Echo stress at HENDERSONVILLE MEDICAL CENTER

355 NEW SHACKLE ISLAND ROAD, HENDERSONVILLE, TN · Tristarhealth · · NPI 1538114434

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$3,008.73

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$3,008.73

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$178.86 with BCBS vs $4,700.00 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 →

Payer
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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
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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 TENNCARE $178.86 ↓ -94%
BCBS COVERKIDS $193.59 ↓ -94%
BCBS BlueCare $304.06 ↓ -90%
Bright Health HIX $511.48 ↓ -83%
Oscar HIX $550.60 ↓ -82%
Kentucky Labor Cabinet WORKERSCOMP $553.91 ↓ -82%
Pruitt Health (AllyAlign) MCR $571.66 ↓ -81%
Apex Health MCR $571.66 ↓ -81%
NHC Advantage, Inc. MCRHMO $571.66 ↓ -81%
Ambetter CORE $670.95 ↓ -78%
BCBS NetworkP $692.01 ↓ -77%
Ambetter Select $698.03 ↓ -77%
Bright Health SmallGroup $722.10 ↓ -76%
Humana TRICARE $752.18 ↓ -75%
Cigna NewBusiness $758.20 ↓ -75%
United OptionsPPO $758.20 ↓ -75%
Cigna OAP $860.50 ↓ -71%
Cigna PPO $1,010.93 ↓ -66%
United GlobalBenefitPlan $1,353.93 ↓ -55%
Aetna NAP $1,504.37 ↓ -50%
BGFH SingleSource DIRECTNETWORK $1,504.37 ↓ -50%
Employers Health Network COMM $2,106.11 ↓ -30%
Odom's TN Pride Sausage WORKERSCOMP $2,256.55 ↓ -25%
Multiplan COMM $2,467.16 ↓ -18%
BGFH SingleSource LEASEDNETWORK $2,557.42 ↓ -15%
Beech Street COMM $2,768.03 ↓ -8%
Aetna NewBusiness $3,807.00 ↑ +27%
Aetna COMM $4,700.00 ↑ +56%

Visitor-reported prices

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Echo stress at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $902.61 $105.21 – $735.15
CHI Memorial Hospital Hixson Hixson $1,002.26 $156.58 – $2,370.20
CHI Memorial Hospital Chattanooga Chattanooga $1,432.28 $156.58 – $2,370.20
Johnson City Medical Center JOHNSON CITY $448.35 $82.81 – $1,111.55
Ascension Saint Thomas Rutherford Murfreesboro $902.61 $105.21 – $735.15
Greeneville Community Hospital GREENEVILLE $448.35 $82.81 – $1,111.55
Bristol Regional Medical Center BRISTOL $448.35 $82.81 – $1,244.06
Franklin Woods Community Hospital JOHNSON CITY $448.35 $82.81 – $1,081.53

All Tennessee hospitals for this procedure →