Onc cutan mlnma mrna 31 gene 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.
$3,236.85 with Wellpoint vs $28,772.00 with Humana — 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 | $3,236.85 | — |
| Aetna | NewBusiness | $5,718.44 | — |
| Aetna | COMM | $5,718.44 | — |
| Devoted Health Plan | MCR | $7,193.00 | — |
| Humana | ChoicecareMGMCR | $7,193.00 | — |
| HealthSpring | DualEligible | $7,193.00 | — |
| HealthSpring | MCRHMO | $7,193.00 | — |
| HealthSpring | MCRPOS | $7,193.00 | — |
| HealthSpring | MCRPPO | $7,193.00 | — |
| United | VACCN | $7,193.00 | — |
| United | AllPayerAppendix | $7,193.00 | — |
| United | CorePayer | $7,193.00 | — |
| United | HeritageSelect | $7,193.00 | — |
| Amerigroup | MGMCR | $7,193.00 | — |
| Bright Health | HIX | $7,193.00 | — |
| Bright Health | SmallGroup | $7,193.00 | — |
| BCBS | NetworkP | $7,193.00 | — |
| Sarah Cannon Research | COMM | $7,193.00 | — |
| Aetna | MGMCRHMO | $7,264.93 | — |
| Aetna | MGMCRSNP | $7,264.93 | — |
| Aetna | MGMCRPPO | $7,264.93 | — |
| United | MGMCR | $7,336.86 | — |
| Zing | MGMCR | $7,408.79 | — |
| WellCare | MCR | $7,408.79 | — |
| BCBS | MCR | $7,408.79 | — |
| Ambetter | Select | $7,480.72 | — |
| American Health Advantage | MCRHMO | $7,552.65 | — |
| American Health Advantage | MCRPPO | $7,552.65 | — |
| American Health Advantage | MCRSNP | $7,552.65 | — |
| American Health Advantage | MCRPFFS | $7,552.65 | — |
| Evergreen HMO | MCR | $7,552.65 | — |
| American Health Advantage | MCRPOS | $7,552.65 | — |
| Signature Advantage | MCR | $7,624.58 | — |
| Ambetter | CORE | $7,768.44 | — |
| ATRIO Golden Times | MCR | $7,912.30 | — |
| Bright Health | MCRNarrow | $8,271.95 | — |
| BCBS | TENNCARE | $9,934.60 | — |
| Prime Health | WORKERSCOMP | $10,357.92 | — |
| NovaNET | WORKERSCOMP | $10,573.71 | — |
| CorVel Corporation | WORKERSCOMP | $10,573.71 | — |
| BCBS | COVERKIDS | $10,752.74 | — |
| Cigna | NewBusiness | $12,825.21 | — |
| Cigna | OAP | $14,565.32 | — |
| BCBS | BlueCare | $16,888.81 | — |
| Oscar | HIX | $21,579.00 | — |
| Humana | HumanaChoice | $28,772.00 | — |
| Humana | HumanaChoiceCare | $28,772.00 | — |
| Humana | BroadNetwork | $28,772.00 | — |
| Humana | NarrowExchangeNetwork | $28,772.00 | — |
Visitor-reported prices
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Onc cutan mlnma mrna 31 gene at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $9,230.85 | $2,455.54 – $15,680.74 |
| Hancock County Hospital | SNEEDVILLE | $9,058.78 | $2,744.51 – $15,855.33 |
| Greeneville Community Hospital | GREENEVILLE | $9,230.85 | $2,589.48 – $15,680.74 |
| Bristol Regional Medical Center | BRISTOL | $9,230.85 | $2,496.37 – $17,263.20 |
| Franklin Woods Community Hospital | JOHNSON CITY | $9,230.85 | $2,664.57 – $15,680.74 |
| Holston Valley Medical Center | KINGSPORT | $9,230.85 | $2,423.66 – $17,263.20 |
| Indian Path Community Hospital | KINGSPORT | $9,230.85 | $2,344.73 – $17,263.20 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $9,230.85 | $2,744.51 – $15,680.74 |