Vital capacity test at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$511.51
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.
$511.51
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.
$3.71 with BCBS vs $501.28 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 | TENNCARE | $3.71 | ↓ -99% |
| BCBS | COVERKIDS | $4.02 | ↓ -99% |
| BCBS | BlueCare | $7.40 | ↓ -99% |
| Bright Health | HIX | $86.96 | ↓ -83% |
| Oscar | HIX | $93.61 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $94.17 | ↓ -82% |
| NHC Advantage, Inc. | MCRHMO | $97.19 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $97.19 | ↓ -81% |
| Ambetter | CORE | $114.07 | ↓ -78% |
| BCBS | NetworkP | $117.65 | ↓ -77% |
| Ambetter | Select | $118.67 | ↓ -77% |
| Bright Health | SmallGroup | $122.76 | ↓ -76% |
| United | OptionsPPO | $126.34 | ↓ -75% |
| Humana | TRICARE | $127.88 | ↓ -75% |
| Cigna | NewBusiness | $128.90 | ↓ -75% |
| Aetna | NewBusiness | $143.22 | ↓ -72% |
| Cigna | OAP | $146.29 | ↓ -71% |
| Cigna | PPO | $166.75 | ↓ -67% |
| Aetna | COMM | $168.80 | ↓ -67% |
| Centurion | PRISON | $210.74 | ↓ -59% |
| United | GlobalBenefitPlan | $230.18 | ↓ -55% |
| Aetna | NAP | $255.75 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $255.75 | ↓ -50% |
| Humana BH | COMM | $332.48 | ↓ -35% |
| Employers Health Network | COMM | $358.06 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $383.63 | ↓ -25% |
| MHNet | COMM | $383.63 | ↓ -25% |
| Multiplan | COMM | $419.44 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $434.78 | ↓ -15% |
| Prime Health | COMMPPO | $450.13 | ↓ -12% |
| Beech Street | COMM | $450.13 | ↓ -12% |
| TriWest Healthcare | FED | $501.28 | ↓ -2% |
Visitor-reported prices
Comments
Vital capacity test at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $102.35 | $2.56 – $209.78 |
| CHI Memorial Hospital Hixson | Hixson | $161.62 | $3.81 – $382.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $230.96 | $3.81 – $382.20 |
| Johnson City Medical Center | JOHNSON CITY | $28.35 | $2.97 – $261.75 |
| Ascension Saint Thomas Highlands | Sparta | $77.82 | $2.56 – $206.75 |
| Greeneville Community Hospital | GREENEVILLE | $28.35 | $2.97 – $261.75 |
| Bristol Regional Medical Center | BRISTOL | $28.35 | $2.97 – $266.10 |
| Franklin Woods Community Hospital | JOHNSON CITY | $28.35 | $3.61 – $254.69 |