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Short Term Acute Care Hospital

Tristar Skyline Madison Campus

HCA Healthcare ยท Madison, TN

500 Hospital Dr, Madison, TN 371156158652373

7

In-network payers

284

Disclosed rate categories

162

Beds

About this hospital

Tristar Skyline Madison Campus is a 162-bed hospital in Madison, TN, affiliated with HCA Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 7 in-network payers and 284 disclosed rate categories.

CCN (Medicare provider number)

440135

NPI

1467495796

Type

Short Term Acute Care Hospital

Beds

162

Insurance Accepted

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Medicare
Aetna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Avera Health PlansEMI HealthHarvard Pilgrim Health Care (Point32Health)Mass General Brigham (formerly AllWays Health Partners)Medica

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Negotiated

Very High

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

Very High

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very High

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very High

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Multianalyte Assay

Range: 0002M - 0018M

Negotiated

Very Low

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Negotiated

Very Low

Aetna

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Negotiated

Very Low

Aetna

Outpatient

CPT Surgery

Range: 10004 - 69990

Negotiated

Very High

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

Showing 1 - 10 of 284

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Location

500 Hospital Dr, Madison, TN 37115

6158652373

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Frequently asked questions

About Tristar Skyline Madison Campus's rates and hospital price transparency.

How many beds does Tristar Skyline Madison Campus have?

Tristar Skyline Madison Campus has 162 beds. Facility type: Short Term Acute Care Hospital.

Where is Tristar Skyline Madison Campus and what is its phone number?

Tristar Skyline Madison Campus is located at 500 Hospital Dr, Madison, TN 37115. Its main phone number is 6158652373.

What is Tristar Skyline Madison Campus's CCN (Medicare provider number)?

Tristar Skyline Madison Campus's CMS Certification Number (CCN), also called its Medicare provider number, is 440135.

What is Tristar Skyline Madison Campus's NPI number?

The National Provider Identifier (NPI) on file for Tristar Skyline Madison Campus is 1467495796.

What health system is Tristar Skyline Madison Campus part of?

Tristar Skyline Madison Campus is affiliated with HCA Healthcare.

Which insurance plans are in network at Tristar Skyline Madison Campus?

Tristar Skyline Madison Campus lists 7 in-network payers, including Aetna, Avera Health Plans, EMI Health, Harvard Pilgrim Health Care (Point32Health), and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for Tristar Skyline Madison Campus?

284 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.

What is a hospital price transparency MRF?

Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.

What is a chargemaster review?

A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster