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 |
|---|---|---|---|---|
| Cytopath c/v automated CPT 88147 | not published | not published | $14.42 – $151.68 | 22 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $12.44 – $82.92 | 22 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $7.99 – $55.62 | 22 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $6.59 – $43.95 | 22 |
| Cytopath c/v manual CPT 88150 | not published | not published | $7.99 – $55.62 | 22 |
| Cytopath c/v redo CPT 88153 | not published | not published | $10.81 – $72.09 | 22 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $10.37 – $69.12 | 22 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $8.06 – $90.66 | 5 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $456.00 | $456.00 | $31.07 – $106.60 | 5 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $11.97 – $79.83 | 22 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $9.12 – $60.78 | 22 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | not published | not published | $10.77 – $86.28 | 5 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $225.33 | $225.33 | $9.89 – $105.36 | 5 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $6.62 – $25.92 | 5 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | not published | not published | $16.22 – $149.16 | 5 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $225.00 | $225.00 | $19.81 – $269.20 | 5 |
| Cytopath smear other source CPT 88160 | not published | not published | $7.63 – $100.48 | 5 |
| Cytopath smear other source CPT 88162 | not published | not published | $18.00 – $161.97 | 5 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $8.99 – $102.21 | 5 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $7.99 – $55.62 | 22 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $7.99 – $55.62 | 22 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $14.42 – $126.66 | 22 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $7.99 – $55.62 | 22 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $35.39 – $235.95 | 22 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $13.36 – $89.04 | 22 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $185.48 – $619.55 | 5 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $4.47 – $10.92 | 3 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $353.10 – $816.17 | 3 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $19.04 – $41.31 | 3 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $19.61 – $39.49 | 3 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $1,616.10 | $1,616.10 | $0.03 – $0.08 | 3 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.06 – $0.41 | 3 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $63.24 – $145.91 | 3 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $3.56 – $8.00 | 3 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $3.56 – $8.00 | 3 |
| Dark field exam spec collj CPT 87164 | not published | not published | $4.83 – $32.22 | 22 |
| Dark field exam without collj CPT 87166 | not published | not published | $5.09 – $33.90 | 22 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $299.60 – $690.30 | 3 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $32.27 – $69.77 | 3 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $71.50 – $71.50 | 1 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $517.55 – $517.55 | 1 |
| Dch glucoscan CPT 82948 | not published | not published | $2.27 – $15.12 | 22 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $73.76 – $73.76 | 1 |
| Dch validity tests CPT 81002 | not published | not published | $1.57 – $10.44 | 22 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $5.42 – $36.15 | 22 |
| Debridement (>20 cm) charge pt CPT 97598 | $739.67 | $739.67 | $39.74 – $64.92 | 19 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $602.40 – $602.40 | 1 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | $140.83 – $140.83 | 1 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $233.87 – $233.87 | 1 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $248.69 – $248.69 | 1 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | not published | $77.11 – $77.11 | 1 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $449.76 – $449.76 | 1 |
| Decalcification CPT 88311 | $172.00 | $172.00 | $4.51 – $30.32 | 5 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $1.72 – $2.16 | 3 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $569.06 | $569.06 | $8.56 – $22.45 | 3 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $5.29 – $11.79 | 3 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $780.78 | $780.78 | $26.05 – $26.05 | 1 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $91.66 – $209.88 | 2 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $33.17 – $78.07 | 3 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $3.32 – $5.42 | 19 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $48.77 – $137.32 | 3 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $336.92 – $358.18 | 2 |
| Dermagraft HCPCS Q4106 | not published | not published | $55.73 – $55.73 | 1 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $53.87 – $336.92 | 2 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $54.84 – $336.92 | 2 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $336.92 – $1,095.69 | 2 |
| Description not available HCPCS S0013 | not published | not published | $17.45 – $17.45 | 1 |
| Design mlc device for imrt CPT 77338 | $1,485.69 | $1,485.69 | $244.75 – $845.76 | 4 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $5.48 – $9.04 | 3 |
| Desoxycorticosterone CPT 82633 | not published | not published | $13.94 – $92.94 | 22 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $13.51 – $90.09 | 22 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $19.65 – $131.01 | 22 |
| Determination venous press CPT 93770 | not published | not published | $1.46 – $1.46 | 1 |
| Determine refractive state CPT 92015 | not published | not published | $19.49 – $19.49 | 1 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $86.51 – $86.51 | 1 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $183.47 – $183.47 | 1 |
| Device intraute mirena HCPCS J7298 | not published | not published | $1,463.11 – $4,046.36 | 2 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $88.19 – $3,807.00 | 2 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $81.86 – $81.86 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $14.69 – $83.86 | 5 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $135.32 – $261.45 | 3 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.45 – $7.18 | 2 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.03 – $0.09 | 2 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.12 – $0.29 | 3 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $250.93 – $542.03 | 3 |
| Dexamethasone panel CPT 80420 | not published | not published | $72.85 – $485.64 | 22 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $2.33 – $2.33 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $98.98 – $153.73 | 3 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $49.38 – $1,009.62 | 3 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $18.00 – $18.00 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $1.30 – $1.30 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $98.55 | $98.55 | $1.44 – $3.47 | 2 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $91.26 | $91.26 | $9.78 – $16.03 | 2 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $2.08 – $4.64 | 2 |
| Dextrose 5 % IV bolus HCPCS J7070 | $98.55 | $98.55 | $4.17 – $7.79 | 3 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $501.50 | $501.50 | $10.00 – $66.69 | 22 |
| Diabetes (HbA1c) Test CPT 83036 | $474.87 | $474.87 | $4.37 – $29.13 | 22 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $244.62 – $399.55 | 19 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $41.21 – $67.31 | 19 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $41.21 – $67.31 | 19 |
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.