How many shoppable procedure prices are published for Tristar Hendersonville Medical Center?

Tristar Hendersonville Medical Center in Hendersonville, TN currently has 122 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Tristar Hendersonville Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Tristar Hendersonville Medical Center's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Tristar Hendersonville Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Tristar Hendersonville Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 127 Beds · urban Updated: 2026-09-01

Tristar Hendersonville Medical Center

355 New Shackle Island Rd, Hendersonville, TN 37075 · 122 Priced Procedures · 66% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.06×vs. Fair Market Price

Typical commercial prices here are +6% above the fair benchmark (1.06×) even after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 1% of the Time

File Completeness90

Price Logic98

Peer Alignment64

Clean Billing89

Real Cash Discount6

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 1.06× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Tristar Hendersonville Medical Center prices shoppable and inpatient services (1.3× to 1.0× Medicare, divergence 0.77×) in alignment with regional hospital peers (1.06× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#56 of 84 in TN · 65th State Percentile#1,558 of 3,385 in U.S. · 45th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.80× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 1% of shoppable procedures (25/100 Cash Honesty)
4-Star CMS clinical rating with 66% patient recommendation (63/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
Commercial insurance median sits at 0.98× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.22×) jump +24% above the median procedure ratio (Q50 0.98×)
Unnegotiated chargemaster list prices average 13.6× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.77× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+24% Upper Tail

Q25 0.80× · Q50 0.98× · Q75 1.22×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.3× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.3× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

1% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 63/100Elevated

Procedure Prices at Tristar Hendersonville Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 122 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$24,391	$30,775	0.8×
Total hip replacement CPT Code: `27130`	—	$18,954	$13,413	1.4×
Total knee replacement CPT Code: `27447`	—	$18,954	$13,523	1.4×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$15,154	$19,432	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$15,102	$19,087	0.8×
Trauma team activation HCPCS Code: `G0390`	$14,980	$14,980	$1,453	10.3×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$13,976	$17,936	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,929	$8,223	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,310	$6,109	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,950	$3,372	unverified
Breast lump removal CPT Code: `19120`	—	$4,716	$3,875	1.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,421	$2,540	1.7×
Inguinal hernia repair CPT Code: `49505`	—	$4,320	$3,629	1.2×
Bunion correction surgery CPT Code: `28296`	—	$3,979	$3,446	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,550	$981	2.6×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,550	$987	2.6×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,550	$1,256	2.0×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,550	$2,680	1.0×
C-section delivery (full package) CPT Code: `59510`	—	$2,550	$2,975	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,054	$855	2.4×
Blood transfusion CPT Code: `36430`	$1,922	$1,922	$498	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	—	$911	$1,021	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$13,119	$888	$511	unverified
Rabies immune globulin HCPCS Code: `90375`	—	$635	$322	2.0×
MRI, knee or other leg joint CPT Code: `73721`	$7,228	$519	$369	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$8,331	$519	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$7,530	$530	$338	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$7,444	$430	$583	0.7×
CT scan, head (with contrast) CPT Code: `70460`	$8,376	$341	$242	1.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$9,908	$341	$258	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$19,187	$341	$448	0.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,659	$304	$151	2.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$3,033	$301	$272	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$17,638	$314	$303	1.0×
CT scan, pelvis CPT Code: `72192`	$8,376	$273	$163	1.7×
CT scan, chest (no contrast) CPT Code: `71250`	$8,376	$273	$167	1.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$8,376	$273	$168	1.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$8,376	$273	$169	1.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$243	$243	$86	2.8×
CT scan, head (no contrast) CPT Code: `70450`	$8,376	$219	$160	1.4×
CT scan, sinuses CPT Code: `70486`	$8,376	$219	$166	1.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,388	$155	$132	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,534	$155	$134	1.2×
Ultrasound, pelvis CPT Code: `76856`	$2,617	$148	$130	1.1×
Family therapy session CPT Code: `90847`	—	$170	$173	1.0×
Neurobehavioral status check CPT Code: `96116`	—	$164	$231	0.7×
Care planning with family CPT Code: `90887`	—	$111	$107	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$2,117	$123	$126	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$803	$104	$110	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$1,093	$89	$123	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$666	$105	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$323	$87	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$3,724	$3,724	$347	10.7×
Colorectal cancer screening HCPCS Code: `G0010`	$393	$393	$49	8.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$344	$344	$49	7.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$266	$203	1.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$1,076	$149	$111	1.3×
Pneumococcal vaccine HCPCS Code: `90732`	$960	$168	$140	1.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$69	$25	2.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$282	$91	$56	1.6×
Drug screening test HCPCS Code: `G0480`	$1,323	$116	$116	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$86	$45	$25	1.8×
Hepatitis B vaccine HCPCS Code: `90744`	$148	$63	$37	1.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$250	$60	$39	1.5×
Speech therapy (language evaluation) CPT Code: `92507`	$709	$75	$86	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$803	$70	$87	0.8×
X-ray, hip CPT Code: `73502`	$1,137	$62	$93	0.7×
X-ray, lower back CPT Code: `72110`	$1,869	$69	$112	0.6×
Blood test, vitamin D CPT Code: `82306`	$926	$30	$31	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,316	$53	$93	0.6×
X-ray, ankle CPT Code: `73610`	$884	$49	$93	0.5×
X-ray, hand CPT Code: `73130`	$798	$48	$93	0.5×
X-ray, shoulder CPT Code: `73030`	$798	$46	$92	0.5×
X-ray, foot CPT Code: `73630`	$798	$46	$92	0.5×
X-ray, chest (two views) CPT Code: `71046`	$1,076	$45	$93	0.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$2,136	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$1,063	$14	$14	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$1,014	$16	$16	1.0×
X-ray, chest (single view) CPT Code: `71045`	$883	$35	$92	0.4×
X-ray, pelvis CPT Code: `72170`	$861	$40	$110	0.4×
Blood test, basic metabolic panel CPT Code: `80048`	$994	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$627	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$851	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$538	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$364	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$1,014	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$640	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$549	$10	$10	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$1,238	$20	$20	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$27	$27	1.0×
Prosthetic fitting and training CPT Code: `97761`	—	$39	$45	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$166	$12	$14	0.9×
Physical therapy (gait training) CPT Code: `97116`	$217	$28	$33	0.8×
Orthotic fitting and training CPT Code: `97760`	$189	$43	$51	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$32	$38	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$257	$33	$40	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$257	$31	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$262	$28	$35	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$988	$40	$64	0.6×
Group therapy session CPT Code: `90853`	—	$42	$100	0.4×
Blood test, lipase CPT Code: `83690`	$693	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$695	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$354	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$1,238	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$354	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$364	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$686	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$1,446	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$634	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$1,116	$9	$9	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$1,014	$17	$18	0.9×
Blood test, liver function panel CPT Code: `80076`	$1,167	$8	$9	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$23	$27	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$264	$31	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$634	$4	$5	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$255	$26	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$296	$2	$3	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$344	$21	$48	0.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$188	$12	$35	0.3×
Blood antibody screen CPT Code: `86850`	$842	$10	$46	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$564	$22	$201	0.1×

Showing top 25 high-impact procedures of 122 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Tristar Hendersonville Medical Center (Zero PHI Required)

CMS CCN: 440194

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $24,391

1. Amount on Your Bill or Quote ($) Pre-filled with Tristar Hendersonville Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Tristar Hendersonville Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$27,763 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($58,538) is $27,763 above the denoised Fair BaseRate ($30,775) and 2.5× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 621321255

Public IRS & CMS ownership records classify Tristar Hendersonville Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite63/100

Would Recommend66%

Rated 9 or 10 (HCAHPS)68%

Median ER Wait156 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.5%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Tristar Hendersonville Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-06·administrative_or_closure
Met Requirements
Recorded
2023-12-05·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (627 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Tristar Hendersonville Medical Center.

Price Index: 1.16× regional baseline

Quality: 58/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-59.1%

Blue Cross Blue Shield

-48.8%

Health Net

+244.9%

Median Household Income$86,005U.S. Census ACS

Local Uninsured Share7.6%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 73/100 · Corroborated CMS CCN 440194 EIN 621321255

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 440194) ↗ Verify IRS Form 990 (EIN 621321255) ↗ CMS HCRIS Cost Reports ↗

Published MRF File62-1321255_TRISTAR-HENDERSONVILLE-MEDICAL-CENTER_standardcharges.json

Publication / Vintage2026-09-01 · 248.55 MB

Validated Rate Rows4,881 (CMS v3.0.0)

File Integrity Digest95083907d23ab736accd…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy

Tristar Hendersonville Medical Center

Aligned Regional Benchmark Peer

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at Tristar Hendersonville Medical Center

Audit a Bill or Quote at Tristar Hendersonville Medical Center (Zero PHI Required)

Above Standard 400% FPL Financial-Assistance Ceiling

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Clinical Quality, Patient Experience & Infection Benchmarks

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

CMS Price Transparency Administrative Enforcement Log

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings