Appl modality 1/> areas vasopneumatic devices 97016 at HENDERSONVILLE MEDICAL CENTER
355 NEW SHACKLE ISLAND ROAD, HENDERSONVILLE, TN · Tristarhealth · · NPI 1538114434
$132.00
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.
$132.00
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.
$9.69 with Wellpoint vs $326.00 with Aetna — 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 | $9.69 | ↓ -93% |
| Sarah Cannon Research | COMM | $9.99 | ↓ -92% |
| Humana | ChoicecareMGMCR | $9.99 | ↓ -92% |
| Devoted Health Plan | MCR | $9.99 | ↓ -92% |
| HealthSpring | DualEligible | $9.99 | ↓ -92% |
| HealthSpring | MCRHMO | $9.99 | ↓ -92% |
| HealthSpring | MCRPOS | $9.99 | ↓ -92% |
| HealthSpring | MCRPPO | $9.99 | ↓ -92% |
| United | VACCN | $9.99 | ↓ -92% |
| Amerigroup | MGMCR | $9.99 | ↓ -92% |
| Aetna | MGMCRHMO | $10.09 | ↓ -92% |
| Aetna | MGMCRSNP | $10.09 | ↓ -92% |
| Aetna | MGMCRPPO | $10.09 | ↓ -92% |
| United | MGMCR | $10.19 | ↓ -92% |
| Zing | MGMCR | $10.29 | ↓ -92% |
| BCBS | MCR | $10.29 | ↓ -92% |
| WellCare | MCR | $10.29 | ↓ -92% |
| American Health Advantage | MCRPOS | $10.49 | ↓ -92% |
| American Health Advantage | MCRHMO | $10.49 | ↓ -92% |
| American Health Advantage | MCRPPO | $10.49 | ↓ -92% |
| American Health Advantage | MCRSNP | $10.49 | ↓ -92% |
| American Health Advantage | MCRPFFS | $10.49 | ↓ -92% |
| Evergreen HMO | MCR | $10.49 | ↓ -92% |
| Signature Advantage | MCR | $10.59 | ↓ -92% |
| ATRIO Golden Times | MCR | $10.99 | ↓ -92% |
| Bright Health | MCRNarrow | $11.49 | ↓ -91% |
| Prime Health | WORKERSCOMP | $14.38 | ↓ -89% |
| NovaNET | WORKERSCOMP | $14.68 | ↓ -89% |
| CorVel Corporation | WORKERSCOMP | $14.68 | ↓ -89% |
| Bright Health | HIX | $22.44 | ↓ -83% |
| BCBS | NetworkP | $23.83 | ↓ -82% |
| Oscar | HIX | $24.16 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $24.30 | ↓ -82% |
| NHC Advantage, Inc. | MCRHMO | $25.08 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $25.08 | ↓ -81% |
| Apex Health | MCR | $25.08 | ↓ -81% |
| BCBS | TENNCARE | $25.69 | ↓ -81% |
| BCBS | COVERKIDS | $27.80 | ↓ -79% |
| Ambetter | CORE | $29.44 | ↓ -78% |
| Ambetter | Select | $30.62 | ↓ -77% |
| Bright Health | SmallGroup | $31.68 | ↓ -76% |
| Humana | TRICARE | $33.00 | ↓ -75% |
| United | OptionsPPO | $33.26 | ↓ -75% |
| Cigna | NewBusiness | $33.26 | ↓ -75% |
| Cigna | OAP | $37.75 | ↓ -71% |
| BCBS | BlueCare | $43.67 | ↓ -67% |
| Cigna | PPO | $44.35 | ↓ -66% |
| United | GlobalBenefitPlan | $59.40 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $66.00 | ↓ -50% |
| Aetna | NAP | $66.00 | ↓ -50% |
| Employers Health Network | COMM | $92.40 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $99.00 | ↓ -25% |
| Multiplan | COMM | $108.24 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $112.20 | ↓ -15% |
| Beech Street | COMM | $121.44 | ↓ -8% |
| Aetna | NewBusiness | $274.00 | ↑ +108% |
| Aetna | COMM | $326.00 | ↑ +147% |
Visitor-reported prices
Comments
Appl modality 1/> areas vasopneumatic devices 97016 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $32.24 | $9.84 – $41.15 |
| 62-1166050 BMH Carroll County | Huntingdon | $39.79 | $7.66 – $10.94 |
| Johnson City Medical Center | JOHNSON CITY | $25.20 | $11.35 – $35.54 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $32.24 | $9.84 – $41.15 |
| Hancock County Hospital | SNEEDVILLE | $24.61 | $11.35 – $40.50 |
| Greeneville Community Hospital | GREENEVILLE | $25.20 | $10.56 – $38.57 |
| Bristol Regional Medical Center | BRISTOL | $25.20 | $10.56 – $36.17 |
| Franklin Woods Community Hospital | JOHNSON CITY | $25.20 | $10.67 – $38.57 |