Alpha-fetoprotein afp-l3 frac & total at HENDERSONVILLE MEDICAL CENTER
355 NEW SHACKLE ISLAND ROAD, HENDERSONVILLE, TN · Tristarhealth · · NPI 1538114434
not published by hospital
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.
not published by hospital
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.
$28.98 with Wellpoint vs $257.64 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 | $28.98 | — |
| Aetna | NewBusiness | $51.21 | — |
| Aetna | COMM | $51.21 | — |
| Devoted Health Plan | MCR | $64.41 | — |
| Humana | ChoicecareMGMCR | $64.41 | — |
| HealthSpring | DualEligible | $64.41 | — |
| HealthSpring | MCRHMO | $64.41 | — |
| HealthSpring | MCRPOS | $64.41 | — |
| HealthSpring | MCRPPO | $64.41 | — |
| United | VACCN | $64.41 | — |
| United | AllPayerAppendix | $64.41 | — |
| United | CorePayer | $64.41 | — |
| United | HeritageSelect | $64.41 | — |
| Amerigroup | MGMCR | $64.41 | — |
| Bright Health | HIX | $64.41 | — |
| Bright Health | SmallGroup | $64.41 | — |
| Sarah Cannon Research | COMM | $64.41 | — |
| Aetna | MGMCRHMO | $65.05 | — |
| Aetna | MGMCRSNP | $65.05 | — |
| Aetna | MGMCRPPO | $65.05 | — |
| United | MGMCR | $65.70 | — |
| BCBS | MCR | $66.34 | — |
| Zing | MGMCR | $66.34 | — |
| WellCare | MCR | $66.34 | — |
| Ambetter | Select | $66.99 | — |
| American Health Advantage | MCRSNP | $67.63 | — |
| Evergreen HMO | MCR | $67.63 | — |
| American Health Advantage | MCRPFFS | $67.63 | — |
| American Health Advantage | MCRPPO | $67.63 | — |
| American Health Advantage | MCRHMO | $67.63 | — |
| American Health Advantage | MCRPOS | $67.63 | — |
| Signature Advantage | MCR | $68.27 | — |
| Ambetter | CORE | $69.56 | — |
| ATRIO Golden Times | MCR | $70.85 | — |
| Bright Health | MCRNarrow | $74.07 | — |
| BCBS | NetworkP | $87.88 | — |
| Prime Health | WORKERSCOMP | $92.75 | — |
| NovaNET | WORKERSCOMP | $94.68 | — |
| CorVel Corporation | WORKERSCOMP | $94.68 | — |
| Cigna | NewBusiness | $114.78 | — |
| BCBS | TENNCARE | $124.29 | — |
| Cigna | OAP | $130.36 | — |
| BCBS | COVERKIDS | $134.52 | — |
| Oscar | HIX | $193.23 | — |
| BCBS | BlueCare | $211.29 | — |
| Humana | NarrowExchangeNetwork | $257.64 | — |
| Humana | HumanaChoice | $257.64 | — |
| Humana | HumanaChoiceCare | $257.64 | — |
| Humana | BroadNetwork | $257.64 | — |
Visitor-reported prices
Comments
Alpha-fetoprotein afp-l3 frac & total at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $86.02 | $56.04 – $128.82 |
| Johnson City Medical Center | JOHNSON CITY | $112.80 | $29.37 – $140.41 |
| Hancock County Hospital | SNEEDVILLE | $110.63 | $32.83 – $142.19 |
| Greeneville Community Hospital | GREENEVILLE | $112.80 | $28.98 – $140.41 |
| Bristol Regional Medical Center | BRISTOL | $112.80 | $29.86 – $154.58 |
| Franklin Woods Community Hospital | JOHNSON CITY | $112.80 | $31.87 – $140.41 |
| Holston Valley Medical Center | KINGSPORT | $112.80 | $28.99 – $154.58 |
| Indian Path Community Hospital | KINGSPORT | $112.80 | $28.05 – $154.58 |