Consultation/report referred slides prepared elsewhere 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$33.84 with United vs $368.80 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United | HeritageSelect | $33.84 | — |
| United | CorePayer | $33.84 | — |
| United | AllPayerAppendix | $33.84 | — |
| Aetna | NewBusiness | $64.01 | — |
| Aetna | COMM | $64.01 | — |
| BCBS | TENNCARE | $84.50 | — |
| BCBS | COVERKIDS | $91.36 | — |
| Cigna | NewBusiness | $102.50 | — |
| Cigna | OAP | $116.41 | — |
| BCBS | BlueCare | $152.62 | — |
| Humana | BroadNetwork | $368.80 | — |
| Humana | HumanaChoiceCare | $368.80 | — |
| Humana | HumanaChoice | $368.80 | — |
| Humana | NarrowExchangeNetwork | $368.80 | — |
Visitor-reported prices
Comments
Consultation/report referred slides prepared elsewhere at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $60.03 | $31.18 – $71.68 |
| 62-0123940 BMH Collierville | Collierville | $54.81 | $34.14 – $71.88 |
| Parkwest Medical Center | Knoxville | $206.01 | $13.23 – $294.30 |
| Fort Sanders Regional Medical Center | Knoxville | $107.91 | $13.23 – $294.30 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $107.91 | $13.23 – $294.30 |
| Cumberland Medical Center, Inc. | Crossville | $104.64 | $15.88 – $294.30 |
| Ascension Saint Thomas Midtown | Nashville | not published | $11.44 – $199.51 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $8.45 – $199.51 |