Consult comp w/report rfrd material at HORIZON MEDICAL CENTER
107 NATCHEZ PARK DR, DICKSON, TN · Tristarhealth · · NPI 1871530832
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.
$107.20 with Aetna vs $602.72 with Humana — 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 |
|---|---|---|---|
| Aetna | COMM | $107.20 | — |
| Aetna | NewBusiness | $107.20 | — |
| BCBS | TENNCARE | $133.71 | — |
| BCBS | COVERKIDS | $144.58 | — |
| United | CorePayer | $149.16 | — |
| United | AllPayerAppendix | $149.16 | — |
| United | HeritageSelect | $149.16 | — |
| Cigna | NewBusiness | $166.52 | — |
| Cigna | OAP | $189.12 | — |
| BCBS | NetworkP | $198.74 | — |
| BCBS | BlueCare | $241.52 | — |
| Humana | BroadNetwork | $602.72 | — |
| Humana | HumanaChoiceCare | $602.72 | — |
| Humana | NarrowExchangeNetwork | $602.72 | — |
| Humana | HumanaChoice | $602.72 | — |
Visitor-reported prices
Comments
Consult comp w/report rfrd material at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $135.15 | $49.47 – $346.58 |
| Hancock County Hospital | SNEEDVILLE | $132.48 | $28.83 – $300.16 |
| Greeneville Community Hospital | GREENEVILLE | $135.15 | $20.76 – $346.58 |
| Bristol Regional Medical Center | BRISTOL | $135.15 | $34.60 – $387.89 |
| Franklin Woods Community Hospital | JOHNSON CITY | $135.15 | $49.47 – $337.22 |
| Holston Valley Medical Center | KINGSPORT | $135.15 | $34.60 – $387.89 |
| Indian Path Community Hospital | KINGSPORT | $135.15 | $49.47 – $370.97 |
| 62-1138045 BMH Union City | Union City | $248.80 | $136.13 – $312.94 |