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 |
|---|---|---|---|---|
| Tissue culture skin/biopsy CPT 88233 | $870.65 | $870.65 | $63.33 – $422.19 | 24 |
| Tissue culture tumor CPT 88239 | not published | not published | $66.38 – $442.56 | 24 |
| Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm HCPCS Q4431 | not published | not published | $336.92 – $336.92 | 1 |
| Tissue exam koh skin/hair/nails CPT 87220 | $19.22 | $19.22 | $1.92 – $12.81 | 24 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $441.00 | $441.00 | $127.54 – $336.92 | 2 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | not published | not published | $336.92 – $336.92 | 1 |
| Tissue transglutaminase iga CPT 86364 | not published | not published | $5.19 – $34.59 | 24 |
| Tl-201 thallium diag per mci HCPCS A9505 | not published | not published | $39.19 – $126.56 | 3 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $793.43 – $1,619.91 | 21 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $683.22 – $1,394.91 | 21 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $893.07 – $1,823.34 | 21 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | not published | not published | $1,110.82 – $2,267.92 | 21 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $442.79 – $904.04 | 21 |
| Tlso corset front HCPCS L0970 | not published | not published | $94.56 – $193.07 | 21 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $193.95 – $395.97 | 21 |
| Tlso full corset HCPCS L0974 | not published | not published | $197.50 – $403.24 | 21 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $340.03 – $694.24 | 21 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $217.51 – $444.09 | 21 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $426.36 – $870.48 | 21 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $277.15 – $565.85 | 21 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $606.96 – $1,239.21 | 21 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $1,350.57 – $2,757.41 | 21 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $893.07 – $1,823.34 | 21 |
| Tlso rigid plastic cust fab HCPCS L0484 | $6,767.00 | $6,767.00 | $1,574.73 – $3,215.07 | 21 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $1,178.11 – $2,405.32 | 21 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $251.65 – $513.78 | 21 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $308.55 – $629.95 | 21 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $61.78 – $158.44 | 2 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | not published | $1.94 – $5.49 | 3 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $21.13 – $33.05 | 2 |
| Tobramycin peak therapeutic drug level CPT 80200 | not published | not published | $7.26 – $48.39 | 24 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $7.19 – $14.87 | 3 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $7.97 – $20.06 | 3 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $196.69 | $196.69 | $8.31 – $50.12 | 22 |
| Tomosynthesis breast screen bilateral CPT 77063 | $196.70 | $196.70 | $15.30 – $76.80 | 22 |
| Tone decay hearing test CPT 92563 | not published | not published | $16.59 – $16.59 | 1 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $14,926.59 | $14,926.59 | $1.17 – $3.31 | 3 |
| Topotecan oral HCPCS J8705 | not published | not published | $141.75 – $331.49 | 2 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $47.80 – $106.56 | 3 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $93.48 – $190.86 | 21 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $101.86 – $207.96 | 21 |
| Total Hip Replacement CPT 27130 | not published | not published | $13,548.88 – $18,475.74 | 5 |
| Total Knee Replacement CPT 27447 | not published | not published | $13,548.88 – $18,475.74 | 5 |
| Total tau CPT 84394 | $413.00 | $413.00 | $92.82 – $386.76 | 22 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | not published | $430.32 – $878.56 | 21 |
| Tot estradiol response panel CPT 80415 | not published | not published | $25.15 – $167.67 | 24 |
| Toxoplasma antibody igg CPT 86777 | not published | not published | $6.48 – $43.17 | 24 |
| Toxoplasma antibody igm CPT 86778 | $731.18 | $731.18 | $6.48 – $43.23 | 24 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $288.83 – $1,925.55 | 24 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $138.60 – $924.00 | 24 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $148.28 – $988.53 | 24 |
| Tpmt gene com vrnts CPT 81335 | not published | not published | $78.66 – $524.43 | 24 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $440.65 – $1,036.34 | 3 |
| Trach care kit for new trach HCPCS A4625 | not published | not published | $6.04 – $12.33 | 21 |
| Tracheostoma hmes filter HCPCS A7504 | not published | not published | $0.70 – $1.43 | 21 |
| Tracheostoma stent/stud/bttn HCPCS A7524 | not published | not published | $79.44 – $162.19 | 21 |
| Tracheostomy care kit HCPCS A4629 | not published | not published | $4.77 – $9.75 | 21 |
| Trach/laryn tube plug/stop HCPCS A7527 | not published | not published | $3.67 – $7.50 | 21 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | not published | not published | $38.12 – $77.82 | 21 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $7.00 | $7.00 | $0.34 – $0.34 | 1 |
| Transcatheter bx s&i CPT 75970 | $9,488.06 | $9,488.06 | $146.68 – $549.75 | 3 |
| Transcutaneous carboxyhb CPT 88740 | not published | not published | $4.22 – $28.11 | 24 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $2.26 – $15.06 | 24 |
| Transcutaneous methb CPT 88741 | not published | not published | $4.22 – $28.11 | 24 |
| Transferrin CPT 84466 | $781.63 | $781.63 | $5.74 – $38.28 | 24 |
| Transparent film >16<=48 in HCPCS A6258 | not published | not published | $4.42 – $9.03 | 21 |
| Transparent film <= 16 sq in HCPCS A6257 | not published | not published | $1.57 – $3.20 | 21 |
| Trans shoe caliper plate new HCPCS L3610 | not published | not published | $89.37 – $182.46 | 21 |
| Trans shoe calip plate exist HCPCS L3600 | not published | not published | $67.90 – $138.64 | 21 |
| Trans shoe solid stirrup exi HCPCS L3620 | not published | not published | $67.90 – $138.64 | 21 |
| Trans shoe solid stirrup new HCPCS L3630 | not published | not published | $89.37 – $182.46 | 21 |
| Trapezius sling HCPCS L1070 | not published | not published | $84.35 – $172.21 | 21 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | not published | not published | $92.54 – $194.72 | 3 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | not published | not published | $23.98 – $136.32 | 3 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $15.67 – $30.48 | 3 |
| Tray trach basic clean/care ster HCPCS A4626 | not published | not published | $2.78 – $5.67 | 21 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $22.32 – $148.77 | 24 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $868.96 | $868.96 | $39.40 – $39.40 | 1 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $857.82 | $857.82 | $14.94 – $14.94 | 1 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $494.63 | $494.63 | $14.91 – $14.91 | 1 |
| Treatment radiation delivery level 2 CPT 77407 | $2,658.00 | $2,658.00 | $79.33 – $926.84 | 4 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | not published | not published | $168.09 – $379.00 | 3 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $5.48 – $36.54 | 24 |
| Treponema pallidum antibody CPT 86780 | not published | not published | $5.96 – $39.72 | 24 |
| Treprostinil injection HCPCS J3285 | not published | not published | $68.80 – $144.37 | 3 |
| Treprostinil, non-comp unit HCPCS J7686 | not published | not published | $942.24 – $2,098.75 | 2 |
| Trg gene rearrangement anal CPT 81342 | $1,411.97 | $1,411.97 | $90.67 – $604.50 | 24 |
| Trh stimulation panel CPT 80439 | not published | not published | $30.24 – $201.63 | 24 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $255.90 | $255.90 | $1.07 – $1.96 | 3 |
| Triamcinolone a inj prs-free HCPCS J3300 | not published | not published | $28.32 – $64.90 | 3 |
| Triamcinolone diacetate inj HCPCS J3302 | not published | not published | $0.34 – $0.87 | 2 |
| Triamcinolone hexacetonl inj HCPCS J3303 | not published | not published | $10.28 – $25.84 | 2 |
| Trichinella antibody CPT 86784 | not published | not published | $5.65 – $37.68 | 24 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $6.88 – $45.87 | 24 |
| #tricyclicantidprssnt CPT 80337 | $450.00 | $450.00 | $0.01 – $41.40 | 2 |
| Triglycerides CPT 84478 | $641.79 | $641.79 | $2.58 – $17.22 | 24 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $6.54 – $14.36 | 3 |
| Trimethobenzamide hci 250mg HCPCS Q0173 | not published | not published | $1.04 – $1.78 | 2 |
| Trimethobenzamide hcl inj HCPCS J3250 | not published | not published | $59.97 – $152.64 | 3 |
| Triptorelin pamoate HCPCS J3315 | not published | not published | $568.55 – $1,227.48 | 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.