Compatibility test incubate at HENDERSONVILLE MEDICAL CENTER
355 NEW SHACKLE ISLAND ROAD, HENDERSONVILLE, TN · Tristarhealth · · NPI 1538114434
$1,257.54
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.
$1,257.54
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.
$19.94 with BCBS vs $1,156.94 with Beech Street — 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 |
|---|---|---|---|
| BCBS | NetworkP | $19.94 | ↓ -98% |
| Aetna | COMM | $23.26 | ↓ -98% |
| Aetna | NewBusiness | $23.26 | ↓ -98% |
| Cigna | NewBusiness | $39.22 | ↓ -97% |
| Cigna | OAP | $44.54 | ↓ -96% |
| BCBS | TENNCARE | $75.07 | ↓ -94% |
| BCBS | COVERKIDS | $81.25 | ↓ -94% |
| Humana | NarrowExchangeNetwork | $113.60 | ↓ -91% |
| Humana | HumanaChoice | $113.60 | ↓ -91% |
| Humana | BroadNetwork | $113.60 | ↓ -91% |
| Humana | HumanaChoiceCare | $113.60 | ↓ -91% |
| BCBS | BlueCare | $127.62 | ↓ -90% |
| United | CorePayer | $149.16 | ↓ -88% |
| United | HeritageSelect | $149.16 | ↓ -88% |
| United | AllPayerAppendix | $149.16 | ↓ -88% |
| Bright Health | HIX | $213.78 | ↓ -83% |
| Oscar | HIX | $230.13 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $231.51 | ↓ -82% |
| Apex Health | MCR | $238.93 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $238.93 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $238.93 | ↓ -81% |
| Ambetter | CORE | $280.43 | ↓ -78% |
| Ambetter | Select | $291.75 | ↓ -77% |
| Bright Health | SmallGroup | $301.81 | ↓ -76% |
| Humana | TRICARE | $314.38 | ↓ -75% |
| United | OptionsPPO | $316.90 | ↓ -75% |
| Cigna | PPO | $422.53 | ↓ -66% |
| United | GlobalBenefitPlan | $565.89 | ↓ -55% |
| Aetna | NAP | $628.77 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $628.77 | ↓ -50% |
| Employers Health Network | COMM | $880.28 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $943.15 | ↓ -25% |
| Multiplan | COMM | $1,031.18 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $1,068.91 | ↓ -15% |
| Beech Street | COMM | $1,156.94 | ↓ -8% |
Visitor-reported prices
Comments
Compatibility test incubate at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $61.64 | $31.31 – $312.94 |
| 62-1138045 BMH Union City | Union City | $48.60 | $31.31 – $312.94 |
| HORIZON MEDICAL CENTER | DICKSON | $302.12 | $19.94 – $149.16 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD | $556.20 | $19.94 – $149.16 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $873.30 | $19.94 – $149.16 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH | $521.84 | $19.94 – $149.16 |
| STONECREST MEDICAL CENTER | Smyrna | $651.68 | $19.94 – $149.16 |
| SUMMIT MEDICAL CENTER | MT JULIET | $95.04 | $19.94 – $149.16 |