HORIZON MEDICAL CENTER
107 NATCHEZ PARK DR, DICKSON, TN · Tristarhealth · · NPI 1871530832
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $7.20 – $48.00 | 22 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $8.52 – $56.79 | 22 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $9.19 – $61.26 | 22 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $8.52 – $56.79 | 22 |
| Clot factor xii hageman CPT 85280 | $1,256.87 | $1,256.87 | $8.71 – $58.05 | 22 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $4.10 – $27.33 | 22 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $7.35 – $49.02 | 22 |
| Clotting assay whole blood CPT 85396 | not published | not published | $14.99 – $74.80 | 5 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $0.82 – $0.82 | 1 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $2.30 – $3.76 | 19 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $1.91 – $3.12 | 19 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $302.78 – $302.78 | 1 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $300.88 – $300.88 | 1 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $435.18 – $435.18 | 1 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $18.62 – $18.62 | 1 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $18.62 – $18.62 | 1 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $6.33 – $42.21 | 22 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $3.93 – $26.40 | 22 |
| #cmvcul-virus inoculation shell CPT 87254 | $144.00 | $144.00 | $8.78 – $58.68 | 22 |
| Cmv ig IV CPT 90291 | not published | not published | $2,439.91 – $5,754.40 | 2 |
| Cmv pcr-sendout CPT 87496 | $30.83 | $30.83 | $15.79 – $105.27 | 22 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $61.65 – $411.00 | 22 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $139.00 – $227.04 | 19 |
| Co2 monitor per day CPT 94681 | not published | not published | $68.19 – $68.19 | 1 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $3.08 – $6.94 | 3 |
| Coagulation time activated teg CPT 85347 | not published | not published | $1.93 – $12.84 | 22 |
| Coagulation time lee & white CPT 85345 | not published | not published | $2.11 – $14.07 | 22 |
| Coagulation time otr method CPT 85348 | not published | not published | $2.02 – $13.47 | 22 |
| Cocaine 4 % nasal solution HCPCS C9046 | $1,040.83 | $1,040.83 | $1.93 – $1.93 | 1 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | $646.20 | $646.20 | $2.28 – $2.28 | 1 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $13.04 – $305.68 | 2 |
| Coch imp ext proc/contr rplc HCPCS L8619 | not published | not published | $9,048.60 – $14,779.38 | 19 |
| Coch implant headset replace HCPCS L8615 | not published | not published | $502.53 – $820.80 | 19 |
| Coch implant microphone repl HCPCS L8616 | not published | not published | $117.05 – $191.19 | 19 |
| Coch implant tran cable repl HCPCS L8618 | not published | not published | $29.21 – $47.72 | 19 |
| Coch implant trans coil repl HCPCS L8617 | not published | not published | $102.28 – $167.05 | 19 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $163.34 – $163.34 | 1 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $109.81 – $109.81 | 1 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $2.65 – $2.65 | 1 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $336.92 – $1,111.58 | 2 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $3.63 – $24.21 | 22 |
| Cold agglutinin titer CPT 86157 | not published | not published | $3.63 – $24.18 | 22 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $13.52 – $32.01 | 3 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $85.16 – $200.74 | 3 |
| Collagen based wound filler HCPCS A6010 | not published | not published | $39.73 – $64.89 | 19 |
| Collagen dressing <=16 sq in HCPCS A6021 | not published | not published | $26.97 – $44.06 | 19 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | not published | not published | $26.97 – $44.06 | 19 |
| Collagen dsg wound filler HCPCS A6024 | not published | not published | $7.93 – $12.95 | 19 |
| Collagen gel/paste wound fil HCPCS A6011 | not published | not published | $2.93 – $4.78 | 19 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | not published | not published | $483.22 – $789.26 | 19 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | not published | not published | $31.11 – $50.82 | 19 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | not published | not published | $77.63 – $126.79 | 19 |
| Collar cerv ascend 172 reg HCPCS L0172 | not published | not published | $158.15 – $258.31 | 19 |
| Collar cerv patriot adlt HCPCS L0150 | not published | not published | $129.46 – $211.44 | 19 |
| Collar extrication adult univ HCPCS L0200 | not published | not published | $534.08 – $872.33 | 19 |
| Collection of venous blood by venipuncture CPT 36415 | $61.00 | $61.00 | $3.00 – $28.02 | 21 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $336.92 – $2,466.36 | 2 |
| Collj & interpj data ea 30 d CPT 99091 | not published | not published | $77.47 – $77.47 | 1 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $187.10 – $187.10 | 1 |
| Combination bilateral ho HCPCS L1690 | not published | not published | $2,150.45 – $3,512.40 | 19 |
| Combo ankle/foot prosthesis HCPCS L5975 | not published | not published | $516.58 – $843.75 | 19 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $549.78 | $549.78 | $23.48 – $149.16 | 5 |
| Compatibility test each unit electronic CPT 86923 | $50.00 | $50.00 | $17.69 – $149.16 | 5 |
| Compatibility test each unit immediate spin technique CPT 86920 | $549.00 | $549.00 | $22.20 – $149.16 | 5 |
| Compatibility test incubate CPT 86921 | $302.12 | $302.12 | $19.94 – $149.16 | 5 |
| Complement antigen each component c3 CPT 86160 | not published | not published | $5.40 – $36.00 | 22 |
| Complement fixation each CPT 86171 | not published | not published | $4.50 – $30.03 | 22 |
| Complex body section x-ray CPT 76101 | not published | not published | $101.08 – $101.08 | 1 |
| Complex body section x-rays CPT 76102 | not published | not published | $114.84 – $114.84 | 1 |
| Complex simulation w/pet-ct HCPCS G0562 | not published | not published | $1,911.49 – $6,874.20 | 2 |
| Compl oph exam general anes CPT 92018 | not published | not published | $105.49 – $105.49 | 1 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | not published | not published | $847.89 – $1,384.89 | 19 |
| Composite drsg >16<=48 sq in HCPCS A6204 | not published | not published | $7.97 – $13.02 | 19 |
| Composite drsg <= 16 sq in HCPCS A6203 | not published | not published | $4.32 – $7.06 | 19 |
| Comprehensive hearing test CPT 92557 | not published | not published | $58.51 – $58.51 | 1 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $84.05 – $84.05 | 1 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $115.34 – $115.34 | 1 |
| Compression stocking bk18-30 HCPCS A6530 | not published | not published | $35.16 – $57.43 | 19 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | not published | not published | $481.18 – $481.18 | 1 |
| Concentration infection agents any type CPT 87015 | not published | not published | $3.01 – $20.04 | 22 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $35.90 – $35.90 | 1 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $2,545.00 | $2,545.00 | $219.81 – $219.81 | 1 |
| Conform band n/s w>=3"<5"/yd HCPCS A6443 | not published | not published | $0.36 – $0.59 | 19 |
| Conform band s w>=3" <5"/yd HCPCS A6446 | not published | not published | $0.50 – $0.81 | 19 |
| Conform band s w >=5"/yd HCPCS A6447 | not published | not published | $0.87 – $1.43 | 19 |
| Congo red blood test HCPCS P2029 | not published | not published | $2.23 – $14.85 | 20 |
| Conivaptan hcl HCPCS C9488 | not published | not published | $56.37 – $56.37 | 1 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $541.64 | $541.64 | $468.13 – $1,038.16 | 3 |
| Connect omega .5mm HCPCS L8613 | not published | not published | $333.24 – $544.30 | 19 |
| Connector tis 2x10mm HCPCS C9352 | not published | not published | $1,274.61 – $1,274.61 | 1 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $27.05 – $215.24 | 5 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | not published | not published | $25.07 – $656.15 | 5 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $230.30 | $230.30 | $11.13 – $87.12 | 5 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $225.00 | $225.00 | $26.08 – $149.16 | 5 |
| Consultation/report referred material w/preparation of slides CPT 88323 | not published | not published | $15.31 – $97.00 | 5 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | not published | not published | $33.84 – $368.80 | 5 |
| Consultation with family CPT 90887 | not published | not published | $96.40 – $96.40 | 1 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $107.20 – $602.72 | 5 |
| Contact layer >16<= 48 sq in HCPCS A6207 | not published | not published | $9.42 – $15.39 | 19 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $102.75 – $102.75 | 1 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.