Symes ankle without (sach) foot at HENDERSONVILLE MEDICAL CENTER

355 NEW SHACKLE ISLAND ROAD, HENDERSONVILLE, TN · Tristarhealth · · NPI 1538114434

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$2,675.29 with Wellpoint vs $4,054.30 with CorVel Corporation — 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 →

Payer
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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
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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 $2,675.29
Humana ChoicecareMGMCR $2,758.03
HealthSpring DualEligible $2,758.03
HealthSpring MCRHMO $2,758.03
HealthSpring MCRPOS $2,758.03
HealthSpring MCRPPO $2,758.03
Devoted Health Plan MCR $2,758.03
United VACCN $2,758.03
Amerigroup MGMCR $2,758.03
Sarah Cannon Research COMM $2,758.03
Aetna MGMCRHMO $2,785.61
Aetna MGMCRSNP $2,785.61
Aetna MGMCRPPO $2,785.61
United MGMCR $2,813.19
Zing MGMCR $2,840.77
BCBS MCR $2,840.77
WellCare MCR $2,840.77
American Health Advantage MCRSNP $2,895.93
American Health Advantage MCRPFFS $2,895.93
Evergreen HMO MCR $2,895.93
American Health Advantage MCRHMO $2,895.93
American Health Advantage MCRPOS $2,895.93
American Health Advantage MCRPPO $2,895.93
Signature Advantage MCR $2,923.51
ATRIO Golden Times MCR $3,033.83
Bright Health MCRNarrow $3,171.73
Prime Health WORKERSCOMP $3,971.56
NovaNET WORKERSCOMP $4,054.30
CorVel Corporation WORKERSCOMP $4,054.30

Visitor-reported prices

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Symes ankle without (sach) foot at other Tennessee hospitals

Hospital City Cash price Negotiated range
CENTENNIAL MEDICAL CENTER AT ASHLAND CITY Ashland City not published $2,758.03 – $4,054.30
HORIZON MEDICAL CENTER DICKSON not published $2,482.23 – $4,054.30
SKYLINE MADISON CAMPUS NASHVILLE not published $1,985.78 – $4,054.30
SOUTHERN HILLS MEDICAL CENTER ANTIOCH not published $1,985.78 – $4,054.30
STONECREST MEDICAL CENTER Smyrna not published $2,482.23 – $4,054.30
SUMMIT MEDICAL CENTER MT JULIET not published $2,482.23 – $4,054.30
Parkwest Medical Center Knoxville not published $1,321.26 – $2,895.93
Roane County Medical Center Harriman not published $2,758.03 – $2,895.93

All Tennessee hospitals for this procedure →