Revise reconst elbow joint 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.
$2,550.00 with Apex Health vs $25,232.37 with Signature Advantage — 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 |
|---|---|---|---|
| Apex Health | MCR | $2,550.00 | — |
| NHC Advantage, Inc. | MCRHMO | $2,550.00 | — |
| BCBS | BlueCare | $2,706.00 | — |
| Bright Health | HIX | $3,723.00 | — |
| BCBS | NetworkP | $4,649.00 | — |
| Pruitt Health (AllyAlign) | MCR | $4,950.00 | — |
| Bright Health | SmallGroup | $5,078.00 | — |
| BCBS | TENNCARE | $5,807.42 | — |
| Oscar | HIX | $6,070.00 | — |
| BCBS | COVERKIDS | $6,292.92 | — |
| United | TENNCARE | $6,533.00 | — |
| Humana | BroadNetwork | $7,729.00 | — |
| Humana | NarrowExchangeNetwork | $7,729.00 | — |
| Humana | HumanaChoiceCare | $7,729.00 | — |
| Humana | HumanaChoice | $7,729.00 | — |
| Aetna | NewBusiness | $8,418.00 | — |
| United | CorePayer | $9,270.00 | — |
| United | HeritageSelect | $9,888.00 | — |
| Aetna | COMM | $10,746.00 | — |
| United | AllPayerAppendix | $12,360.00 | — |
| Humana | ChoicecareMGMCR | $14,000.00 | — |
| WellCare | MCR | $15,000.00 | — |
| Zing | MGMCR | $18,503.74 | — |
| Evergreen HMO | MCR | $18,503.74 | — |
| Devoted Health Plan | MCR | $21,026.98 | — |
| ATRIO Golden Times | MCR | $21,868.05 | — |
| Signature Advantage | MCR | $25,232.37 | — |
Visitor-reported prices
Comments
Revise reconst elbow joint at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $2,118.00 – $2,465.05 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $2,118.00 – $5,112.00 |
| Ascension Saint Thomas Highlands | Sparta | not published | $2,118.00 – $5,112.00 |
| Ascension Saint Thomas River Park | McMinnville | not published | $2,118.00 – $5,112.00 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $2,118.00 – $2,629.32 |
| Ascension Saint Thomas Hickman | Centerville | not published | $2,118.00 – $2,225.50 |
| 62-0123940 BMH Collierville | Collierville | not published | $15,997.78 – $33,679.54 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $17,498.78 – $25,134.61 |