X-ray surgical specimen 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

$920.64

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.

$920.64

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.

$9.64 with BCBS vs $846.99 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 $9.64 ↓ -99%
BCBS TENNCARE $17.69 ↓ -98%
BCBS COVERKIDS $19.12 ↓ -98%
BCBS BlueCare $31.79 ↓ -97%
Aetna COMM $56.71 ↓ -94%
Aetna NewBusiness $56.71 ↓ -94%
Humana HumanaChoice $59.08 ↓ -94%
Humana HumanaChoiceCare $59.08 ↓ -94%
Humana NarrowExchangeNetwork $59.08 ↓ -94%
Humana BroadNetwork $59.08 ↓ -94%
Cigna NewBusiness $89.17 ↓ -90%
Cigna OAP $101.28 ↓ -89%
Kentucky Labor Cabinet WORKERSCOMP $169.49 ↓ -82%
NHC Advantage, Inc. MCRHMO $174.92 ↓ -81%
Apex Health MCR $174.92 ↓ -81%
Pruitt Health (AllyAlign) MCR $174.92 ↓ -81%
Humana TRICARE $230.16 ↓ -75%
United OptionsPPO $282.64 ↓ -69%
Cigna PPO $336.95 ↓ -63%
Centurion PRISON $379.30 ↓ -59%
United GlobalBenefitPlan $414.29 ↓ -55%
Aetna NAP $460.32 ↓ -50%
BGFH SingleSource DIRECTNETWORK $460.32 ↓ -50%
Employers Health Network COMM $644.45 ↓ -30%
United AllPayerAppendix $657.03 ↓ -29%
United HeritageSelect $657.03 ↓ -29%
United CorePayer $657.03 ↓ -29%
Odom's TN Pride Sausage WORKERSCOMP $690.48 ↓ -25%
Cigna Evernorth Behavioral Health COMM $736.51 ↓ -20%
BGFH SingleSource LEASEDNETWORK $782.54 ↓ -15%
Multiplan COMM $828.58 ↓ -10%
Beech Street COMM $846.99 ↓ -8%

Visitor-reported prices

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X-ray surgical specimen at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $142.64 $11.61 – $770.53
CHI Memorial Hospital Hixson Hixson $565.36 $5.00 – $220.00
62-1166050 BMH Carroll County Huntingdon $345.92 $11.95 – $1,001.32
CHI Memorial Hospital Chattanooga Chattanooga $807.93 $5.25 – $220.00
Johnson City Medical Center JOHNSON CITY $276.60 $13.86 – $1,111.55
Ascension Saint Thomas DeKalb Smithville $149.76 $11.61 – $770.53
Ascension Saint Thomas Highlands Sparta $149.76 $11.61 – $770.53
Ascension Saint Thomas River Park McMinnville $142.64 $11.61 – $770.53

All Tennessee hospitals for this procedure →