Vaccine tdap >=7 years im 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

$736.68

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.

Full explanation →

What you pay up front if you don't use insurance.

$736.68

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.

$59.06 with BCBS vs $721.95 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
BCBS NetworkP $59.06 ↓ -92%
Cigna NewBusiness $65.82 ↓ -91%
Cigna OAP $74.84 ↓ -90%
United CorePayer $105.18 ↓ -86%
United AllPayerAppendix $105.18 ↓ -86%
United HeritageSelect $105.18 ↓ -86%
Aetna MGMCRHMO $110.50 ↓ -85%
Aetna MGMCRPPO $110.50 ↓ -85%
Aetna MGMCRSNP $110.50 ↓ -85%
Kentucky Labor Cabinet WORKERSCOMP $135.62 ↓ -82%
Ambetter Select $170.91 ↓ -77%
United OptionsPPO $181.96 ↓ -75%
Humana TRICARE $184.17 ↓ -75%
Cigna PPO $240.16 ↓ -67%
Centurion PRISON $303.51 ↓ -59%
United GlobalBenefitPlan $331.51 ↓ -55%
Signature Advantage MCR $368.34 ↓ -50%
Aetna NAP $368.34 ↓ -50%
BGFH SingleSource DIRECTNETWORK $368.34 ↓ -50%
Humana BH COMM $478.84 ↓ -35%
Employers Health Network COMM $515.68 ↓ -30%
Odom's TN Pride Sausage WORKERSCOMP $552.51 ↓ -25%
Multiplan COMM $604.08 ↓ -18%
BGFH SingleSource LEASEDNETWORK $626.18 ↓ -15%
Beech Street COMM $648.28 ↓ -12%
Prime Health COMMPPO $648.28 ↓ -12%
TriWest Healthcare FED $721.95 ↓ -2%

Visitor-reported prices

visitor-reported
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Vaccine tdap >=7 years im at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $101.06 $46.71 – $81.74
CHI Memorial Hospital Hixson Hixson $60.63 $40.97 – $143.38
CHI Memorial Hospital Chattanooga Chattanooga $86.64 $43.02 – $143.38
Johnson City Medical Center JOHNSON CITY $79.54 $1.00 – $33.60
Ascension Saint Thomas DeKalb Smithville $101.06 $46.71 – $81.74
Ascension Saint Thomas Highlands Sparta $101.06 $46.71 – $81.74
Ascension Saint Thomas River Park McMinnville $101.06 $46.71 – $81.74
Ascension Saint Thomas Rutherford Murfreesboro $101.06 $46.71 – $81.74

All Tennessee hospitals for this procedure →