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 |
|---|---|---|---|---|
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $32.97 – $67.31 | 21 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $10.95 – $22.36 | 21 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $65.25 – $133.23 | 21 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $32.97 – $67.31 | 21 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $1,022.43 | $1,022.43 | $82.62 – $356.44 | 5 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $105.28 – $279.68 | 5 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $885.83 | $885.83 | $72.18 – $356.44 | 22 |
| Diagnostic Mammogram (one breast) CPT 77065 | not published | not published | $56.31 – $279.68 | 22 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $83.86 – $310.33 | 2 |
| Dialysis one evaluation CPT 90945 | not published | not published | $116.16 – $116.16 | 1 |
| Dialysis repeated eval CPT 90947 | not published | not published | $195.98 – $195.98 | 1 |
| Dialysis training complete CPT 90989 | not published | not published | $405.87 – $405.87 | 1 |
| Diathermy eg microwave CPT 97024 | not published | not published | $4.85 – $9.91 | 21 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $471.23 | $471.23 | $0.09 – $0.19 | 2 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $172.78 | $172.78 | $6.75 – $17.73 | 3 |
| Dicyclomine injection HCPCS J0500 | $753.97 | $753.97 | $15.72 – $30.02 | 3 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.28 – $0.74 | 3 |
| Diffusing capacity CPT 94729 | $490.17 | $490.17 | $51.18 – $51.18 | 1 |
| Digital analysis of eeg CPT 95957 | not published | not published | $74.17 – $74.17 | 1 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $5.96 – $25.36 | 3 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $22,823.85 | $22,823.85 | $5,924.03 – $13,692.52 | 3 |
| Digoxin total therapeutic drug level CPT 80162 | $848.09 | $848.09 | $5.98 – $39.84 | 24 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $562.33 | $562.33 | $58.42 – $151.26 | 3 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.04 – $0.08 | 2 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $67.65 – $67.70 | 2 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $2.44 – $10.47 | 3 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $873.85 – $1,985.46 | 3 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.03 – $3.76 | 2 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $146.04 | $146.04 | $0.80 – $1.88 | 3 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $153.20 | $153.20 | $11.77 – $91.79 | 3 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $4.69 – $22.29 | 3 |
| Direct advanced life support CPT 99288 | not published | not published | $77.07 – $77.07 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $8.54 – $8.54 | 1 |
| Disability dlco CPT 94727 | $322.98 | $322.98 | $33.81 – $33.81 | 1 |
| Disaccharidases CPT 82657 | not published | not published | $9.98 – $66.51 | 24 |
| Discography cerv/thor spine CPT 72285 | $5,966.84 | $5,966.84 | $48.10 – $2,174.18 | 5 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $62.59 – $127.79 | 21 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $168.92 – $344.88 | 21 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $452.86 – $452.86 | 1 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.01 – $86.44 | 2 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $125.55 – $837.00 | 24 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $123.67 – $824.49 | 24 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $61.65 – $411.00 | 24 |
| Dna antibody native/double stranded CPT 86225 | not published | not published | $6.18 – $41.22 | 24 |
| Dna gardnerella CPT 87510 | not published | not published | $9.02 – $60.15 | 24 |
| Dna probe chlamydia CPT 87490 | $1,764.96 | $1,764.96 | $10.24 – $68.25 | 24 |
| Dna probe gc CPT 87590 | $522.60 | $522.60 | $12.10 – $80.64 | 24 |
| Dna trichomonas CPT 87660 | not published | not published | $9.02 – $60.15 | 24 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $9.40 – $21.25 | 3 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.76 – $1.72 | 3 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $63.12 – $131.86 | 2 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $7.65 – $9.73 | 2 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $76.28 – $151.37 | 2 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.86 – $2.12 | 3 |
| Doppler echo complete CPT 93320 | $2,141.54 | $2,141.54 | $75.83 – $3,807.00 | 2 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $85.03 – $85.03 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $3,706.72 | $3,706.72 | $97.28 – $346.44 | 2 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | not published | not published | $51.46 – $223.16 | 2 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $1.09 – $1.09 | 1 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $66.27 – $146.17 | 2 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $16,875.29 – $34,453.71 | 21 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $73.29 – $149.63 | 21 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $293.22 – $655.72 | 3 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $8,042.52 | $8,042.52 | $3.85 – $7.37 | 3 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $168.92 – $275.63 | 3 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $31.32 | $31.32 | $0.14 – $0.27 | 2 |
| Dpyd gene common variants CPT 81232 | not published | not published | $78.66 – $524.43 | 24 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $17.62 – $35.97 | 21 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $78.43 – $160.13 | 21 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $2.78 – $5.67 | 21 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $457.11 – $457.11 | 1 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $64.38 – $336.92 | 2 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $80,282.16 – $163,909.41 | 21 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $3.33 – $3.58 | 2 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $257.59 | $257.59 | $11.62 – $19.03 | 3 |
| Drop lock knee HCPCS L2182 | not published | not published | $75.84 – $154.84 | 21 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $34.96 – $71.38 | 21 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $15.33 – $336.92 | 2 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $14.62 – $336.92 | 2 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $9.72 – $336.92 | 2 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $11.22 – $22.92 | 21 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $187.57 – $336.92 | 2 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $30.24 – $336.92 | 2 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $61.42 – $336.92 | 2 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | not published | not published | $336.92 – $336.92 | 1 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $255.07 – $336.92 | 2 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $121.92 – $121.92 | 1 |
| Drug assay caffeine CPT 80155 | not published | not published | $17.36 – $115.71 | 24 |
| Drug assay posaconazole CPT 80187 | not published | not published | $12.20 – $81.33 | 24 |
| Drug assay rufinamide CPT 80210 | not published | not published | $12.20 – $81.33 | 24 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $17.36 – $115.71 | 24 |
| Drug assay voriconazole CPT 80285 | $122.00 | $122.00 | $12.20 – $81.33 | 24 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $8.39 – $55.92 | 24 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $5.67 – $37.80 | 24 |
| Drug screening tapentadol CPT 80372 | not published | not published | $0.01 – $86.44 | 2 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $12.20 – $81.33 | 24 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $0.01 – $86.44 | 2 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $89.43 – $596.22 | 23 |
| Drug test def 1-7 classes HCPCS G0480 | $2,361.00 | $2,361.00 | $51.49 – $343.29 | 23 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $111.11 – $740.76 | 23 |
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.