Sialidase enzyme assay at HENDERSONVILLE MEDICAL CENTER
355 NEW SHACKLE ISLAND ROAD, HENDERSONVILLE, TN · Tristarhealth · · NPI 1538114434
$12.22
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.
$12.22
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.
$2.25 with Kentucky Labor Cabinet vs $48.88 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 |
|---|---|---|---|
| Kentucky Labor Cabinet | WORKERSCOMP | $2.25 | ↓ -82% |
| Apex Health | MCR | $2.32 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $2.32 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $2.32 | ↓ -81% |
| Humana | TRICARE | $3.06 | ↓ -75% |
| United | OptionsPPO | $3.08 | ↓ -75% |
| Cigna | PPO | $4.11 | ↓ -66% |
| Wellpoint | MGMCD | $5.50 | ↓ -55% |
| United | GlobalBenefitPlan | $5.50 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $6.11 | ↓ -50% |
| Aetna | NAP | $6.11 | ↓ -50% |
| Employers Health Network | COMM | $8.55 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $9.16 | ↓ -25% |
| Aetna | NewBusiness | $9.72 | ↓ -20% |
| Aetna | COMM | $9.72 | ↓ -20% |
| Multiplan | COMM | $10.02 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $10.39 | ↓ -15% |
| Beech Street | COMM | $11.24 | ↓ -8% |
| Devoted Health Plan | MCR | $12.22 | ↑ +0% |
| Humana | ChoicecareMGMCR | $12.22 | ↑ +0% |
| HealthSpring | DualEligible | $12.22 | ↑ +0% |
| HealthSpring | MCRHMO | $12.22 | ↑ +0% |
| HealthSpring | MCRPOS | $12.22 | ↑ +0% |
| HealthSpring | MCRPPO | $12.22 | ↑ +0% |
| United | VACCN | $12.22 | ↑ +0% |
| United | AllPayerAppendix | $12.22 | ↑ +0% |
| United | CorePayer | $12.22 | ↑ +0% |
| United | HeritageSelect | $12.22 | ↑ +0% |
| Amerigroup | MGMCR | $12.22 | ↑ +0% |
| Bright Health | HIX | $12.22 | ↑ +0% |
| Bright Health | SmallGroup | $12.22 | ↑ +0% |
| Sarah Cannon Research | COMM | $12.22 | ↑ +0% |
| Aetna | MGMCRPPO | $12.34 | ↑ +1% |
| Aetna | MGMCRSNP | $12.34 | ↑ +1% |
| Aetna | MGMCRHMO | $12.34 | ↑ +1% |
| United | MGMCR | $12.46 | ↑ +2% |
| Zing | MGMCR | $12.59 | ↑ +3% |
| BCBS | MCR | $12.59 | ↑ +3% |
| WellCare | MCR | $12.59 | ↑ +3% |
| Ambetter | Select | $12.71 | ↑ +4% |
| Evergreen HMO | MCR | $12.83 | ↑ +5% |
| American Health Advantage | MCRHMO | $12.83 | ↑ +5% |
| American Health Advantage | MCRSNP | $12.83 | ↑ +5% |
| American Health Advantage | MCRPPO | $12.83 | ↑ +5% |
| American Health Advantage | MCRPOS | $12.83 | ↑ +5% |
| American Health Advantage | MCRPFFS | $12.83 | ↑ +5% |
| Signature Advantage | MCR | $12.95 | ↑ +6% |
| Ambetter | CORE | $13.20 | ↑ +8% |
| ATRIO Golden Times | MCR | $13.44 | ↑ +10% |
| Bright Health | MCRNarrow | $14.05 | ↑ +15% |
| BCBS | NetworkP | $16.67 | ↑ +36% |
| Prime Health | WORKERSCOMP | $17.60 | ↑ +44% |
| CorVel Corporation | WORKERSCOMP | $17.96 | ↑ +47% |
| NovaNET | WORKERSCOMP | $17.96 | ↑ +47% |
| Cigna | NewBusiness | $21.91 | ↑ +79% |
| BCBS | TENNCARE | $24.63 | ↑ +102% |
| Cigna | OAP | $24.88 | ↑ +104% |
| BCBS | COVERKIDS | $26.66 | ↑ +118% |
| Oscar | HIX | $36.66 | ↑ +200% |
| BCBS | BlueCare | $41.88 | ↑ +243% |
| Humana | NarrowExchangeNetwork | $48.88 | ↑ +300% |
| Humana | HumanaChoice | $48.88 | ↑ +300% |
| Humana | BroadNetwork | $48.88 | ↑ +300% |
| Humana | HumanaChoiceCare | $48.88 | ↑ +300% |
Visitor-reported prices
Comments
Sialidase enzyme assay at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $20.93 | $8.66 – $26.71 |
| Greeneville Community Hospital | GREENEVILLE | $21.30 | $5.50 – $26.64 |
| Bristol Regional Medical Center | BRISTOL | $21.30 | $6.11 – $29.33 |
| Holston Valley Medical Center | KINGSPORT | $21.30 | $6.11 – $29.33 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $21.30 | $6.11 – $26.64 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH | $48.88 | $5.50 – $36.66 |
| Ascension Saint Thomas Midtown | Nashville | not published | $4.40 – $47.40 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $8.57 – $47.40 |