Chronic urticaria - sendout at HORIZON MEDICAL CENTER
107 NATCHEZ PARK DR, DICKSON, TN · Tristarhealth · · NPI 1871530832
$200.00
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.
$200.00
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.
$5.61 with Wellpoint vs $184.00 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 |
|---|---|---|---|
| Wellpoint | MGMCD | $5.61 | ↓ -97% |
| Aetna | COMM | $9.91 | ↓ -95% |
| Aetna | NewBusiness | $9.91 | ↓ -95% |
| Humana | ChoicecareMGMCR | $12.46 | ↓ -94% |
| Bright Health | SmallGroup | $12.46 | ↓ -94% |
| Bright Health | HIX | $12.46 | ↓ -94% |
| HealthSpring | DualEligible | $12.46 | ↓ -94% |
| HealthSpring | MCRHMO | $12.46 | ↓ -94% |
| HealthSpring | MCRPOS | $12.46 | ↓ -94% |
| HealthSpring | MCRPPO | $12.46 | ↓ -94% |
| United | HeritageSelect | $12.46 | ↓ -94% |
| Sarah Cannon Research | COMM | $12.46 | ↓ -94% |
| Devoted Health Plan | MCR | $12.46 | ↓ -94% |
| Amerigroup | MGMCR | $12.46 | ↓ -94% |
| United | VACCN | $12.46 | ↓ -94% |
| United | AllPayerAppendix | $12.46 | ↓ -94% |
| United | CorePayer | $12.46 | ↓ -94% |
| Aetna | MGMCRPPO | $12.58 | ↓ -94% |
| Aetna | MGMCRSNP | $12.58 | ↓ -94% |
| Aetna | MGMCRHMO | $12.58 | ↓ -94% |
| United | MGMCR | $12.71 | ↓ -94% |
| BCBS | MCR | $12.83 | ↓ -94% |
| WellCare | MCR | $12.83 | ↓ -94% |
| Zing | MGMCR | $12.83 | ↓ -94% |
| Ambetter | Select | $12.96 | ↓ -94% |
| American Health Advantage | MCRHMO | $13.08 | ↓ -93% |
| American Health Advantage | MCRPOS | $13.08 | ↓ -93% |
| American Health Advantage | MCRPPO | $13.08 | ↓ -93% |
| American Health Advantage | MCRSNP | $13.08 | ↓ -93% |
| American Health Advantage | MCRPFFS | $13.08 | ↓ -93% |
| Evergreen HMO | MCR | $13.08 | ↓ -93% |
| Signature Advantage | MCR | $13.21 | ↓ -93% |
| Ambetter | CORE | $13.45 | ↓ -93% |
| ATRIO Golden Times | MCR | $13.71 | ↓ -93% |
| Bright Health | MCRNarrow | $14.33 | ↓ -93% |
| BCBS | NetworkP | $17.01 | ↓ -91% |
| Prime Health | WORKERSCOMP | $17.94 | ↓ -91% |
| CorVel Corporation | WORKERSCOMP | $18.32 | ↓ -91% |
| NovaNET | WORKERSCOMP | $18.32 | ↓ -91% |
| Cigna | NewBusiness | $22.49 | ↓ -89% |
| Cigna | OAP | $25.54 | ↓ -87% |
| Kentucky Labor Cabinet | WORKERSCOMP | $36.82 | ↓ -82% |
| Oscar | HIX | $37.38 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $38.00 | ↓ -81% |
| Apex Health | MCR | $38.00 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $38.00 | ↓ -81% |
| BCBS | TENNCARE | $39.15 | ↓ -80% |
| BCBS | COVERKIDS | $42.33 | ↓ -79% |
| Humana | HumanaChoice | $49.84 | ↓ -75% |
| Humana | HumanaChoiceCare | $49.84 | ↓ -75% |
| Humana | NarrowExchangeNetwork | $49.84 | ↓ -75% |
| Humana | BroadNetwork | $49.84 | ↓ -75% |
| Humana | TRICARE | $50.00 | ↓ -75% |
| United | OptionsPPO | $61.40 | ↓ -69% |
| BCBS | BlueCare | $70.72 | ↓ -65% |
| Cigna | PPO | $73.20 | ↓ -63% |
| Centurion | PRISON | $82.40 | ↓ -59% |
| United | GlobalBenefitPlan | $90.00 | ↓ -55% |
| Aetna | NAP | $100.00 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $100.00 | ↓ -50% |
| Employers Health Network | COMM | $140.00 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $150.00 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $160.00 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $170.00 | ↓ -15% |
| Multiplan | COMM | $180.00 | ↓ -10% |
| Beech Street | COMM | $184.00 | ↓ -8% |
Visitor-reported prices
Comments
Chronic urticaria - sendout at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | $201.60 | $5.61 – $288.00 |
| Roane County Medical Center | Harriman | $105.60 | $5.61 – $288.00 |
| Claiborne Medical Center | Tazewell | $66.92 | $5.61 – $69.30 |
| LeConte Medical Center | Sevierville | $92.80 | $5.61 – $22.55 |
| Fort Loudoun Medical Center | Lenoir City | $8.25 | $5.61 – $22.55 |
| Fort Sanders Regional Medical Center | Knoxville | $105.60 | $5.61 – $288.00 |
| Cumberland Medical Center, Inc. | Crossville | $102.40 | $5.61 – $288.00 |
| Morristown-Hamblen Hospital Association | Morristown | $7.50 | $5.61 – $22.55 |