Tl-201 thallium diag per mci 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$39.19 with BCBS vs $536.68 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 | NetworkP | $39.19 | — |
| Cigna | NewBusiness | $41.31 | — |
| Cigna | OAP | $46.97 | — |
| Aetna | MGMCRHMO | $82.14 | — |
| Aetna | MGMCRPPO | $82.14 | — |
| Aetna | MGMCRSNP | $82.14 | — |
| Oscar | HIX | $100.22 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $100.82 | — |
| NHC Advantage, Inc. | MCRHMO | $104.05 | — |
| Pruitt Health (AllyAlign) | MCR | $104.05 | — |
| United | CorePayer | $126.56 | — |
| United | AllPayerAppendix | $126.56 | — |
| United | HeritageSelect | $126.56 | — |
| Ambetter | Select | $127.05 | — |
| United | OptionsPPO | $135.26 | — |
| Humana | TRICARE | $136.91 | — |
| Cigna | PPO | $178.53 | — |
| Centurion | PRISON | $225.62 | — |
| United | GlobalBenefitPlan | $246.43 | — |
| Signature Advantage | MCR | $273.81 | — |
| BGFH SingleSource | DIRECTNETWORK | $273.81 | — |
| Humana BH | COMM | $355.96 | — |
| Employers Health Network | COMM | $383.34 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $410.72 | — |
| MHNet | COMM | $410.72 | — |
| Multiplan | COMM | $449.06 | — |
| BGFH SingleSource | LEASEDNETWORK | $465.49 | — |
| Beech Street | COMM | $481.91 | — |
| Prime Health | COMMPPO | $481.91 | — |
| TriWest Healthcare | FED | $536.68 | — |
Visitor-reported prices
Comments
Tl-201 thallium diag per mci at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $51.23 | $24.21 – $94.62 |
| CHI Memorial Hospital Hixson | Hixson | $28.42 | $19.20 – $67.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $79.30 | $22.35 – $40.30 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $40.61 | $20.16 – $67.20 |
| Johnson City Medical Center | JOHNSON CITY | $44.85 | $17.33 – $58.63 |
| Ascension Saint Thomas DeKalb | Smithville | $209.88 | $24.21 – $342.80 |
| Ascension Saint Thomas Highlands | Sparta | $209.88 | $24.21 – $342.80 |
| Ascension Saint Thomas River Park | McMinnville | $209.88 | $24.21 – $330.06 |