Sarscov & inf vir a&b ag ia 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.
$31.63 with Wellpoint vs $210.87 with Oscar — 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 | $31.63 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $32.35 | — |
| Apex Health | MCR | $33.39 | — |
| Pruitt Health (AllyAlign) | MCR | $33.39 | — |
| NHC Advantage, Inc. | MCRHMO | $33.39 | — |
| Humana | TRICARE | $43.93 | — |
| United | OptionsPPO | $44.28 | — |
| Cigna | PPO | $59.05 | — |
| BCBS | NetworkP | $63.59 | — |
| Amerigroup | MGMCR | $70.29 | — |
| Sarah Cannon Research | COMM | $70.29 | — |
| Humana | ChoicecareMGMCR | $70.29 | — |
| HealthSpring | DualEligible | $70.29 | — |
| HealthSpring | MCRHMO | $70.29 | — |
| HealthSpring | MCRPOS | $70.29 | — |
| HealthSpring | MCRPPO | $70.29 | — |
| Devoted Health Plan | MCR | $70.29 | — |
| United | VACCN | $70.29 | — |
| Aetna | MGMCRSNP | $70.99 | — |
| Aetna | MGMCRHMO | $70.99 | — |
| Aetna | MGMCRPPO | $70.99 | — |
| United | MGMCR | $71.70 | — |
| BCBS | MCR | $72.40 | — |
| Zing | MGMCR | $72.40 | — |
| WellCare | MCR | $72.40 | — |
| Ambetter | Select | $73.10 | — |
| United | CorePayer | $73.62 | — |
| United | AllPayerAppendix | $73.62 | — |
| United | HeritageSelect | $73.62 | — |
| American Health Advantage | MCRPOS | $73.80 | — |
| American Health Advantage | MCRHMO | $73.80 | — |
| American Health Advantage | MCRPPO | $73.80 | — |
| American Health Advantage | MCRSNP | $73.80 | — |
| American Health Advantage | MCRPFFS | $73.80 | — |
| Evergreen HMO | MCR | $73.80 | — |
| Signature Advantage | MCR | $74.51 | — |
| Ambetter | CORE | $75.92 | — |
| ATRIO Golden Times | MCR | $77.32 | — |
| Aetna | NewBusiness | $77.90 | — |
| Aetna | COMM | $77.90 | — |
| United | GlobalBenefitPlan | $79.08 | — |
| Bright Health | MCRNarrow | $80.83 | — |
| Aetna | NAP | $87.86 | — |
| BGFH SingleSource | DIRECTNETWORK | $87.86 | — |
| Prime Health | WORKERSCOMP | $101.22 | — |
| NovaNET | WORKERSCOMP | $103.33 | — |
| CorVel Corporation | WORKERSCOMP | $103.33 | — |
| Employers Health Network | COMM | $123.01 | — |
| Humana | BroadNetwork | $123.76 | — |
| Humana | HumanaChoice | $123.76 | — |
| Humana | HumanaChoiceCare | $123.76 | — |
| Humana | NarrowExchangeNetwork | $123.76 | — |
| Cigna | NewBusiness | $125.15 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $131.80 | — |
| Cigna | OAP | $142.13 | — |
| Multiplan | COMM | $144.10 | — |
| BGFH SingleSource | LEASEDNETWORK | $149.37 | — |
| Beech Street | COMM | $161.67 | — |
| Oscar | HIX | $210.87 | — |
Visitor-reported prices
Comments
Sarscov & inf vir a&b ag ia at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $82.88 | $48.06 – $196.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $115.23 | $51.66 – $140.58 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $118.44 | $48.06 – $196.00 |
| 62-0123940 BMH Collierville | Collierville | $105.21 | $30.94 – $140.58 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD | $386.60 | $31.63 – $210.87 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $386.00 | $31.63 – $210.87 |
| Ascension Saint Thomas Midtown | Nashville | not published | $63.26 – $138.90 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $63.26 – $138.90 |