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 |
|---|---|---|---|---|
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $14.45 – $29.50 | 21 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,267.58 – $2,587.98 | 21 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.69 – $1.78 | 2 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $7.91 – $7.91 | 1 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $891.53 – $891.53 | 1 |
| Pertussis ag if CPT 87265 | not published | not published | $5.39 – $35.94 | 24 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $19.78 – $45.08 | 3 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $77.02 – $161.54 | 3 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $52.53 – $107.25 | 21 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $21.12 – $43.13 | 21 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $443.36 – $2,672.00 | 4 |
| Pet CT whole body initial CPT 78816 | not published | not published | $448.52 – $2,672.00 | 4 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $269.08 – $2,672.00 | 4 |
| Pet image full body CPT 78813 | not published | not published | $353.24 – $2,672.00 | 4 |
| Pet image ltd area CPT 78811 | not published | not published | $277.20 – $2,672.00 | 4 |
| Pet image skull-thigh CPT 78812 | not published | not published | $350.40 – $2,672.00 | 4 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $399.56 – $2,672.00 | 4 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $385.11 – $509.11 | 2 |
| Pet scan brain perf study CPT 78609 | not published | not published | $72.78 – $2,672.00 | 3 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $17.31 – $35.34 | 21 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $24.20 – $49.41 | 21 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $9.42 – $19.23 | 21 |
| Ph body fluid CPT 83986 | not published | not published | $1.61 – $10.74 | 24 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $0.01 – $133.36 | 5 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $35.99 – $77.06 | 3 |
| Phenobarbital therapeutic drug level CPT 80184 | $1,042.93 | $1,042.93 | $6.89 – $45.90 | 24 |
| Phentolaine mesylate inj HCPCS J2760 | $1,489.11 | $1,489.11 | $495.17 – $1,114.48 | 3 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.01 – $0.03 | 2 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $141.60 – $258.48 | 3 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.62 – $1.59 | 3 |
| Phenytoin total therapeutic drug level CPT 80185 | $1,042.93 | $1,042.93 | $5.96 – $39.75 | 24 |
| Phlebotomy therapeutic CPT 99195 | not published | not published | $19.46 – $19.46 | 1 |
| Phosphorus CPT 84100 | $391.94 | $391.94 | $2.13 – $14.22 | 24 |
| Phosphorus 24 hour urine CPT 84105 | $522.60 | $522.60 | $2.60 – $17.34 | 24 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $25.80 – $25.80 | 1 |
| Photochemotherapy puva CPT 96912 | not published | not published | $29.51 – $29.51 | 1 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $29.14 – $29.14 | 1 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $47.46 – $47.46 | 1 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $91.31 – $91.31 | 1 |
| Photo patch test CPT 95052 | not published | not published | $10.73 – $10.73 | 1 |
| Photosensitivity tests CPT 95056 | not published | not published | $7.66 – $7.66 | 1 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $30.22 – $202.68 | 5 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $38.14 – $202.68 | 5 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $24.67 – $202.68 | 5 |
| Physician standby services CPT 99360 | not published | not published | $101.21 – $101.21 | 1 |
| Phys review of motion tests CPT 96004 | not published | not published | $112.07 – $112.07 | 1 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | not published | $2.99 – $7.45 | 3 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $733.97 – $918.20 | 3 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $123.67 – $824.49 | 24 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | not published | $667.38 – $1,362.56 | 21 |
| Pinworm exam CPT 87172 | $306.96 | $306.96 | $1.92 – $12.81 | 24 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $1.92 – $12.81 | 23 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | not published | not published | $1.37 – $2.89 | 3 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $260.77 – $1,738.44 | 24 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $1,340.89 – $1,340.89 | 1 |
| Place endorectal app HCPCS C9725 | not published | not published | $893.48 – $893.48 | 1 |
| Placental lactogen CPT 83632 | not published | not published | $9.10 – $60.66 | 24 |
| Plaelet rich plasma unit HCPCS P9020 | not published | not published | $257.27 – $257.27 | 1 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $66.90 – $66.90 | 1 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $28.48 – $28.48 | 1 |
| Plasma volume multiple CPT 78111 | not published | not published | $36.08 – $1,623.62 | 5 |
| Plasma volume single CPT 78110 | not published | not published | $30.68 – $1,623.62 | 5 |
| Plas shoe insert w ank joint HCPCS L2180 | not published | not published | $96.90 – $197.83 | 21 |
| Plastic mod low ext pad/line HCPCS L2275 | not published | not published | $108.12 – $220.74 | 21 |
| Plastic mold recipro hip & c HCPCS L2627 | not published | not published | $1,421.08 – $2,901.37 | 21 |
| Plast socket jts/thgh lacer HCPCS L5105 | not published | not published | $3,062.14 – $6,251.87 | 21 |
| Platelet aggregation each agent teg CPT 85576 | not published | not published | $11.21 – $74.73 | 24 |
| Platelet automated CPT 85049 | $641.79 | $641.79 | $2.02 – $13.44 | 24 |
| Platelet pheresis each unit HCPCS P9034 | $2,267.36 | $2,267.36 | $327.24 – $327.24 | 1 |
| Platelet pheresis irr ea HCPCS P9036 | not published | not published | $620.14 – $620.14 | 1 |
| Platelets each unit HCPCS P9019 | $820.11 | $820.11 | $90.13 – $90.13 | 1 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | not published | not published | $654.47 – $654.47 | 1 |
| Platelets irradiated ea unit HCPCS P9032 | not published | not published | $61.78 – $61.78 | 1 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $350.00 | $350.00 | $185.80 – $185.80 | 1 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | not published | not published | $437.18 – $437.18 | 1 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | not published | not published | $243.41 – $243.41 | 1 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | not published | not published | $1,115.20 – $1,115.20 | 1 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $2,267.36 | $2,267.36 | $846.28 – $846.28 | 1 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | not published | not published | $731.59 – $731.59 | 1 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $2,267.36 | $2,267.36 | $1,094.12 – $1,094.12 | 1 |
| Platelet survival CPT 78191 | not published | not published | $98.72 – $471.74 | 5 |
| Plating chrome/nickel pr bar HCPCS L2750 | not published | not published | $69.16 – $141.19 | 21 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $131.11 – $874.08 | 24 |
| Plerixafor injection HCPCS J2562 | not published | not published | $30.53 – $157.99 | 3 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $1,224.21 | $1,224.21 | $46.78 – $46.78 | 1 |
| Plug insert indwelling 16f HCPCS L8511 | not published | not published | $64.84 – $132.37 | 21 |
| Pm device progr eval dual CPT 93280 | not published | not published | $25.14 – $3,807.00 | 2 |
| Pm device progr eval multi CPT 93281 | not published | not published | $29.46 – $3,807.00 | 2 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $93.29 – $621.93 | 24 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $123.00 – $2,275.08 | 24 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $123.00 – $2,308.74 | 24 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $20.97 – $139.80 | 24 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $46.79 – $3,807.00 | 2 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $58.90 – $610.50 | 24 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $304.43 – $2,029.50 | 24 |
| Pms2 known familial variants CPT 81318 | not published | not published | $58.90 – $993.00 | 24 |
| Pneum full leg splnt pre ots HCPCS L4370 | not published | not published | $156.20 – $318.90 | 21 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $27.75 – $137.28 | 5 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | not published | not published | $11.73 – $78.21 | 24 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $161.15 – $362.44 | 3 |
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.