X-ray shoulder 1 view (both sides) 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.

$14.37 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 →

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 $14.37
BCBS TENNCARE $20.19
BCBS COVERKIDS $21.82
Humana NarrowExchangeNetwork $28.84
Humana BroadNetwork $28.84
Humana HumanaChoice $28.84
Humana HumanaChoiceCare $28.84
Aetna COMM $28.91
Aetna NewBusiness $28.91
BCBS BlueCare $36.28
Cigna NewBusiness $45.45
Cigna OAP $51.62
Kentucky Labor Cabinet WORKERSCOMP $53.67
Pruitt Health (AllyAlign) MCR $55.38
Apex Health MCR $55.38
NHC Advantage, Inc. MCRHMO $55.38
Humana TRICARE $72.88
United CorePayer $83.86
United AllPayerAppendix $83.86
United HeritageSelect $83.86
United OptionsPPO $89.49
Cigna PPO $106.69
Centurion PRISON $120.10
United GlobalBenefitPlan $131.18
Aetna NAP $145.75
BGFH SingleSource DIRECTNETWORK $145.75
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

visitor-reported
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X-ray shoulder 1 view (both sides) at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $116.42 $13.64 – $127.70
CHI Memorial Hospital Hixson Hixson $206.91 $20.30 – $489.30
62-1166050 BMH Carroll County Huntingdon $47.61 $13.64 – $160.80
CHI Memorial Hospital Chattanooga Chattanooga $295.68 $20.30 – $489.30
Johnson City Medical Center JOHNSON CITY $69.30 $15.82 – $177.03
Ascension Saint Thomas DeKalb Smithville $116.42 $13.64 – $127.70
Ascension Saint Thomas Highlands Sparta $116.42 $13.64 – $127.70
Ascension Saint Thomas River Park McMinnville $116.42 $17.30 – $127.70

All Tennessee hospitals for this procedure →