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 |
|---|---|---|---|---|
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $353.79 – $722.31 | 21 |
| Shoulder harness HCPCS L5699 | not published | not published | $208.45 – $425.58 | 21 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $462.84 – $944.96 | 21 |
| Shoulder MRI (with and without contrast) CPT 73223 | not published | not published | $400.72 – $1,100.16 | 4 |
| Shoulder MRI (with contrast) CPT 73222 | not published | not published | $304.48 – $920.54 | 4 |
| Shoulder MRI (without contrast) CPT 73221 | not published | not published | $254.04 – $559.65 | 4 |
| Shoulder universal joint HCPCS L6650 | not published | not published | $367.32 – $749.94 | 21 |
| Shoulder X-ray CPT 73030 | not published | not published | $18.79 – $83.86 | 5 |
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $64.32 – $131.32 | 21 |
| Shrinker prosth below knee HCPCS L8440 | $473.00 | $473.00 | $46.21 – $94.34 | 21 |
| Shrinker upper limb HCPCS L8465 | not published | not published | $57.33 – $117.04 | 21 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $3,344.42 | $3,344.42 | $29.95 – $186.24 | 5 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $5.50 – $36.66 | 24 |
| Sialography s&i CPT 70390 | not published | not published | $67.64 – $313.62 | 5 |
| Sickling rbc CPT 85660 | $641.79 | $641.79 | $2.48 – $16.53 | 24 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $51.52 – $3,807.00 | 2 |
| Sildenafil citrate, 25 mg HCPCS S0090 | $169.39 | $169.39 | $0.33 – $0.33 | 1 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $492.93 – $1,006.41 | 21 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $1,322.59 | $1,322.59 | $175.15 – $291.84 | 3 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $154.52 – $154.52 | 1 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $163.26 – $333.32 | 21 |
| Sinus CT scan (with and without contrast) CPT 70488 | $9,884.26 | $9,884.26 | $236.12 – $459.25 | 4 |
| Sinus CT scan (with contrast) CPT 70487 | $8,091.33 | $8,091.33 | $209.20 – $459.25 | 4 |
| Sinus CT scan (without contrast) CPT 70486 | $8,091.33 | $8,091.33 | $154.52 – $459.25 | 4 |
| Sinus/juglr venogram s&i CPT 75860 | $7,472.21 | $7,472.21 | $86.25 – $3,365.20 | 5 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $215.11 – $439.18 | 21 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $98.73 – $201.58 | 21 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $68,835.85 – $144,170.89 | 3 |
| Sirolimus, oral HCPCS J7520 | $68.86 | $68.86 | $1.66 – $2.57 | 2 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $141.03 – $230.84 | 3 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $210.33 – $429.43 | 21 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $215.00 | $215.00 | $0.01 – $86.44 | 2 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $0.01 – $47.16 | 2 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $6.44 – $13.14 | 21 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $4.09 – $24.67 | 5 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $1,218.28 – $3,369.26 | 2 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $78.66 – $524.43 | 24 |
| Sleep study attended CPT 95807 | not published | not published | $226.85 – $226.85 | 1 |
| Sleep Study (Polysomnography) CPT 95810 | $12,030.86 | $12,030.86 | $226.85 – $226.85 | 1 |
| Sleep study unattended CPT 95806 | $2,052.50 | $2,052.50 | $217.60 – $217.60 | 1 |
| Sleeve fing rolyan med HCPCS L3933 | not published | not published | $172.74 – $352.68 | 21 |
| Sling arm deluxe w/pad xs HCPCS A4565 | not published | not published | $7.91 – $16.14 | 21 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $55.08 – $112.45 | 21 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $63.79 – $63.79 | 1 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $181.70 – $181.70 | 1 |
| Slp pure tone screening CPT 92551 | not published | not published | $14.12 – $14.12 | 1 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $54.20 – $54.20 | 1 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $156.13 – $156.13 | 1 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $8,373.47 – $20,594.59 | 3 |
| Small animal inoculation CPT 87003 | not published | not published | $7.58 – $50.52 | 24 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.03 – $374.97 | 2 |
| Smear fluorescent and/or acid fast stain CPT 87206 | not published | not published | $2.43 – $16.17 | 24 |
| Smear gram stain CPT 87205 | not published | not published | $1.92 – $12.81 | 24 |
| Smear nasal eosinophil CPT 89190 | $598.13 | $598.13 | $2.61 – $17.37 | 24 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $472.19 | $472.19 | $2.70 – $17.97 | 24 |
| Smear wet mount CPT 87210 | not published | not published | $2.62 – $17.46 | 24 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $135.61 – $904.05 | 24 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $83.34 – $555.60 | 24 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $21.15 – $141.00 | 24 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $22.98 – $153.21 | 24 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $957.05 – $1,953.97 | 21 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $729.53 – $1,489.46 | 21 |
| Socket insert above knee HCPCS L5658 | not published | not published | $320.49 – $654.34 | 21 |
| Socket insert below knee HCPCS L5655 | not published | not published | $247.74 – $505.80 | 21 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $332.33 – $678.51 | 21 |
| Socket insert symes HCPCS L5654 | not published | not published | $292.33 – $596.85 | 21 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $522.28 – $1,066.32 | 21 |
| Socket insert w lock mech HCPCS L5673 | $3,447.00 | $3,447.00 | $626.77 – $1,279.65 | 21 |
| Sock fracture or equal each HCPCS L3995 | $473.00 | $473.00 | $27.68 – $56.52 | 21 |
| Sock wool above knee HCPCS L8430 | not published | not published | $24.30 – $49.61 | 21 |
| Sodium 24 hour urine CPT 84300 | $391.94 | $391.94 | $2.28 – $15.18 | 24 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $122.35 | $122.35 | $3.33 – $5.27 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $25.01 | $25.01 | $1.67 – $3.42 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.83 – $1.75 | 2 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.15 – $0.27 | 3 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $2.38 – $5.86 | 3 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $259.98 | $259.98 | $90.42 – $193.37 | 3 |
| Sodium serum/plasma/whole blood CPT 84295 | $348.39 | $348.39 | $2.16 – $14.43 | 24 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $317.27 | $317.27 | $0.98 – $2.33 | 2 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $71.85 – $146.69 | 21 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $968.62 – $4,035.93 | 24 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $861.00 – $3,587.49 | 24 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $2,367.73 – $9,865.53 | 24 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $753.37 – $3,139.05 | 24 |
| Solid skin barrier HCPCS A4362 | not published | not published | $3.21 – $6.56 | 21 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $7.65 – $15.61 | 21 |
| Somatosensory testing CPT 95927 | not published | not published | $94.79 – $94.79 | 1 |
| Somatropin injection HCPCS J2941 | not published | not published | $192.00 – $436.99 | 2 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,152.48 – $8,968.65 | 24 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $645.75 – $2,690.61 | 24 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $27.79 – $66.49 | 3 |
| So vest canvas/web pre ots HCPCS L3675 | $1,491.00 | $1,491.00 | $142.08 – $290.09 | 21 |
| Special physics consult CPT 77370 | not published | not published | $100.35 – $471.20 | 4 |
| Special pump services CPT 99190 | not published | not published | $143.16 – $143.16 | 1 |
| Special pump services CPT 99191 | not published | not published | $90.00 – $90.00 | 1 |
| Special pump services CPT 99192 | not published | not published | $66.50 – $66.50 | 1 |
| Special radiation dosimetry CPT 77331 | $1,491.31 | $1,491.31 | $16.26 – $101.52 | 4 |
| Special radiation treatment CPT 77470 | not published | not published | $40.86 – $208.97 | 4 |
| Special teletx port plan CPT 77321 | $3,677.73 | $3,677.73 | $37.39 – $157.48 | 4 |
| Specific gravity body fluid CPT 84315 | $14.76 | $14.76 | $1.48 – $9.84 | 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.