Vein x-ray eye socket 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.
$41.95 with BCBS vs $826.97 with United — 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 | $41.95 | — |
| BCBS | COVERKIDS | $45.42 | — |
| BCBS | BlueCare | $71.08 | — |
| BCBS | NetworkP | $89.08 | — |
| Humana | BroadNetwork | $130.48 | — |
| Humana | HumanaChoice | $130.48 | — |
| Humana | HumanaChoiceCare | $130.48 | — |
| Humana | NarrowExchangeNetwork | $130.48 | — |
| Aetna | NewBusiness | $153.86 | — |
| Aetna | COMM | $153.86 | — |
| Cigna | NewBusiness | $236.99 | — |
| Cigna | OAP | $269.19 | — |
| United | CorePayer | $826.97 | — |
| United | HeritageSelect | $826.97 | — |
| United | AllPayerAppendix | $826.97 | — |
Visitor-reported prices
Comments
Vein x-ray eye socket at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $429.15 | $31.00 – $1,553.98 |
| Bristol Regional Medical Center | BRISTOL | $429.15 | $31.00 – $1,457.30 |
| Holston Valley Medical Center | KINGSPORT | $429.15 | $31.00 – $1,457.30 |
| 62-0123940 BMH Collierville | Collierville | $1,310.19 | $26.72 – $1,132.28 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $429.15 | $31.00 – $1,602.15 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $2,137.65 | $35.80 – $826.97 |
| Ascension Saint Thomas Midtown | Nashville | not published | $26.72 – $1,008.82 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $26.72 – $1,008.82 |