SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| CT limited or localized follow-up study CPT 76380 | $3,664.47 | $3,664.47 | $83.86 – $459.25 | 4 |
| CT lower extremity w/contrast (both sides) CPT 73701 | not published | not published | $215.84 – $459.25 | 4 |
| CT lower extremity without contrast (both sides) CPT 73700 | not published | not published | $154.52 – $459.25 | 4 |
| Ctlso a-p-l control molded HCPCS L0700 | not published | not published | $1,915.42 – $3,910.66 | 21 |
| Ctlso a-p-l control with inter HCPCS L0710 | not published | not published | $2,090.81 – $4,268.73 | 21 |
| Ctlso axilla sling HCPCS L1010 | not published | not published | $67.64 – $138.11 | 21 |
| Ctlso milwauke initial model HCPCS L1000 | not published | not published | $1,679.74 – $3,429.47 | 21 |
| CT lwr extremity w/o&w/dye CPT 73702 | not published | not published | $226.72 – $459.25 | 4 |
| CT neck soft tissue w/contrast CPT 70491 | $8,091.33 | $8,091.33 | $214.61 – $459.25 | 4 |
| CT neck soft tissue without contrast CPT 70490 | $8,091.33 | $8,091.33 | $154.52 – $459.25 | 4 |
| CT neck soft tissue without & w/contrast CPT 70492 | $9,529.30 | $9,529.30 | $268.34 – $459.25 | 4 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $10,640.55 | $10,640.55 | $236.12 – $459.25 | 4 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $8,091.33 | $8,091.33 | $209.20 – $459.25 | 4 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $8,091.33 | $8,091.33 | $154.52 – $459.25 | 4 |
| CT scan for localization CPT 77011 | $11,023.73 | $11,023.73 | $237.16 – $459.25 | 3 |
| CT scan for therapy guide CPT 77014 | not published | not published | $172.24 – $172.24 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $19,179.61 | $19,179.61 | $341.20 – $459.25 | 4 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $18,017.96 | $18,017.96 | $258.53 – $459.25 | 4 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $16,563.85 | $16,563.85 | $135.49 – $459.25 | 4 |
| CT thoracic spine w/contrast CPT 72129 | $8,091.33 | $8,091.33 | $227.96 – $459.25 | 4 |
| CT thoracic spine without contrast CPT 72128 | $8,091.33 | $8,091.33 | $154.52 – $459.25 | 4 |
| CT thorax low dose for lung screening without contrast CPT 71271 | not published | not published | $94.72 – $459.25 | 4 |
| CT t-spine w /wo contrast CPT 72130 | $9,884.26 | $9,884.26 | $236.12 – $459.25 | 4 |
| CT upper extremity w/contrast (both sides) CPT 73201 | not published | not published | $214.60 – $459.25 | 4 |
| CT upper extremity without contrast (both sides) CPT 73200 | not published | not published | $154.52 – $459.25 | 4 |
| CT uppr extremity w/o&w/dye CPT 73202 | not published | not published | $226.72 – $459.25 | 4 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $866.42 – $1,768.94 | 21 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $149.16 – $3,780.80 | 5 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $149.16 – $3,932.68 | 5 |
| Culture aerobic additional method definitive id each CPT 87077 | not published | not published | $3.64 – $24.24 | 24 |
| Culture afb any source CPT 87116 | $48.60 | $48.60 | $4.86 – $32.40 | 24 |
| Culture anaerobic additional method definitive id each CPT 87076 | $39.87 | $39.87 | $3.64 – $24.24 | 24 |
| Culture anaerobic except blood CPT 87075 | $664.71 | $664.71 | $4.26 – $28.41 | 24 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $4.35 – $28.98 | 24 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $13.37 – $18.84 | 3 |
| Culture bact stool aero addl path ea CPT 87046 | $1,271.73 | $1,271.73 | $3.84 – $28.32 | 24 |
| Culture body fluid CPT 87070 | not published | not published | $3.88 – $25.86 | 24 |
| Culture fungi definitive id mold CPT 87107 | $39.87 | $39.87 | $4.64 – $30.96 | 24 |
| Culture fungi definitive id yeast CPT 87106 | $39.87 | $39.87 | $4.64 – $30.96 | 24 |
| Culture fungi other (except blood) CPT 87102 | $944.38 | $944.38 | $3.78 – $25.23 | 24 |
| Culture fungi skin/hair/nail CPT 87101 | not published | not published | $3.47 – $23.13 | 24 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $39.87 | $39.87 | $6.57 – $43.83 | 24 |
| Culture mycoplasma any source CPT 87109 | $664.71 | $664.71 | $6.93 – $46.17 | 24 |
| Culture of specimen by kit CPT 87084 | not published | not published | $11.75 – $81.21 | 24 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $4.45 – $29.67 | 24 |
| Culture screening strep group a CPT 87081 | not published | not published | $2.98 – $19.89 | 24 |
| Culture type pulse field gel CPT 87152 | not published | not published | $3.48 – $23.22 | 24 |
| Culture typing added method CPT 87158 | $87.25 | $87.25 | $3.48 – $23.22 | 24 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $5.63 – $37.56 | 24 |
| Culture typing immunologic CPT 87147 | $23.31 | $23.31 | $2.33 – $15.54 | 24 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $98.13 – $654.18 | 24 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $15.79 – $105.27 | 24 |
| Culture urine each isolate CPT 87088 | $36.40 | $36.40 | $3.64 – $24.27 | 24 |
| Culture virus isolation CPT 87250 | not published | not published | $8.80 – $58.68 | 24 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $1,172.53 – $2,393.91 | 21 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $1,172.53 – $2,393.91 | 21 |
| Custom glove for term device HCPCS L6895 | not published | not published | $551.53 – $1,126.05 | 21 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $844.24 – $1,723.65 | 21 |
| Custom shape cover bk HCPCS L5704 | not published | not published | $472.48 – $964.64 | 21 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $1,091.00 – $2,227.46 | 21 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $827.56 – $1,689.60 | 21 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $57.67 – $3,807.00 | 2 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $39.05 – $3,807.00 | 2 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $6.44 – $42.96 | 24 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $24.31 | $24.31 | $0.82 – $1.70 | 3 |
| Cyclic citrullinated peptide antibody CPT 86200 | $316.30 | $316.30 | $5.83 – $38.85 | 24 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.97 – $1.56 | 3 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $1.19 – $4.82 | 2 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $279.72 | $279.72 | $49.46 – $195.25 | 2 |
| Cyclosporine 2 hour CPT 80158 | $919.14 | $919.14 | $8.12 – $54.15 | 24 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.99 – $1.40 | 2 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $2.72 – $4.80 | 2 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $336.92 – $338.77 | 2 |
| Cygnus, per sq cm HCPCS Q4170 | $1,818.00 | $1,818.00 | $65.46 – $336.92 | 2 |
| Cymetra injectable HCPCS Q4112 | not published | not published | $1,081.38 – $1,081.38 | 1 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $131.11 – $874.08 | 24 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $58.90 – $524.43 | 24 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $58.90 – $1,352.73 | 24 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $78.66 – $524.43 | 24 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $78.66 – $524.43 | 24 |
| Cystatin c CPT 82610 | not published | not published | $8.33 – $55.56 | 24 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $224.55 – $1,497.00 | 24 |
| Cystine urine quantitative CPT 82131 | $103.41 | $103.41 | $10.34 – $68.94 | 24 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $1,641.91 | $1,641.91 | $22.88 – $341.20 | 5 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $44.50 | $44.50 | $0.94 – $2.23 | 3 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $779.18 – $779.18 | 1 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $539.07 – $3,593.82 | 24 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $19.07 – $127.14 | 24 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $18.32 – $122.10 | 24 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $522.00 – $3,480.00 | 24 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $123.00 – $2,700.00 | 24 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $1,263.53 – $5,589.66 | 23 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $5.39 – $35.94 | 24 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $919.14 | $919.14 | $6.48 – $43.17 | 24 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $1,549.49 | $1,549.49 | $7.58 – $50.55 | 24 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $6.04 – $40.26 | 24 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $2,215.44 – $4,792.07 | 3 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $13.51 – $90.09 | 24 |
| Cyto/molecular report CPT 88291 | not published | not published | $25.11 – $125.32 | 5 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $11.42 – $76.11 | 24 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.