Low cost skin substitute app 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.
$268.00 with United vs $3,454.00 with Cigna — 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 |
|---|---|---|---|
| United | TENNCARE | $268.00 | — |
| BCBS | TENNCARE | $841.79 | — |
| Bright Health | HIX | $870.00 | — |
| BCBS | COVERKIDS | $912.16 | — |
| BCBS | BlueCare | $990.00 | — |
| Bright Health | SmallGroup | $1,187.00 | — |
| BCBS | NetworkP | $1,334.44 | — |
| Oscar | HIX | $1,418.00 | — |
| Aetna | NewBusiness | $1,804.00 | — |
| Aetna | COMM | $2,303.00 | — |
| Humana | BroadNetwork | $2,569.00 | — |
| Humana | HumanaChoice | $2,569.00 | — |
| Humana | HumanaChoiceCare | $2,569.00 | — |
| Humana | NarrowExchangeNetwork | $2,569.00 | — |
| Cigna | NewBusiness | $3,040.00 | — |
| Cigna | OAP | $3,454.00 | — |
Visitor-reported prices
Comments
Low cost skin substitute app at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $606.80 | $410.00 – $1,435.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $678.04 | $486.29 – $1,117.90 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $867.15 | $430.50 – $1,435.00 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,678.95 | $954.50 – $1,004.50 |
| 62-0123940 BMH Collierville | Collierville | $348.39 | $532.50 – $1,121.06 |
| 62-1138045 BMH Union City | Union City | $567.00 | $486.29 – $1,117.90 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $1,334.44 – $1,334.44 |
| HORIZON MEDICAL CENTER | DICKSON | not published | $1,334.44 – $1,334.44 |