X-ray exam of arm infant 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.
$18.15 with BCBS vs $1,080.87 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 | $18.15 | — |
| BCBS | TENNCARE | $19.04 | — |
| BCBS | COVERKIDS | $20.60 | — |
| Humana | HumanaChoiceCare | $30.24 | — |
| Humana | NarrowExchangeNetwork | $30.24 | — |
| Humana | BroadNetwork | $30.24 | — |
| Humana | HumanaChoice | $30.24 | — |
| BCBS | BlueCare | $37.80 | — |
| Aetna | COMM | $42.07 | — |
| Aetna | NewBusiness | $42.07 | — |
| Cigna | NewBusiness | $75.29 | — |
| Cigna | OAP | $85.52 | — |
| United | AllPayerAppendix | $154.52 | — |
| United | CorePayer | $154.52 | — |
| United | HeritageSelect | $154.52 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $203.05 | — |
| Pruitt Health (AllyAlign) | MCR | $209.56 | — |
| NHC Advantage, Inc. | MCRHMO | $209.56 | — |
| United | OptionsPPO | $272.42 | — |
| Humana | TRICARE | $275.73 | — |
| Cigna | PPO | $359.56 | — |
| Centurion | PRISON | $454.41 | — |
| United | GlobalBenefitPlan | $496.32 | — |
| BGFH SingleSource | DIRECTNETWORK | $551.47 | — |
| Aetna | NAP | $551.47 | — |
| Humana BH | COMM | $716.90 | — |
| Employers Health Network | COMM | $772.05 | — |
| MHNet | COMM | $827.20 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $827.20 | — |
| Multiplan | COMM | $904.40 | — |
| BGFH SingleSource | LEASEDNETWORK | $937.49 | — |
| Prime Health | COMMPPO | $970.58 | — |
| Beech Street | COMM | $970.58 | — |
| TriWest Healthcare | FED | $1,080.87 | — |
Visitor-reported prices
Comments
X-ray exam of arm infant at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $14.21 – $179.33 |
| CHI Memorial Hospital Hixson | Hixson | $54.76 | $21.15 – $129.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $68.08 | $14.21 – $194.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $78.26 | $21.15 – $129.50 |
| Johnson City Medical Center | JOHNSON CITY | $96.15 | $16.48 – $212.67 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $64.49 | $14.21 – $179.33 |
| Hancock County Hospital | SNEEDVILLE | $94.53 | $16.48 – $161.01 |
| Greeneville Community Hospital | GREENEVILLE | $96.15 | $16.13 – $212.67 |