X-ray scapula complete (both sides) 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.
$20.04 with BCBS vs $268.18 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 | NetworkP | $20.04 | — |
| BCBS | TENNCARE | $22.26 | — |
| BCBS | COVERKIDS | $24.06 | — |
| Aetna | NewBusiness | $31.73 | — |
| Aetna | COMM | $31.73 | — |
| Humana | HumanaChoiceCare | $34.08 | — |
| Humana | BroadNetwork | $34.08 | — |
| Humana | HumanaChoice | $34.08 | — |
| Humana | NarrowExchangeNetwork | $34.08 | — |
| BCBS | BlueCare | $40.01 | — |
| Cigna | NewBusiness | $48.65 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $53.67 | — |
| Cigna | OAP | $55.26 | — |
| NHC Advantage, Inc. | MCRHMO | $55.38 | — |
| Apex Health | MCR | $55.38 | — |
| Pruitt Health (AllyAlign) | MCR | $55.38 | — |
| Humana | TRICARE | $72.88 | — |
| United | OptionsPPO | $89.49 | — |
| Cigna | PPO | $106.69 | — |
| Centurion | PRISON | $120.10 | — |
| United | GlobalBenefitPlan | $131.18 | — |
| BGFH SingleSource | DIRECTNETWORK | $145.75 | — |
| Aetna | NAP | $145.75 | — |
| United | HeritageSelect | $154.52 | — |
| United | CorePayer | $154.52 | — |
| United | AllPayerAppendix | $154.52 | — |
| Employers Health Network | COMM | $204.05 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $218.63 | — |
| Cigna Evernorth Behavioral Health | COMM | $233.20 | — |
| BGFH SingleSource | LEASEDNETWORK | $247.78 | — |
| Multiplan | COMM | $262.35 | — |
| Beech Street | COMM | $268.18 | — |
Visitor-reported prices
Comments
X-ray scapula complete (both sides) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $85.62 | $15.04 – $179.33 |
| CHI Memorial Hospital Hixson | Hixson | $147.71 | $22.38 – $349.30 |
| 62-1166050 BMH Carroll County | Huntingdon | $107.18 | $15.04 – $194.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $211.08 | $22.38 – $349.30 |
| Johnson City Medical Center | JOHNSON CITY | $69.30 | $17.45 – $212.67 |
| Ascension Saint Thomas DeKalb | Smithville | $126.99 | $15.04 – $179.33 |
| Ascension Saint Thomas Highlands | Sparta | $126.99 | $15.04 – $179.33 |
| Ascension Saint Thomas River Park | McMinnville | $120.95 | $22.18 – $179.33 |