Fetal hemoglobin rosette at HENDERSONVILLE MEDICAL CENTER
355 NEW SHACKLE ISLAND ROAD, HENDERSONVILLE, TN · Tristarhealth · · NPI 1538114434
$692.13
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.
$692.13
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.
$4.21 with Wellpoint vs $636.76 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 | $4.21 | ↓ -99% |
| Aetna | NewBusiness | $7.44 | ↓ -99% |
| Aetna | COMM | $7.44 | ↓ -99% |
| BCBS | NetworkP | $9.05 | ↓ -99% |
| Bright Health | HIX | $9.36 | ↓ -99% |
| Sarah Cannon Research | COMM | $9.36 | ↓ -99% |
| Humana | ChoicecareMGMCR | $9.36 | ↓ -99% |
| HealthSpring | DualEligible | $9.36 | ↓ -99% |
| HealthSpring | MCRHMO | $9.36 | ↓ -99% |
| HealthSpring | MCRPOS | $9.36 | ↓ -99% |
| HealthSpring | MCRPPO | $9.36 | ↓ -99% |
| United | VACCN | $9.36 | ↓ -99% |
| United | AllPayerAppendix | $9.36 | ↓ -99% |
| Devoted Health Plan | MCR | $9.36 | ↓ -99% |
| United | CorePayer | $9.36 | ↓ -99% |
| United | HeritageSelect | $9.36 | ↓ -99% |
| Amerigroup | MGMCR | $9.36 | ↓ -99% |
| Bright Health | SmallGroup | $9.36 | ↓ -99% |
| Aetna | MGMCRSNP | $9.45 | ↓ -99% |
| Aetna | MGMCRHMO | $9.45 | ↓ -99% |
| Aetna | MGMCRPPO | $9.45 | ↓ -99% |
| United | MGMCR | $9.55 | ↓ -99% |
| BCBS | MCR | $9.64 | ↓ -99% |
| WellCare | MCR | $9.64 | ↓ -99% |
| Zing | MGMCR | $9.64 | ↓ -99% |
| Ambetter | Select | $9.73 | ↓ -99% |
| Evergreen HMO | MCR | $9.83 | ↓ -99% |
| American Health Advantage | MCRPFFS | $9.83 | ↓ -99% |
| American Health Advantage | MCRHMO | $9.83 | ↓ -99% |
| American Health Advantage | MCRPPO | $9.83 | ↓ -99% |
| American Health Advantage | MCRPOS | $9.83 | ↓ -99% |
| American Health Advantage | MCRSNP | $9.83 | ↓ -99% |
| Signature Advantage | MCR | $9.92 | ↓ -99% |
| Ambetter | CORE | $10.11 | ↓ -99% |
| ATRIO Golden Times | MCR | $10.30 | ↓ -99% |
| Bright Health | MCRNarrow | $10.76 | ↓ -98% |
| Prime Health | WORKERSCOMP | $13.48 | ↓ -98% |
| NovaNET | WORKERSCOMP | $13.76 | ↓ -98% |
| CorVel Corporation | WORKERSCOMP | $13.76 | ↓ -98% |
| Cigna | NewBusiness | $16.72 | ↓ -98% |
| Cigna | OAP | $18.98 | ↓ -97% |
| BCBS | TENNCARE | $20.20 | ↓ -97% |
| BCBS | COVERKIDS | $21.86 | ↓ -97% |
| Oscar | HIX | $28.08 | ↓ -96% |
| BCBS | BlueCare | $34.33 | ↓ -95% |
| Humana | HumanaChoiceCare | $37.44 | ↓ -95% |
| Humana | BroadNetwork | $37.44 | ↓ -95% |
| Humana | HumanaChoice | $37.44 | ↓ -95% |
| Humana | NarrowExchangeNetwork | $37.44 | ↓ -95% |
| Kentucky Labor Cabinet | WORKERSCOMP | $127.42 | ↓ -82% |
| Apex Health | MCR | $131.50 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $131.50 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $131.50 | ↓ -81% |
| Humana | TRICARE | $173.03 | ↓ -75% |
| United | OptionsPPO | $174.42 | ↓ -75% |
| Cigna | PPO | $232.56 | ↓ -66% |
| United | GlobalBenefitPlan | $311.46 | ↓ -55% |
| Aetna | NAP | $346.06 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $346.06 | ↓ -50% |
| Employers Health Network | COMM | $484.49 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $519.10 | ↓ -25% |
| Multiplan | COMM | $567.55 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $588.31 | ↓ -15% |
| Beech Street | COMM | $636.76 | ↓ -8% |
Visitor-reported prices
Comments
Fetal hemoglobin rosette at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $11.70 | $4.68 – $20.40 |
| Ascension Saint Thomas DeKalb | Smithville | $48.35 | $4.65 – $29.34 |
| Ascension Saint Thomas Highlands | Sparta | $48.35 | $4.65 – $29.34 |
| Ascension Saint Thomas River Park | McMinnville | $48.35 | $4.65 – $29.34 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $48.35 | $8.42 – $29.34 |
| Hancock County Hospital | SNEEDVILLE | $11.27 | $4.70 – $20.93 |
| Greeneville Community Hospital | GREENEVILLE | $11.70 | $3.38 – $20.40 |
| Bristol Regional Medical Center | BRISTOL | $11.70 | $4.68 – $22.46 |