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 |
|---|---|---|---|---|
| Replc sockt shldr dis/interc HCPCS L6885 | not published | not published | $3,105.06 – $6,339.51 | 21 |
| Repl cushions for jaw motion HCPCS E1701 | not published | not published | $10.88 – $22.21 | 21 |
| Repl girdle milwaukee orth HCPCS L4000 | not published | not published | $1,079.33 – $2,203.63 | 21 |
| Repl leath cuff kafo-afo cal HCPCS L4110 | not published | not published | $70.16 – $143.25 | 21 |
| Repl leath cuff kafo prox th HCPCS L4100 | not published | not published | $88.29 – $180.27 | 21 |
| Repl met band kafo-afo calf/ HCPCS L4090 | not published | not published | $78.28 – $159.82 | 21 |
| Repl met band kafo-afo prox HCPCS L4080 | not published | not published | $88.44 – $180.56 | 21 |
| Repl trach puncture dilator HCPCS L8514 | not published | not published | $84.05 – $171.61 | 21 |
| Repl zinc air battery HCPCS L8621 | not published | not published | $0.55 – $1.13 | 21 |
| Repriza, 1cm HCPCS Q4143 | not published | not published | $42.06 – $336.92 | 2 |
| Reprogram cochlear implt <7 CPT 92602 | not published | not published | $103.70 – $103.70 | 1 |
| Reprogram cochlear implt 7/> CPT 92604 | not published | not published | $67.74 – $67.74 | 1 |
| Reptilase test CPT 85635 | not published | not published | $4.43 – $29.55 | 24 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | not published | not published | $12.51 – $29.49 | 3 |
| Respirator motion mgmt simul CPT 77293 | $3,317.93 | $3,317.93 | $312.91 – $949.04 | 4 |
| #resp virpnl dfa-adenovirus CPT 87260 | not published | not published | $6.49 – $43.29 | 24 |
| #resp virpnl dfa-parainfluenza CPT 87279 | not published | not published | $7.39 – $49.29 | 24 |
| Resp virus 6-11 targets CPT 87632 | not published | not published | $98.13 – $654.18 | 24 |
| Restorigin 1 sq cm HCPCS Q4191 | not published | not published | $336.92 – $1,804.05 | 2 |
| Resuscitation cardiopulmonary CPT 92950 | not published | not published | $290.07 – $290.07 | 1 |
| Resuscitation delivery/birthing room CPT 99465 | not published | not published | $176.12 – $176.12 | 1 |
| Reteplase injection HCPCS J2993 | not published | not published | $3,625.25 – $7,697.14 | 3 |
| Reticulated platelet assay CPT 85055 | not published | not published | $16.08 – $107.22 | 24 |
| Reticulocyte automated CPT 85045 | $391.94 | $391.94 | $1.80 – $11.97 | 24 |
| Reticulocyte direct measurement automated CPT 85046 | $391.94 | $391.94 | $2.51 – $16.71 | 24 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | not published | not published | $36.35 – $80.90 | 3 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $8.82 – $58.77 | 24 |
| Reusable nipple prosthesis HCPCS L8032 | not published | not published | $34.91 – $71.28 | 21 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | not published | not published | $0.22 – $0.53 | 2 |
| Revise kneecap with implant CPT 27438 | not published | not published | $13,548.88 – $15,396.45 | 3 |
| Revise reconst elbow joint CPT 24370 | not published | not published | $13,548.88 – $18,475.74 | 5 |
| Revise reconst elbow joint CPT 24371 | not published | not published | $18,503.74 – $25,232.37 | 5 |
| Revision of knee joint CPT 27440 | not published | not published | $13,548.88 – $15,396.45 | 3 |
| Revision of knee joint CPT 27441 | not published | not published | $13,548.88 – $15,396.45 | 3 |
| Revision of knee joint CPT 27442 | not published | not published | $13,548.88 – $15,396.45 | 3 |
| Revision of knee joint CPT 27443 | not published | not published | $13,548.88 – $15,396.45 | 3 |
| Revision of knee joint CPT 27446 | not published | not published | $13,548.88 – $18,475.74 | 5 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $13,548.88 – $16,012.31 | 4 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $220.88 – $336.92 | 2 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $336.92 – $487.79 | 2 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $12.55 – $28.67 | 3 |
| Rheumatoid factor qualitative CPT 86430 | $401.12 | $401.12 | $2.76 – $18.42 | 24 |
| Rheumatoid factor quantitative CPT 86431 | not published | not published | $2.55 – $17.01 | 24 |
| Rh ig IV CPT 90386 | not published | not published | $13.50 – $1,761.59 | 2 |
| Rh ig minidose im CPT 90385 | not published | not published | $28.87 – $212.00 | 3 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $3,851.58 | $3,851.58 | $5.90 – $12.80 | 3 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $28.87 – $60.76 | 3 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $39.74 – $89.86 | 3 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $94.33 – $213.40 | 3 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $115.04 – $348.53 | 2 |
| Rhythm ecg with report CPT 93040 | not published | not published | $18.97 – $3,807.00 | 2 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $72.93 – $148.90 | 21 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $2,624.46 – $7,250.40 | 2 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $284.31 | $284.31 | $0.17 – $0.40 | 2 |
| Right ventric recording CPT 93603 | not published | not published | $74.31 – $74.31 | 1 |
| Rilonacept injection HCPCS J2793 | not published | not published | $32.49 – $89.99 | 2 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $5.23 – $10.67 | 21 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $226.76 – $462.96 | 21 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $133.88 – $273.33 | 21 |
| Ring fx reform 11-13x17mm HCPCS L8610 | not published | not published | $564.62 – $1,152.76 | 21 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $5.23 – $10.67 | 21 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $18.17 – $39.56 | 3 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $12.83 – $29.63 | 3 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $93.46 – $198.14 | 3 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $45.30 – $97.71 | 3 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $41.79 – $79.90 | 3 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $40.45 – $55.39 | 3 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $23.87 – $35.17 | 3 |
| Rocker bottom, contact afo HCPCS L2232 | not published | not published | $85.95 – $175.49 | 21 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $2.18 – $5.30 | 2 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $36.92 – $81.91 | 3 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | not published | not published | $12.85 – $29.28 | 2 |
| Romiplostim injection HCPCS J2796 | not published | not published | $125.00 – $125.00 | 1 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | not published | not published | $13.84 – $32.09 | 3 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | not published | not published | $0.09 – $0.13 | 2 |
| Rotation wrst with cable lock HCPCS L6625 | not published | not published | $535.64 – $1,093.61 | 21 |
| Rotavirus antibody CPT 86759 | not published | not published | $8.20 – $54.69 | 24 |
| Round caliper and plate atta HCPCS L2240 | not published | not published | $69.20 – $141.28 | 21 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $27.92 – $61.96 | 3 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $6,038.96 | $6,038.96 | $132.16 – $672.37 | 5 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $6,887.10 | $6,887.10 | $266.44 – $1,717.27 | 5 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $14,348.12 | $14,348.12 | $381.08 – $2,252.86 | 5 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $18.55 – $18.55 | 1 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $22.50 – $22.50 | 1 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $321.95 – $789.91 | 2 |
| Rsv assay w/optic CPT 87807 | $1,854.36 | $1,854.36 | $5.89 – $39.30 | 24 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $402.75 – $922.20 | 2 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $14.03 – $28.65 | 21 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $33.57 – $68.55 | 21 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $34.01 – $69.44 | 21 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $36.50 – $74.53 | 21 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $28.17 – $57.52 | 21 |
| Rubella antibody igg CPT 86762 | not published | not published | $6.48 – $43.17 | 24 |
| Rubeola ag if CPT 87283 | not published | not published | $15.62 – $182.40 | 24 |
| Rubeola antibody igg CPT 86765 | $664.71 | $664.71 | $5.80 – $38.64 | 24 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $148.28 – $988.53 | 24 |
| Russell viper venom diluted CPT 85613 | $1,166.70 | $1,166.70 | $4.31 – $28.74 | 24 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $412.69 – $2,751.24 | 24 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $179.01 – $365.49 | 21 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $43.31 – $98.00 | 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.