Diagnostic Mammogram (one breast) 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.
$75.86 with Wellpoint vs $502.89 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $75.86 | — |
| Sarah Cannon Research | COMM | $78.21 | — |
| Devoted Health Plan | MCR | $78.21 | — |
| Humana | ChoicecareMGMCR | $78.21 | — |
| United | VACCN | $78.21 | — |
| Amerigroup | MGMCR | $78.21 | — |
| HealthSpring | DualEligible | $78.21 | — |
| HealthSpring | MCRHMO | $78.21 | — |
| HealthSpring | MCRPPO | $78.21 | — |
| HealthSpring | MCRPOS | $78.21 | — |
| Aetna | MGMCRPPO | $78.99 | — |
| Aetna | MGMCRHMO | $78.99 | — |
| Aetna | MGMCRSNP | $78.99 | — |
| United | MGMCR | $79.77 | — |
| BCBS | MCR | $80.56 | — |
| WellCare | MCR | $80.56 | — |
| Zing | MGMCR | $80.56 | — |
| American Health Advantage | MCRPOS | $82.12 | — |
| American Health Advantage | MCRHMO | $82.12 | — |
| American Health Advantage | MCRPPO | $82.12 | — |
| American Health Advantage | MCRSNP | $82.12 | — |
| American Health Advantage | MCRPFFS | $82.12 | — |
| Evergreen HMO | MCR | $82.12 | — |
| Signature Advantage | MCR | $82.90 | — |
| BCBS | NetworkP | $83.75 | — |
| ATRIO Golden Times | MCR | $86.03 | — |
| Bright Health | MCRNarrow | $89.94 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $100.63 | — |
| Apex Health | MCR | $103.86 | — |
| NHC Advantage, Inc. | MCRHMO | $103.86 | — |
| Pruitt Health (AllyAlign) | MCR | $103.86 | — |
| BCBS | TENNCARE | $109.01 | — |
| Prime Health | WORKERSCOMP | $112.62 | — |
| NovaNET | WORKERSCOMP | $114.97 | — |
| CorVel Corporation | WORKERSCOMP | $114.97 | — |
| BCBS | COVERKIDS | $118.03 | — |
| United | CorePayer | $129.76 | — |
| United | AllPayerAppendix | $129.76 | — |
| United | HeritageSelect | $129.76 | — |
| Humana | TRICARE | $136.66 | — |
| United | OptionsPPO | $137.75 | — |
| Humana | HumanaChoice | $150.64 | — |
| Humana | HumanaChoiceCare | $150.64 | — |
| Humana | BroadNetwork | $150.64 | — |
| Humana | NarrowExchangeNetwork | $150.64 | — |
| Aetna | NewBusiness | $173.45 | — |
| Aetna | COMM | $173.45 | — |
| Cigna | PPO | $183.66 | — |
| BCBS | BlueCare | $184.68 | — |
| United | GlobalBenefitPlan | $245.98 | — |
| Aetna | NAP | $273.31 | — |
| BGFH SingleSource | DIRECTNETWORK | $273.31 | — |
| Cigna | NewBusiness | $279.68 | — |
| Cigna | OAP | $317.68 | — |
| Employers Health Network | COMM | $382.63 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $409.96 | — |
| Multiplan | COMM | $448.23 | — |
| BGFH SingleSource | LEASEDNETWORK | $464.63 | — |
| Beech Street | COMM | $502.89 | — |
Visitor-reported prices
Comments
Diagnostic Mammogram (one breast) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $215.58 | $68.40 – $249.90 |
| CHI Memorial Hospital Hixson | Hixson | $97.68 | $62.74 – $231.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $126.50 | $69.43 – $103.86 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $139.59 | $62.74 – $231.00 |
| Johnson City Medical Center | JOHNSON CITY | $74.10 | $59.44 – $170.50 |
| Ascension Saint Thomas DeKalb | Smithville | $215.58 | $68.40 – $249.90 |
| Ascension Saint Thomas Highlands | Sparta | $215.58 | $68.40 – $249.90 |
| Ascension Saint Thomas River Park | McMinnville | $215.58 | $68.40 – $249.90 |