Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at HENDERSONVILLE MEDICAL CENTER
355 NEW SHACKLE ISLAND ROAD, HENDERSONVILLE, TN · Tristarhealth · · NPI 1538114434
$960.39
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.
$960.39
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.
$34.51 with BCBS vs $883.56 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 |
|---|---|---|---|
| BCBS | TENNCARE | $34.51 | ↓ -96% |
| BCBS | COVERKIDS | $37.35 | ↓ -96% |
| BCBS | BlueCare | $58.67 | ↓ -94% |
| BCBS | NetworkP | $141.62 | ↓ -85% |
| Cigna | NewBusiness | $162.60 | ↓ -83% |
| Kentucky Labor Cabinet | WORKERSCOMP | $176.81 | ↓ -82% |
| Cigna | OAP | $184.89 | ↓ -81% |
| Ambetter | Select | $222.81 | ↓ -77% |
| Humana | TRICARE | $240.10 | ↓ -75% |
| United | OptionsPPO | $242.02 | ↓ -75% |
| Cigna | PPO | $322.69 | ↓ -66% |
| United | AllPayerAppendix | $353.70 | ↓ -63% |
| United | CorePayer | $353.70 | ↓ -63% |
| United | HeritageSelect | $353.70 | ↓ -63% |
| United | GlobalBenefitPlan | $432.18 | ↓ -55% |
| BGFH SingleSource | DIRECTNETWORK | $480.19 | ↓ -50% |
| Aetna | NAP | $480.19 | ↓ -50% |
| Employers Health Network | COMM | $672.27 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $720.29 | ↓ -25% |
| Multiplan | COMM | $787.52 | ↓ -18% |
| BGFH SingleSource | LEASEDNETWORK | $816.33 | ↓ -15% |
| Beech Street | COMM | $883.56 | ↓ -8% |
| American Health Advantage | MCRPPO | not published by hospital | — |
| American Health Advantage | MCRSNP | not published by hospital | — |
| American Health Advantage | MCRPFFS | not published by hospital | — |
| Evergreen HMO | MCR | not published by hospital | — |
| NovaNET | WORKERSCOMP | not published by hospital | — |
| Sarah Cannon Research | COMM | not published by hospital | — |
| Devoted Health Plan | MCR | not published by hospital | — |
| Signature Advantage | MCR | not published by hospital | — |
| Humana | ChoicecareMGMCR | not published by hospital | — |
| HealthSpring | DualEligible | not published by hospital | — |
| HealthSpring | MCRHMO | not published by hospital | — |
| HealthSpring | MCRPOS | not published by hospital | — |
| HealthSpring | MCRPPO | not published by hospital | — |
| WellCare | MCR | not published by hospital | — |
| Aetna | MGMCRHMO | not published by hospital | — |
| Aetna | MGMCRPPO | not published by hospital | — |
| Aetna | MGMCRSNP | not published by hospital | — |
| United | VACCN | not published by hospital | — |
| United | MGMCR | not published by hospital | — |
| Amerigroup | MGMCR | not published by hospital | — |
| Zing | MGMCR | not published by hospital | — |
| Wellpoint | MGMCD | not published by hospital | — |
| Bright Health | MCRNarrow | not published by hospital | — |
| Prime Health | WORKERSCOMP | not published by hospital | — |
| BCBS | MCR | not published by hospital | — |
| CorVel Corporation | WORKERSCOMP | not published by hospital | — |
| ATRIO Golden Times | MCR | not published by hospital | — |
| American Health Advantage | MCRHMO | not published by hospital | — |
| American Health Advantage | MCRPOS | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $126.36 | $30.21 – $298.83 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $180.58 | $30.21 – $298.83 |
| Ascension Saint Thomas Highlands | Sparta | $251.64 | $20.30 – $201.94 |
| Ascension Saint Thomas River Park | McMinnville | $251.64 | $20.30 – $201.94 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $251.64 | $20.30 – $201.94 |
| Bristol Regional Medical Center | BRISTOL | $168.86 | $23.55 – $230.79 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | $1,634.80 | $20.30 – $353.70 |
| HORIZON MEDICAL CENTER | DICKSON | $310.71 | $32.48 – $353.70 |