Blood typing patient serum 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$7.35 with Wellpoint vs $65.36 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $7.35 | — |
| BCBS | TENNCARE | $12.87 | — |
| BCBS | NetworkP | $12.97 | — |
| Aetna | NewBusiness | $13.00 | — |
| Aetna | COMM | $13.00 | — |
| BCBS | COVERKIDS | $13.93 | — |
| Devoted Health Plan | MCR | $16.34 | — |
| Humana | ChoicecareMGMCR | $16.34 | — |
| HealthSpring | DualEligible | $16.34 | — |
| HealthSpring | MCRHMO | $16.34 | — |
| HealthSpring | MCRPOS | $16.34 | — |
| HealthSpring | MCRPPO | $16.34 | — |
| United | VACCN | $16.34 | — |
| United | AllPayerAppendix | $16.34 | — |
| United | CorePayer | $16.34 | — |
| United | HeritageSelect | $16.34 | — |
| Amerigroup | MGMCR | $16.34 | — |
| Bright Health | HIX | $16.34 | — |
| Bright Health | SmallGroup | $16.34 | — |
| Sarah Cannon Research | COMM | $16.34 | — |
| Aetna | MGMCRHMO | $16.50 | — |
| Aetna | MGMCRSNP | $16.50 | — |
| Aetna | MGMCRPPO | $16.50 | — |
| United | MGMCR | $16.67 | — |
| Zing | MGMCR | $16.83 | — |
| WellCare | MCR | $16.83 | — |
| BCBS | MCR | $16.83 | — |
| Ambetter | Select | $16.99 | — |
| American Health Advantage | MCRSNP | $17.16 | — |
| American Health Advantage | MCRPFFS | $17.16 | — |
| Evergreen HMO | MCR | $17.16 | — |
| American Health Advantage | MCRHMO | $17.16 | — |
| American Health Advantage | MCRPOS | $17.16 | — |
| American Health Advantage | MCRPPO | $17.16 | — |
| Signature Advantage | MCR | $17.32 | — |
| Ambetter | CORE | $17.65 | — |
| ATRIO Golden Times | MCR | $17.97 | — |
| Bright Health | MCRNarrow | $18.79 | — |
| BCBS | BlueCare | $21.88 | — |
| Prime Health | WORKERSCOMP | $23.53 | — |
| CorVel Corporation | WORKERSCOMP | $24.02 | — |
| NovaNET | WORKERSCOMP | $24.02 | — |
| Cigna | NewBusiness | $29.41 | — |
| Cigna | OAP | $33.40 | — |
| Oscar | HIX | $49.02 | — |
| Humana | NarrowExchangeNetwork | $65.36 | — |
| Humana | HumanaChoice | $65.36 | — |
| Humana | BroadNetwork | $65.36 | — |
| Humana | HumanaChoiceCare | $65.36 | — |
Visitor-reported prices
Comments
Blood typing patient serum at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $14.51 | $11.27 – $34.30 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $20.73 | $10.29 – $34.30 |
| Johnson City Medical Center | JOHNSON CITY | $16.65 | $4.55 – $120.01 |
| Ascension Saint Thomas DeKalb | Smithville | $157.07 | $7.40 – $78.50 |
| Ascension Saint Thomas Highlands | Sparta | $157.07 | $7.40 – $78.50 |
| Ascension Saint Thomas River Park | McMinnville | $157.07 | $7.40 – $78.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $157.07 | $7.57 – $79.65 |
| Hancock County Hospital | SNEEDVILLE | $16.33 | $5.08 – $36.09 |