Quant diff pulm perf and vent w/imaging at HORIZON MEDICAL CENTER
107 NATCHEZ PARK DR, DICKSON, TN · Tristarhealth · · NPI 1871530832
$1,937.11
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.
$1,937.11
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.
$153.72 with Humana vs $1,782.14 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 |
|---|---|---|---|
| Humana | HumanaChoiceCare | $153.72 | ↓ -92% |
| Humana | BroadNetwork | $153.72 | ↓ -92% |
| Humana | NarrowExchangeNetwork | $153.72 | ↓ -92% |
| Humana | HumanaChoice | $153.72 | ↓ -92% |
| BCBS | NetworkP | $239.20 | ↓ -88% |
| BCBS | TENNCARE | $283.64 | ↓ -85% |
| BCBS | COVERKIDS | $306.64 | ↓ -84% |
| Kentucky Labor Cabinet | WORKERSCOMP | $356.62 | ↓ -82% |
| Apex Health | MCR | $368.05 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $368.05 | ↓ -81% |
| NHC Advantage, Inc. | MCRHMO | $368.05 | ↓ -81% |
| Aetna | NewBusiness | $407.31 | ↓ -79% |
| Aetna | COMM | $407.31 | ↓ -79% |
| Humana | TRICARE | $484.28 | ↓ -75% |
| BCBS | BlueCare | $509.79 | ↓ -74% |
| United | OptionsPPO | $594.69 | ↓ -69% |
| United | CorePayer | $611.66 | ↓ -68% |
| United | AllPayerAppendix | $611.66 | ↓ -68% |
| United | HeritageSelect | $611.66 | ↓ -68% |
| Cigna | PPO | $708.98 | ↓ -63% |
| Cigna | NewBusiness | $736.37 | ↓ -62% |
| Centurion | PRISON | $798.09 | ↓ -59% |
| Cigna | OAP | $836.42 | ↓ -57% |
| United | GlobalBenefitPlan | $871.70 | ↓ -55% |
| Aetna | NAP | $968.55 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $968.55 | ↓ -50% |
| Employers Health Network | COMM | $1,355.98 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $1,452.83 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $1,549.69 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $1,646.54 | ↓ -15% |
| Multiplan | COMM | $1,743.40 | ↓ -10% |
| Beech Street | COMM | $1,782.14 | ↓ -8% |
Visitor-reported prices
Comments
Quant diff pulm perf and vent w/imaging at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $982.62 | $191.65 – $755.17 |
| CHI Memorial Hospital Hixson | Hixson | $940.40 | $285.23 – $2,223.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $735.77 | $191.65 – $983.02 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,343.88 | $285.23 – $2,223.90 |
| Johnson City Medical Center | JOHNSON CITY | $452.25 | $222.31 – $1,154.30 |
| Ascension Saint Thomas DeKalb | Smithville | $642.36 | $156.59 – $755.17 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $982.62 | $191.65 – $755.17 |
| Greeneville Community Hospital | GREENEVILLE | $452.25 | $113.88 – $1,252.56 |