| Ascension Saint Thomas River Park | McMinnville | $146.93 | $33.53 – $186.35 |