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 |
|---|---|---|---|---|
| Salivary gland function exam CPT 78232 | not published | not published | $70.54 – $471.74 | 5 |
| Salivary gland imaging CPT 78230 | not published | not published | $82.52 – $471.74 | 5 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $83.76 – $471.74 | 5 |
| Salmonella antibody CPT 86768 | not published | not published | $5.94 – $39.57 | 24 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $91.48 – $91.48 | 1 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $1.54 – $1.54 | 1 |
| Sargramostim injection HCPCS J2820 | not published | not published | $73.21 – $163.64 | 3 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $23.14 – $154.29 | 24 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $171.40 – $508.59 | 3 |
| Sarscov coronavirus ag ia CPT 87426 | $33.96 | $33.96 | $15.90 – $105.99 | 24 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $386.00 | $386.00 | $31.63 – $210.87 | 24 |
| Sbrt management CPT 77435 | not published | not published | $587.72 – $2,443.32 | 3 |
| Sbrt w/positron emission del HCPCS G0563 | not published | not published | $3,675.49 – $13,218.01 | 2 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $166.87 – $166.87 | 1 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $4,671.65 | $4,671.65 | $157.11 – $658.54 | 2 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | not published | not published | $157.11 – $383.79 | 2 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | not published | not published | $157.11 – $450.95 | 2 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | not published | not published | $157.11 – $297.79 | 2 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $2,197.27 | $2,197.27 | $157.11 – $318.06 | 2 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | not published | not published | $157.11 – $310.59 | 2 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | not published | not published | $157.11 – $636.12 | 2 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | not published | not published | $157.11 – $380.59 | 2 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | not published | not published | $157.11 – $317.00 | 2 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $3,858.03 – $7,876.80 | 21 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $7.99 – $55.62 | 23 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $21.98 – $31.07 | 3 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $14.37 – $95.82 | 23 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $19.79 – $131.91 | 23 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $11.92 – $79.47 | 23 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $12.17 – $81.15 | 23 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $9.12 – $60.78 | 23 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $21.98 – $31.07 | 3 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $8.12 – $54.15 | 23 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $12.72 – $84.81 | 23 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $19.44 – $139.05 | 23 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $10.84 – $72.24 | 23 |
| Screening Mammogram CPT 77067 | not published | not published | $59.59 – $295.03 | 22 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $16.26 – $21.98 | 2 |
| Screening prostate cancer PSA HCPCS G0103 | $964.98 | $964.98 | $8.69 – $57.93 | 23 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $7.99 – $55.62 | 23 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $81.29 – $81.29 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $586.78 | $586.78 | $1.22 – $8.10 | 24 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,915.72 – $7,697.35 | 2 |
| Select picture audiometry CPT 92583 | not published | not published | $39.95 – $39.95 | 1 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $0.81 – $1.65 | 21 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $28.19 – $28.19 | 1 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $20.60 – $20.60 | 1 |
| Semen analysis HCPCS G0027 | not published | not published | $2.93 – $19.50 | 23 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $5.42 – $36.15 | 24 |
| Semen analysis w/count CPT 89310 | not published | not published | $3.87 – $25.83 | 24 |
| Sensorimotor examination CPT 92060 | not published | not published | $8.11 – $8.11 | 1 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $13.31 – $13.31 | 1 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $83.67 – $576.00 | 24 |
| Serial tonometry CPT 92100 | not published | not published | $55.74 – $55.74 | 1 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $2.23 – $3.55 | 2 |
| Serpina1 gene CPT 81332 | not published | not published | $19.64 – $130.95 | 24 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $0.01 – $86.44 | 2 |
| Set radiation therapy field CPT 77280 | $2,287.48 | $2,287.48 | $131.71 – $736.15 | 4 |
| Set radiation therapy field CPT 77285 | not published | not published | $211.43 – $1,240.64 | 4 |
| Set radiation therapy field CPT 77290 | $4,470.88 | $4,470.88 | $246.85 – $1,144.22 | 4 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.27 – $0.27 | 1 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.82 – $0.82 | 1 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $1,360.32 – $2,777.32 | 21 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $1,606.08 – $3,279.07 | 21 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $1,524.51 – $3,112.53 | 21 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $1,360.32 – $2,777.32 | 21 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $1,606.08 – $3,279.07 | 21 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $1,606.08 – $3,279.07 | 21 |
| Sewho cap design without jnts cf HCPCS L3961 | not published | not published | $1,360.32 – $2,777.32 | 21 |
| Sewho cap design w/jnt(s) cf HCPCS L3971 | not published | not published | $1,524.51 – $3,112.53 | 21 |
| Sewho erbs palsey design abd HCPCS L3962 | not published | not published | $694.89 – $1,418.73 | 21 |
| Sex chromatin identification CPT 88130 | not published | not published | $8.09 – $53.94 | 24 |
| Sex chromatin identification CPT 88140 | not published | not published | $3.60 – $23.97 | 24 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $86.96 – $579.75 | 24 |
| Sheath above knee HCPCS L8410 | not published | not published | $19.01 – $38.81 | 21 |
| Sheath below knee HCPCS L8400 | not published | not published | $16.71 – $34.12 | 21 |
| Sheath upper limb HCPCS L8415 | not published | not published | $18.89 – $38.57 | 21 |
| Shigella antibody CPT 86771 | not published | not published | $11.02 – $73.44 | 24 |
| Shlder disart int lock elbow HCPCS L6300 | not published | not published | $3,283.98 – $6,704.80 | 21 |
| Shldr disar prosth tiss shap HCPCS L6550 | not published | not published | $3,436.28 – $7,015.74 | 21 |
| Shldr disartic myoelectronic HCPCS L6965 | not published | not published | $12,718.73 – $25,967.40 | 21 |
| Shoe clubfoot wedge HCPCS L3380 | not published | not published | $44.14 – $90.11 | 21 |
| Shoe dennis browne splint bo HCPCS L3640 | not published | not published | $38.46 – $78.51 | 21 |
| Shoe heel new leather standa HCPCS L3455 | not published | not published | $36.22 – $73.96 | 21 |
| Shoe heel new rubber standar HCPCS L3460 | not published | not published | $30.54 – $62.34 | 21 |
| Shoe heel pad & depress for HCPCS L3480 | not published | not published | $55.43 – $113.18 | 21 |
| Shoe heel sach cushion type HCPCS L3450 | not published | not published | $93.89 – $191.69 | 21 |
| Shoe heel thomas extend to b HCPCS L3470 | not published | not published | $55.43 – $113.18 | 21 |
| Shoe heel thomas with wedge HCPCS L3465 | not published | not published | $52.04 – $106.25 | 21 |
| Shoe lift elev heel/sole neo HCPCS L3310 | $577.00 | $577.00 | $72.42 – $147.85 | 21 |
| Shoe metatarsal bar between HCPCS L3410 | not published | not published | $82.61 – $168.67 | 21 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | not published | not published | $36.22 – $73.96 | 21 |
| Shoe outflare wedge HCPCS L3390 | not published | not published | $44.14 – $90.11 | 21 |
| Shoe sole wedge between sole HCPCS L3370 | not published | not published | $44.14 – $90.11 | 21 |
| Shoe sole wedge outside sole HCPCS L3360 | not published | not published | $31.68 – $64.68 | 21 |
| Shoe wedge sach HCPCS L3340 | not published | not published | $75.84 – $154.84 | 21 |
| Sho heel count plast reinfor HCPCS L3430 | not published | not published | $142.56 – $291.06 | 21 |
| Sho insert w arch toe filler HCPCS L5000 | not published | not published | $466.49 – $952.41 | 21 |
| Sho lift taper to metatarsal HCPCS L3300 | not published | not published | $46.38 – $94.68 | 21 |
| Shoulder abduction joint pai HCPCS L6640 | not published | not published | $294.18 – $600.63 | 21 |
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.