Collection of venous blood by venipuncture 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.
$3.00 with United vs $6,009.00 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 |
|---|---|---|---|
| United | AllPayerAppendix | $3.00 | — |
| United | HeritageSelect | $3.00 | — |
| United | CorePayer | $3.00 | — |
| Wellpoint | MGMCD | $3.97 | — |
| Bright Health | HIX | $8.57 | — |
| Bright Health | SmallGroup | $8.57 | — |
| HealthSpring | MCRHMO | $9.34 | — |
| HealthSpring | MCRPPO | $9.34 | — |
| Amerigroup | MGMCR | $9.34 | — |
| Humana | ChoicecareMGMCR | $9.34 | — |
| Sarah Cannon Research | COMM | $9.34 | — |
| United | VACCN | $9.34 | — |
| HealthSpring | MCRPOS | $9.34 | — |
| Devoted Health Plan | MCR | $9.34 | — |
| HealthSpring | DualEligible | $9.34 | — |
| Aetna | MGMCRPPO | $9.43 | — |
| Aetna | MGMCRHMO | $9.43 | — |
| Aetna | MGMCRSNP | $9.43 | — |
| United | MGMCR | $9.53 | — |
| WellCare | MCR | $9.62 | — |
| BCBS | MCR | $9.62 | — |
| Zing | MGMCR | $9.62 | — |
| Evergreen HMO | MCR | $9.81 | — |
| American Health Advantage | MCRPFFS | $9.81 | — |
| American Health Advantage | MCRSNP | $9.81 | — |
| American Health Advantage | MCRPPO | $9.81 | — |
| American Health Advantage | MCRPOS | $9.81 | — |
| American Health Advantage | MCRHMO | $9.81 | — |
| Signature Advantage | MCR | $9.90 | — |
| ATRIO Golden Times | MCR | $10.27 | — |
| Bright Health | MCRNarrow | $10.74 | — |
| Cigna | NewBusiness | $11.76 | — |
| Cigna | OAP | $13.36 | — |
| Prime Health | WORKERSCOMP | $13.45 | — |
| NovaNET | WORKERSCOMP | $13.73 | — |
| CorVel Corporation | WORKERSCOMP | $13.73 | — |
| BCBS | NetworkP | $22.56 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $26.69 | — |
| Oscar | HIX | $28.02 | — |
| Ambetter | CORE | $32.34 | — |
| Ambetter | Select | $33.64 | — |
| Humana | TRICARE | $36.25 | — |
| United | OptionsPPO | $36.54 | — |
| Aetna | NewBusiness | $40.60 | — |
| Aetna | COMM | $47.85 | — |
| Cigna | PPO | $48.72 | — |
| United | GlobalBenefitPlan | $65.25 | — |
| Aetna | NAP | $72.50 | — |
| BGFH SingleSource | DIRECTNETWORK | $72.50 | — |
| Employers Health Network | COMM | $101.50 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $108.75 | — |
| Multiplan | COMM | $118.90 | — |
| BGFH SingleSource | LEASEDNETWORK | $123.25 | — |
| Beech Street | COMM | $133.40 | — |
| United | TENNCARE | $1,510.00 | — |
| NHC Advantage, Inc. | MCRHMO | $2,550.00 | — |
| Apex Health | MCR | $2,550.00 | — |
| Pruitt Health (AllyAlign) | MCR | $2,550.00 | — |
| Humana | HumanaChoiceCare | $6,009.00 | — |
| Humana | NarrowExchangeNetwork | $6,009.00 | — |
| Humana | BroadNetwork | $6,009.00 | — |
| Humana | HumanaChoice | $6,009.00 | — |
Visitor-reported prices
Comments
Collection of venous blood by venipuncture at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $11.99 | $1.08 – $12.73 |
| CHI Memorial Hospital Hixson | Hixson | $17.76 | $2.10 – $42.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $8.74 | $3.69 – $18.18 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $25.38 | $2.10 – $42.00 |
| Johnson City Medical Center | JOHNSON CITY | $6.90 | $2.70 – $20.36 |
| Ascension Saint Thomas DeKalb | Smithville | $11.99 | $1.50 – $12.73 |
| Ascension Saint Thomas Highlands | Sparta | $11.99 | $1.50 – $12.73 |
| Ascension Saint Thomas River Park | McMinnville | $11.99 | $1.50 – $12.73 |