X-ray exam thorac spine4/>vw 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

not published by hospital

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.

not published by hospital

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.

$30.14 with BCBS vs $1,479.89 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
BCBS NetworkP $30.14
BCBS TENNCARE $38.29
BCBS COVERKIDS $41.39
Humana HumanaChoiceCare $46.40
Humana NarrowExchangeNetwork $46.40
Humana BroadNetwork $46.40
Humana HumanaChoice $46.40
Aetna COMM $59.75
Aetna NewBusiness $59.75
BCBS BlueCare $68.81
Cigna NewBusiness $105.17
Cigna OAP $119.46
United AllPayerAppendix $154.52
United CorePayer $154.52
United HeritageSelect $154.52
Kentucky Labor Cabinet WORKERSCOMP $296.14
Pruitt Health (AllyAlign) MCR $305.63
Apex Health MCR $305.63
NHC Advantage, Inc. MCRHMO $305.63
Humana TRICARE $402.14
United OptionsPPO $493.83
Cigna PPO $588.74
Centurion PRISON $662.73
United GlobalBenefitPlan $723.86
Aetna NAP $804.29
BGFH SingleSource DIRECTNETWORK $804.29
Employers Health Network COMM $1,126.01
Odom's TN Pride Sausage WORKERSCOMP $1,206.43
Cigna Evernorth Behavioral Health COMM $1,286.86
BGFH SingleSource LEASEDNETWORK $1,367.29
Multiplan COMM $1,447.72
Beech Street COMM $1,479.89

Visitor-reported prices

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X-ray exam thorac spine4/>vw at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $139.19 $25.87 – $179.33
CHI Memorial Hospital Hixson Hixson $134.98 $38.50 – $319.20
62-1166050 BMH Carroll County Huntingdon $154.33 $25.87 – $194.20
CHI Memorial Hospital Chattanooga Chattanooga $192.89 $38.50 – $319.20
Johnson City Medical Center JOHNSON CITY $72.75 $30.01 – $212.67
Hancock County Hospital SNEEDVILLE $71.53 $22.40 – $161.01
Greeneville Community Hospital GREENEVILLE $72.75 $16.13 – $212.67
Bristol Regional Medical Center BRISTOL $72.75 $26.88 – $238.03

All Tennessee hospitals for this procedure →