Inj, biorphen, 20 micrograms at HENDERSONVILLE MEDICAL CENTER
355 NEW SHACKLE ISLAND ROAD, HENDERSONVILLE, TN · Tristarhealth · · NPI 1538114434
$32.12
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.
$32.12
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.
$0.21 with Cigna vs $29.55 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 |
|---|---|---|---|
| Cigna | NewBusiness | $0.21 | ↓ -99% |
| Cigna | OAP | $0.24 | ↓ -99% |
| United | AllPayerAppendix | $0.42 | ↓ -99% |
| United | CorePayer | $0.42 | ↓ -99% |
| United | HeritageSelect | $0.42 | ↓ -99% |
| Aetna | MGMCRHMO | $4.82 | ↓ -85% |
| Aetna | MGMCRSNP | $4.82 | ↓ -85% |
| Aetna | MGMCRPPO | $4.82 | ↓ -85% |
| Kentucky Labor Cabinet | WORKERSCOMP | $5.91 | ↓ -82% |
| BCBS | NetworkP | $7.39 | ↓ -77% |
| Ambetter | Select | $7.45 | ↓ -77% |
| Humana | TRICARE | $8.03 | ↓ -75% |
| United | OptionsPPO | $8.09 | ↓ -75% |
| Cigna | PPO | $10.79 | ↓ -66% |
| United | GlobalBenefitPlan | $14.45 | ↓ -55% |
| Signature Advantage | MCR | $16.06 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $16.06 | ↓ -50% |
| Employers Health Network | COMM | $22.48 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $24.09 | ↓ -25% |
| Multiplan | COMM | $26.34 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $27.30 | ↓ -15% |
| Beech Street | COMM | $29.55 | ↓ -8% |
Visitor-reported prices
Comments
Inj, biorphen, 20 micrograms at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | $67.65 | $0.21 – $0.42 |
| HORIZON MEDICAL CENTER | DICKSON | $87.50 | $0.21 – $0.42 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD | $52.35 | $0.21 – $0.42 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH | $46.44 | $0.21 – $0.42 |
| STONECREST MEDICAL CENTER | Smyrna | $46.95 | $0.21 – $0.42 |
| SUMMIT MEDICAL CENTER | MT JULIET | $24.95 | $0.21 – $0.42 |
| SKYLINE MADISON CAMPUS | NASHVILLE | not published | $0.21 – $0.42 |
| Parkwest Medical Center | Knoxville | not published | $0.09 – $0.18 |