Albumin (human), 5%, 250 ml at Ascension Saint Thomas Highlands
401 Sewell Dr, Sparta, TN · Ascension · · NPI 1922487966
$123.36
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.
$411.20
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.
$31.01 with COMMUNITY PLAN vs $114.12 with UHC COMPASS/EXCHANGE — 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 |
|---|---|---|---|
| COMMUNITY PLAN | 2496_THTN MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN 20191001 | $31.01 | ↓ -75% |
| BCBS ACA EXCHANGE | 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 | $46.01 | ↓ -63% |
| BCBS NETWORK L | 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401 | $46.01 | ↓ -63% |
| BCBS SELECT | 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701 | $46.01 | ↓ -63% |
| BCBS PREFERRED | 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701 | $46.01 | ↓ -63% |
| BCBS BLUE CARE (REGIONALS ONLY) | 2429_BCBS BLUE CARE (HIGHLAND) 20221001 | $47.67 | ↓ -61% |
| BCBS TENNCARE SELECT | 2425_BCBS TENNCARE SELECT (HIGHLAND) 20221001 | $47.67 | ↓ -61% |
| BCBS ACA EXCHANGE | 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 | $64.41 | ↓ -48% |
| UHC | 3171_MTTN UHC 20250715 | $64.76 | ↓ -48% |
| UHC | 3172_RPTN UHC 20250715 | $64.76 | ↓ -48% |
| UHC | 3176_UHC (STTN) 20250715 | $64.76 | ↓ -48% |
| CIGNA PPO | 3200_THTN CIGNA PPO 20250601 | $73.13 | ↓ -41% |
| CIGNA LOCALPLUS | 3191_RPTN CIGNA LOCALPLUS 20250601 | $73.13 | ↓ -41% |
| CIGNA LOCALPLUS | 3194_THTN CIGNA LOCALPLUS 20250601 | $73.13 | ↓ -41% |
| CIGNA HMO | 3197_THTN CIGNA HMO 20250601 | $73.13 | ↓ -41% |
| UHC COMPASS/EXCHANGE | 3165_MTTN UHC EXCHANGE 20250715 | $112.77 | ↓ -9% |
| UHC COMPASS/EXCHANGE | 3169_SDTN UHC COMPASS 20250715 | $114.12 | ↓ -7% |
| UHC COMPASS/EXCHANGE | 3170_THTN UHC COMPASS 20250715 | $114.12 | ↓ -7% |
Visitor-reported prices
Comments
Albumin (human), 5%, 250 ml at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas River Park | McMinnville | $123.36 | $31.01 – $73.13 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $123.36 | $46.01 – $227.80 |