Unlisted ultrasound procedure at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$1,902.85
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.
$1,902.85
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.
$83.86 with United vs $1,864.79 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 |
|---|---|---|---|
| United | AllPayerAppendix | $83.86 | ↓ -96% |
| United | HeritageSelect | $83.86 | ↓ -96% |
| United | CorePayer | $83.86 | ↓ -96% |
| Cigna | NewBusiness | $310.33 | ↓ -84% |
| Kentucky Labor Cabinet | WORKERSCOMP | $350.31 | ↓ -82% |
| Cigna | OAP | $352.50 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $361.54 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $361.54 | ↓ -81% |
| United | OptionsPPO | $470.00 | ↓ -75% |
| Humana | TRICARE | $475.71 | ↓ -75% |
| Aetna | NewBusiness | $532.80 | ↓ -72% |
| Cigna | PPO | $620.33 | ↓ -67% |
| Aetna | COMM | $627.94 | ↓ -67% |
| Centurion | PRISON | $783.97 | ↓ -59% |
| United | GlobalBenefitPlan | $856.28 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $951.42 | ↓ -50% |
| Aetna | NAP | $951.42 | ↓ -50% |
| Humana BH | COMM | $1,236.85 | ↓ -35% |
| Employers Health Network | COMM | $1,331.99 | ↓ -30% |
| MHNet | COMM | $1,427.14 | ↓ -25% |
| Odom's TN Pride Sausage | WORKERSCOMP | $1,427.14 | ↓ -25% |
| Multiplan | COMM | $1,560.34 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $1,617.42 | ↓ -15% |
| Prime Health | COMMPPO | $1,674.51 | ↓ -12% |
| Beech Street | COMM | $1,674.51 | ↓ -12% |
| TriWest Healthcare | FED | $1,864.79 | ↓ -2% |
Visitor-reported prices
Comments
Unlisted ultrasound procedure at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $75.90 – $166.77 |
| Greeneville Community Hospital | GREENEVILLE | $93.90 | $22.65 – $177.03 |
| Bristol Regional Medical Center | BRISTOL | $93.90 | $37.75 – $198.14 |
| Holston Valley Medical Center | KINGSPORT | $93.90 | $37.75 – $198.14 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $93.90 | $31.46 – $172.12 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | $2,200.03 | $83.86 – $310.33 |
| STONECREST MEDICAL CENTER | Smyrna | $825.19 | $83.86 – $310.33 |
| Parkwest Medical Center | Knoxville | $144.30 | $27.91 – $432.90 |