Postop dress & 1 cast chg bk at HENDERSONVILLE MEDICAL CENTER
355 NEW SHACKLE ISLAND ROAD, HENDERSONVILLE, TN · Tristarhealth · · NPI 1538114434
$5,911.00
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.
$5,911.00
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.
$1,088.22 with Kentucky Labor Cabinet vs $5,438.12 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 |
|---|---|---|---|
| Kentucky Labor Cabinet | WORKERSCOMP | $1,088.22 | ↓ -82% |
| Ambetter | Select | $1,371.35 | ↓ -77% |
| Humana | TRICARE | $1,477.75 | ↓ -75% |
| United | OptionsPPO | $1,489.57 | ↓ -75% |
| Wellpoint | MGMCD | $1,617.20 | ↓ -73% |
| HealthSpring | MCRPPO | $1,667.22 | ↓ -72% |
| Amerigroup | MGMCR | $1,667.22 | ↓ -72% |
| Sarah Cannon Research | COMM | $1,667.22 | ↓ -72% |
| Humana | ChoicecareMGMCR | $1,667.22 | ↓ -72% |
| United | VACCN | $1,667.22 | ↓ -72% |
| Devoted Health Plan | MCR | $1,667.22 | ↓ -72% |
| HealthSpring | DualEligible | $1,667.22 | ↓ -72% |
| HealthSpring | MCRHMO | $1,667.22 | ↓ -72% |
| HealthSpring | MCRPOS | $1,667.22 | ↓ -72% |
| Aetna | MGMCRPPO | $1,683.89 | ↓ -72% |
| Aetna | MGMCRHMO | $1,683.89 | ↓ -72% |
| Aetna | MGMCRSNP | $1,683.89 | ↓ -72% |
| United | MGMCR | $1,700.56 | ↓ -71% |
| WellCare | MCR | $1,717.24 | ↓ -71% |
| BCBS | MCR | $1,717.24 | ↓ -71% |
| Zing | MGMCR | $1,717.24 | ↓ -71% |
| American Health Advantage | MCRPPO | $1,750.58 | ↓ -70% |
| American Health Advantage | MCRHMO | $1,750.58 | ↓ -70% |
| American Health Advantage | MCRPOS | $1,750.58 | ↓ -70% |
| American Health Advantage | MCRSNP | $1,750.58 | ↓ -70% |
| American Health Advantage | MCRPFFS | $1,750.58 | ↓ -70% |
| Evergreen HMO | MCR | $1,750.58 | ↓ -70% |
| Signature Advantage | MCR | $1,767.25 | ↓ -70% |
| ATRIO Golden Times | MCR | $1,833.94 | ↓ -69% |
| Bright Health | MCRNarrow | $1,917.30 | ↓ -68% |
| Cigna | PPO | $1,986.10 | ↓ -66% |
| Prime Health | WORKERSCOMP | $2,400.80 | ↓ -59% |
| CorVel Corporation | WORKERSCOMP | $2,450.81 | ↓ -59% |
| NovaNET | WORKERSCOMP | $2,450.81 | ↓ -59% |
| United | GlobalBenefitPlan | $2,659.95 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $2,955.50 | ↓ -50% |
| Aetna | NAP | $2,955.50 | ↓ -50% |
| Employers Health Network | COMM | $4,137.70 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $4,433.25 | ↓ -25% |
| Multiplan | COMM | $4,847.02 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $5,024.35 | ↓ -15% |
| Beech Street | COMM | $5,438.12 | ↓ -8% |
Visitor-reported prices
Comments
Postop dress & 1 cast chg bk at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SKYLINE MADISON CAMPUS | NASHVILLE | $6,001.00 | $1,200.40 – $2,450.81 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $1,667.22 – $2,450.81 |
| HORIZON MEDICAL CENTER | DICKSON | not published | $1,500.50 – $2,450.81 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH | not published | $1,200.40 – $2,450.81 |
| STONECREST MEDICAL CENTER | Smyrna | not published | $1,500.50 – $2,450.81 |
| SUMMIT MEDICAL CENTER | MT JULIET | not published | $1,500.50 – $2,450.81 |
| Parkwest Medical Center | Knoxville | not published | $798.70 – $1,750.58 |
| Roane County Medical Center | Harriman | not published | $1,667.22 – $1,750.58 |