Prealbumin at SKYLINE MADISON CAMPUS
3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476
$781.63
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$781.63
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$6.57 with Wellpoint vs $766.00 with TriWest Healthcare — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Wellpoint | MGMCD | $6.57 | ↓ -99% |
| Aetna | COMM | $11.60 | ↓ -99% |
| Aetna | NewBusiness | $11.60 | ↓ -99% |
| Humana | ChoicecareMGMCR | $14.59 | ↓ -98% |
| Sarah Cannon Research | COMM | $14.59 | ↓ -98% |
| Devoted Health Plan | MCR | $14.59 | ↓ -98% |
| Bright Health | SmallGroup | $14.59 | ↓ -98% |
| Bright Health | HIX | $14.59 | ↓ -98% |
| HealthSpring | DualEligible | $14.59 | ↓ -98% |
| HealthSpring | MCRHMO | $14.59 | ↓ -98% |
| HealthSpring | MCRPOS | $14.59 | ↓ -98% |
| HealthSpring | MCRPPO | $14.59 | ↓ -98% |
| Odyssey Healthcare | COMM | $14.59 | ↓ -98% |
| Amerigroup | MGMCR | $14.59 | ↓ -98% |
| United | AllPayerAppendix | $14.59 | ↓ -98% |
| United | CorePayer | $14.59 | ↓ -98% |
| Alive Hospice | COMM | $14.59 | ↓ -98% |
| United | HeritageSelect | $14.59 | ↓ -98% |
| United | VACCN | $14.59 | ↓ -98% |
| Aetna | MGMCRSNP | $14.74 | ↓ -98% |
| Aetna | MGMCRHMO | $14.74 | ↓ -98% |
| Aetna | MGMCRPPO | $14.74 | ↓ -98% |
| United | MGMCR | $14.88 | ↓ -98% |
| BCBS | MCR | $15.03 | ↓ -98% |
| WellCare | MCR | $15.03 | ↓ -98% |
| Zing | MGMCR | $15.03 | ↓ -98% |
| Ambetter | Select | $15.17 | ↓ -98% |
| American Health Advantage | MCRHMO | $15.32 | ↓ -98% |
| American Health Advantage | MCRPFFS | $15.32 | ↓ -98% |
| American Health Advantage | MCRSNP | $15.32 | ↓ -98% |
| Evergreen HMO | MCR | $15.32 | ↓ -98% |
| American Health Advantage | MCRPOS | $15.32 | ↓ -98% |
| American Health Advantage | MCRPPO | $15.32 | ↓ -98% |
| Signature Advantage | MCR | $15.47 | ↓ -98% |
| Ambetter | CORE | $15.76 | ↓ -98% |
| ATRIO Golden Times | MCR | $16.05 | ↓ -98% |
| Bright Health | MCRNarrow | $16.78 | ↓ -98% |
| BCBS | NetworkP | $17.14 | ↓ -98% |
| BCBS | TENNCARE | $19.81 | ↓ -97% |
| Prime Health | WORKERSCOMP | $21.01 | ↓ -97% |
| BCBS | COVERKIDS | $21.45 | ↓ -97% |
| NovaNET | WORKERSCOMP | $21.45 | ↓ -97% |
| CorVel Corporation | WORKERSCOMP | $21.45 | ↓ -97% |
| Cigna | NewBusiness | $25.95 | ↓ -97% |
| Cigna | OAP | $29.47 | ↓ -96% |
| BCBS | BlueCare | $39.48 | ↓ -95% |
| Oscar | HIX | $43.77 | ↓ -94% |
| Humana | HumanaChoiceCare | $58.36 | ↓ -93% |
| Humana | NarrowExchangeNetwork | $58.36 | ↓ -93% |
| Humana | HumanaChoice | $58.36 | ↓ -93% |
| Humana | BroadNetwork | $58.36 | ↓ -93% |
| Kentucky Labor Cabinet | WORKERSCOMP | $143.90 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $148.51 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $148.51 | ↓ -81% |
| United | OptionsPPO | $193.06 | ↓ -75% |
| Humana | TRICARE | $195.41 | ↓ -75% |
| Cigna | PPO | $254.81 | ↓ -67% |
| Centurion | PRISON | $322.03 | ↓ -59% |
| United | GlobalBenefitPlan | $351.73 | ↓ -55% |
| Aetna | NAP | $390.81 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $390.81 | ↓ -50% |
| Humana BH | COMM | $508.06 | ↓ -35% |
| Employers Health Network | COMM | $547.14 | ↓ -30% |
| MHNet | COMM | $586.22 | ↓ -25% |
| Odom's TN Pride Sausage | WORKERSCOMP | $586.22 | ↓ -25% |
| Multiplan | COMM | $640.94 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $664.39 | ↓ -15% |
| Beech Street | COMM | $687.83 | ↓ -12% |
| Prime Health | COMMPPO | $687.83 | ↓ -12% |
| TriWest Healthcare | FED | $766.00 | ↓ -2% |
Visitor-reported prices
Comments
Prealbumin at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $92.39 | $5.25 – $56.45 |
| CHI Memorial Hospital Hixson | Hixson | $37.30 | $12.95 – $88.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $36.57 | $12.69 – $29.18 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $53.30 | $12.95 – $88.20 |
| Johnson City Medical Center | JOHNSON CITY | $24.60 | $7.30 – $31.81 |
| Ascension Saint Thomas DeKalb | Smithville | $92.39 | $10.23 – $56.45 |
| Ascension Saint Thomas Highlands | Sparta | $92.39 | $10.23 – $56.45 |
| Ascension Saint Thomas River Park | McMinnville | $92.39 | $10.23 – $56.45 |