Tobramycin peak therapeutic drug level at SKYLINE MADISON CAMPUS

3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476

Source: hospital's published price file ↗ · Published Mar 12, 2026 · Ingested Sep 16, 2026

not published by hospital

Cash price

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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

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$7.26 with Wellpoint vs $669.40 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 →

Payer
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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
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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 $7.26
Aetna NewBusiness $12.83
Aetna COMM $12.83
Humana ChoicecareMGMCR $16.13
Sarah Cannon Research COMM $16.13
Bright Health SmallGroup $16.13
Bright Health HIX $16.13
Amerigroup MGMCR $16.13
HealthSpring DualEligible $16.13
HealthSpring MCRHMO $16.13
HealthSpring MCRPOS $16.13
HealthSpring MCRPPO $16.13
Devoted Health Plan MCR $16.13
United HeritageSelect $16.13
United VACCN $16.13
Odyssey Healthcare COMM $16.13
Alive Hospice COMM $16.13
United CorePayer $16.13
United AllPayerAppendix $16.13
Aetna MGMCRPPO $16.29
Aetna MGMCRSNP $16.29
Aetna MGMCRHMO $16.29
United MGMCR $16.45
BCBS MCR $16.61
WellCare MCR $16.61
Zing MGMCR $16.61
Ambetter Select $16.78
American Health Advantage MCRHMO $16.94
American Health Advantage MCRPFFS $16.94
American Health Advantage MCRSNP $16.94
Evergreen HMO MCR $16.94
American Health Advantage MCRPOS $16.94
American Health Advantage MCRPPO $16.94
Signature Advantage MCR $17.10
Ambetter CORE $17.42
ATRIO Golden Times MCR $17.74
Bright Health MCRNarrow $18.55
BCBS NetworkP $21.99
Prime Health WORKERSCOMP $23.23
CorVel Corporation WORKERSCOMP $23.71
NovaNET WORKERSCOMP $23.71
Cigna NewBusiness $28.84
Cigna OAP $32.75
BCBS TENNCARE $34.39
BCBS COVERKIDS $37.24
Oscar HIX $48.39
Humana BroadNetwork $64.52
Humana NarrowExchangeNetwork $64.52
Humana HumanaChoiceCare $64.52
Humana HumanaChoice $64.52
BCBS BlueCare $68.55
Kentucky Labor Cabinet WORKERSCOMP $125.75
Pruitt Health (AllyAlign) MCR $129.78
NHC Advantage, Inc. MCRHMO $129.78
United OptionsPPO $168.72
Humana TRICARE $170.76
Cigna PPO $222.68
Centurion PRISON $281.42
United GlobalBenefitPlan $307.38
BGFH SingleSource DIRECTNETWORK $341.53
Aetna NAP $341.53
Humana BH COMM $443.99
Employers Health Network COMM $478.14
MHNet COMM $512.29
Odom's TN Pride Sausage WORKERSCOMP $512.29
Multiplan COMM $560.11
BGFH SingleSource LEASEDNETWORK $580.60
Beech Street COMM $601.09
Prime Health COMMPPO $601.09
TriWest Healthcare FED $669.40

Visitor-reported prices

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Tobramycin peak therapeutic drug level at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $149.93 $5.81 – $62.08
CHI Memorial Hospital Hixson Hixson $103.60 $14.32 – $245.00
62-1166050 BMH Carroll County Huntingdon $32.43 $14.03 – $32.26
CHI Memorial Hospital Chattanooga Chattanooga $148.05 $14.32 – $245.00
Johnson City Medical Center JOHNSON CITY $28.35 $8.07 – $35.16
Ascension Saint Thomas DeKalb Smithville $149.93 $11.31 – $62.08
Ascension Saint Thomas Highlands Sparta $149.93 $11.31 – $62.08
Ascension Saint Thomas River Park McMinnville $149.93 $11.31 – $62.08

All Tennessee hospitals for this procedure →