Cocaine hcl nasal (numbrino) at HORIZON MEDICAL CENTER

107 NATCHEZ PARK DR, DICKSON, TN · Tristarhealth · · NPI 1871530832

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

$646.20

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.

$646.20

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.

$2.28 with Cigna vs $594.50 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 →

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
Cigna NewBusiness $2.28 ↓ -100%
Cigna OAP $2.59 ↓ -100%
Aetna MGMCRPPO $96.93 ↓ -85%
Aetna MGMCRHMO $96.93 ↓ -85%
Aetna MGMCRSNP $96.93 ↓ -85%
Kentucky Labor Cabinet WORKERSCOMP $118.97 ↓ -82%
BCBS NetworkP $148.63 ↓ -77%
Ambetter Select $149.92 ↓ -77%
Humana TRICARE $161.55 ↓ -75%
United OptionsPPO $198.38 ↓ -69%
Cigna PPO $236.51 ↓ -63%
Centurion PRISON $266.23 ↓ -59%
United GlobalBenefitPlan $290.79 ↓ -55%
BGFH SingleSource DIRECTNETWORK $323.10 ↓ -50%
Signature Advantage MCR $323.10 ↓ -50%
Aetna NAP $323.10 ↓ -50%
Employers Health Network COMM $452.34 ↓ -30%
Odom's TN Pride Sausage WORKERSCOMP $484.65 ↓ -25%
Cigna Evernorth Behavioral Health COMM $516.96 ↓ -20%
BGFH SingleSource LEASEDNETWORK $549.27 ↓ -15%
Multiplan COMM $581.58 ↓ -10%
Beech Street COMM $594.50 ↓ -8%

Visitor-reported prices

visitor-reported
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Cocaine hcl nasal (numbrino) at other Tennessee hospitals

Hospital City Cash price Negotiated range
CENTENNIAL MEDICAL CENTER AT ASHLAND CITY Ashland City $2,291.86 $2.28 – $2.28
HENDERSONVILLE MEDICAL CENTER HENDERSONVILLE $1,830.90 $2.28 – $2.28
SUMMIT MEDICAL CENTER MT JULIET $1,658.58 $2.28 – $2.28
NORTHCREST MEDICAL CENTER SPRINGFIELD not published $2.28 – $2.28
SKYLINE MADISON CAMPUS NASHVILLE not published $2.28 – $2.28
SOUTHERN HILLS MEDICAL CENTER ANTIOCH not published $2.28 – $2.28
STONECREST MEDICAL CENTER Smyrna not published $2.28 – $2.28
Parkwest Medical Center Knoxville not published $2.56 – $2.59

All Tennessee hospitals for this procedure →