_afb org id by sequencing rflx ast-sendout at HENDERSONVILLE MEDICAL CENTER
355 NEW SHACKLE ISLAND ROAD, HENDERSONVILLE, TN · Tristarhealth · · NPI 1538114434
$320.12
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.
$320.12
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.
$51.91 with Wellpoint vs $461.44 with Humana — 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 | $51.91 | ↓ -84% |
| Kentucky Labor Cabinet | WORKERSCOMP | $58.93 | ↓ -82% |
| Pruitt Health (AllyAlign) | MCR | $60.82 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $60.82 | ↓ -81% |
| Apex Health | MCR | $60.82 | ↓ -81% |
| Humana | TRICARE | $80.03 | ↓ -75% |
| United | OptionsPPO | $80.67 | ↓ -75% |
| Aetna | NewBusiness | $91.71 | ↓ -71% |
| Aetna | COMM | $91.71 | ↓ -71% |
| Cigna | PPO | $107.56 | ↓ -66% |
| Devoted Health Plan | MCR | $115.36 | ↓ -64% |
| Humana | ChoicecareMGMCR | $115.36 | ↓ -64% |
| Sarah Cannon Research | COMM | $115.36 | ↓ -64% |
| HealthSpring | DualEligible | $115.36 | ↓ -64% |
| HealthSpring | MCRHMO | $115.36 | ↓ -64% |
| HealthSpring | MCRPOS | $115.36 | ↓ -64% |
| HealthSpring | MCRPPO | $115.36 | ↓ -64% |
| United | VACCN | $115.36 | ↓ -64% |
| United | AllPayerAppendix | $115.36 | ↓ -64% |
| United | CorePayer | $115.36 | ↓ -64% |
| United | HeritageSelect | $115.36 | ↓ -64% |
| Amerigroup | MGMCR | $115.36 | ↓ -64% |
| Bright Health | HIX | $115.36 | ↓ -64% |
| Bright Health | SmallGroup | $115.36 | ↓ -64% |
| Aetna | MGMCRPPO | $116.51 | ↓ -64% |
| Aetna | MGMCRSNP | $116.51 | ↓ -64% |
| Aetna | MGMCRHMO | $116.51 | ↓ -64% |
| United | MGMCR | $117.67 | ↓ -63% |
| Zing | MGMCR | $118.82 | ↓ -63% |
| WellCare | MCR | $118.82 | ↓ -63% |
| BCBS | MCR | $118.82 | ↓ -63% |
| Ambetter | Select | $119.97 | ↓ -63% |
| Evergreen HMO | MCR | $121.13 | ↓ -62% |
| American Health Advantage | MCRHMO | $121.13 | ↓ -62% |
| American Health Advantage | MCRSNP | $121.13 | ↓ -62% |
| American Health Advantage | MCRPPO | $121.13 | ↓ -62% |
| American Health Advantage | MCRPOS | $121.13 | ↓ -62% |
| American Health Advantage | MCRPFFS | $121.13 | ↓ -62% |
| Signature Advantage | MCR | $122.28 | ↓ -62% |
| Ambetter | CORE | $124.59 | ↓ -61% |
| ATRIO Golden Times | MCR | $126.90 | ↓ -60% |
| Bright Health | MCRNarrow | $132.66 | ↓ -59% |
| United | GlobalBenefitPlan | $144.05 | ↓ -55% |
| BCBS | NetworkP | $157.38 | ↓ -51% |
| Aetna | NAP | $160.06 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $160.06 | ↓ -50% |
| Prime Health | WORKERSCOMP | $166.12 | ↓ -48% |
| NovaNET | WORKERSCOMP | $169.58 | ↓ -47% |
| CorVel Corporation | WORKERSCOMP | $169.58 | ↓ -47% |
| Cigna | NewBusiness | $205.91 | ↓ -36% |
| Employers Health Network | COMM | $224.08 | ↓ -30% |
| BCBS | TENNCARE | $228.19 | ↓ -29% |
| Cigna | OAP | $233.84 | ↓ -27% |
| Odom's TN Pride Sausage | WORKERSCOMP | $240.09 | ↓ -25% |
| BCBS | COVERKIDS | $246.98 | ↓ -23% |
| Multiplan | COMM | $262.50 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $272.10 | ↓ -15% |
| Beech Street | COMM | $294.51 | ↓ -8% |
| Oscar | HIX | $346.08 | ↑ +8% |
| BCBS | BlueCare | $387.92 | ↑ +21% |
| Humana | NarrowExchangeNetwork | $461.44 | ↑ +44% |
| Humana | HumanaChoiceCare | $461.44 | ↑ +44% |
| Humana | HumanaChoice | $461.44 | ↑ +44% |
| Humana | BroadNetwork | $461.44 | ↑ +44% |
Visitor-reported prices
Comments
_afb org id by sequencing rflx ast-sendout at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $164.88 | $94.80 – $331.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $235.62 | $99.54 – $331.80 |
| Johnson City Medical Center | JOHNSON CITY | $201.90 | $57.68 – $251.48 |
| Hancock County Hospital | SNEEDVILLE | $198.26 | $81.70 – $254.07 |
| Greeneville Community Hospital | GREENEVILLE | $201.90 | $51.91 – $251.48 |
| Bristol Regional Medical Center | BRISTOL | $201.90 | $57.68 – $276.86 |
| Franklin Woods Community Hospital | JOHNSON CITY | $201.90 | $57.68 – $251.48 |
| Holston Valley Medical Center | KINGSPORT | $201.90 | $57.68 – $276.86 |