Tc-99m exametazime diag at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$4,754.54
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.
$4,754.54
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.
$870.08 with Oscar vs $4,659.45 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 |
|---|---|---|---|
| Oscar | HIX | $870.08 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $875.31 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $903.36 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $903.36 | ↓ -81% |
| Ambetter | Select | $1,103.05 | ↓ -77% |
| United | OptionsPPO | $1,174.37 | ↓ -75% |
| Humana | TRICARE | $1,188.63 | ↓ -75% |
| Cigna | PPO | $1,549.98 | ↓ -67% |
| Centurion | PRISON | $1,958.87 | ↓ -59% |
| BCBS | NetworkP | $2,056.76 | ↓ -57% |
| United | GlobalBenefitPlan | $2,139.54 | ↓ -55% |
| Cigna | NewBusiness | $2,167.83 | ↓ -54% |
| BGFH SingleSource | DIRECTNETWORK | $2,377.27 | ↓ -50% |
| United | HeritageSelect | $2,458.43 | ↓ -48% |
| United | CorePayer | $2,458.43 | ↓ -48% |
| United | AllPayerAppendix | $2,458.43 | ↓ -48% |
| Cigna | OAP | $2,465.03 | ↓ -48% |
| Humana BH | COMM | $3,090.45 | ↓ -35% |
| Employers Health Network | COMM | $3,328.18 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $3,565.91 | ↓ -25% |
| MHNet | COMM | $3,565.91 | ↓ -25% |
| Multiplan | COMM | $3,898.72 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $4,041.36 | ↓ -15% |
| Beech Street | COMM | $4,184.00 | ↓ -12% |
| Prime Health | COMMPPO | $4,184.00 | ↓ -12% |
| TriWest Healthcare | FED | $4,659.45 | ↓ -2% |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $2,962.31 | $1,790.84 – $4,838.43 |
| CHI Memorial Hospital Hixson | Hixson | $1,096.68 | $741.00 – $2,896.64 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,567.22 | $778.05 – $2,896.64 |
| Johnson City Medical Center | JOHNSON CITY | $512.70 | $708.40 – $2,022.41 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $3,089.18 | $1,790.84 – $5,045.65 |
| Greeneville Community Hospital | GREENEVILLE | $512.70 | $288.84 – $2,022.41 |
| Bristol Regional Medical Center | BRISTOL | $512.70 | $481.40 – $2,226.50 |
| Franklin Woods Community Hospital | JOHNSON CITY | $512.70 | $708.40 – $2,022.41 |