Established Patient Office Visit (level 5) 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.
$121.92 with BCBS vs $1,152.24 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 |
|---|---|---|---|
| BCBS | TENNCARE | $121.92 | — |
| BCBS | COVERKIDS | $131.83 | — |
| Aetna | MGMCRSNP | $187.86 | — |
| Aetna | MGMCRHMO | $187.86 | — |
| Aetna | MGMCRPPO | $187.86 | — |
| BCBS | BlueCare | $220.22 | — |
| Oscar | HIX | $229.19 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $230.57 | — |
| Pruitt Health (AllyAlign) | MCR | $237.96 | — |
| Apex Health | MCR | $237.96 | — |
| NHC Advantage, Inc. | MCRHMO | $237.96 | — |
| Humana | TRICARE | $313.11 | — |
| Aetna | NewBusiness | $350.68 | — |
| United | OptionsPPO | $384.50 | — |
| Aetna | COMM | $413.30 | — |
| Centurion | PRISON | $516.00 | — |
| United | GlobalBenefitPlan | $563.59 | — |
| Signature Advantage | MCR | $626.22 | — |
| Aetna | NAP | $626.22 | — |
| BGFH SingleSource | DIRECTNETWORK | $626.22 | — |
| Employers Health Network | COMM | $876.70 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $939.32 | — |
| Cigna Evernorth Behavioral Health | COMM | $1,001.94 | — |
| BGFH SingleSource | LEASEDNETWORK | $1,064.57 | — |
| Multiplan | COMM | $1,127.19 | — |
| Beech Street | COMM | $1,152.24 | — |
| BCBS | NetworkP | not published by hospital | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $279.72 | $94.76 – $661.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $136.85 | $76.20 – $116.84 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $399.74 | $94.76 – $661.50 |
| Johnson City Medical Center | JOHNSON CITY | $46.20 | $88.39 – $117.37 |
| Greeneville Community Hospital | GREENEVILLE | $46.20 | $46.95 – $88.39 |
| Bristol Regional Medical Center | BRISTOL | $46.20 | $78.25 – $88.39 |
| Franklin Woods Community Hospital | JOHNSON CITY | $46.20 | $103.22 – $114.58 |
| Holston Valley Medical Center | KINGSPORT | $46.20 | $78.25 – $88.39 |