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 |
|---|---|---|---|---|
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $3.29 – $21.90 | 22 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $10.94 – $72.90 | 22 |
| Ghs urine, porphyrins quant CPT 84120 | not published | not published | $6.62 – $44.13 | 22 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $676.94 – $676.94 | 1 |
| Ghs windowing of cast CPT 29730 | not published | not published | $127.38 – $127.38 | 1 |
| Giardia ag if CPT 87269 | not published | not published | $6.12 – $40.83 | 22 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $6.62 – $44.16 | 22 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $53.55 – $315.03 | 5 |
| Gi inhouse confirmation CPT 87045 | $756.58 | $756.58 | $4.25 – $28.32 | 22 |
| Gi protein loss CPT 78282 | not published | not published | $61.92 – $492.05 | 5 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $1,111.12 – $1,111.12 | 1 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $1,055.36 – $1,055.36 | 1 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $847.26 – $847.26 | 1 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $1,345.68 – $1,345.68 | 1 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $45.50 – $303.36 | 22 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $27.68 – $184.56 | 22 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $15.75 – $105.00 | 22 |
| Glassia injection HCPCS J0257 | not published | not published | $6.66 – $15.08 | 3 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $122.21 – $122.21 | 1 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $79.35 – $79.35 | 1 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $97.26 – $158.86 | 19 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $752.17 | $752.17 | $233.24 – $436.88 | 3 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $160.79 – $379.61 | 3 |
| Glucagon plasma - sendout CPT 82943 | $334.21 | $334.21 | $6.43 – $42.87 | 22 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $20.73 – $138.21 | 22 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $22.73 – $151.50 | 22 |
| Glucagon tolerance test CPT 82946 | not published | not published | $7.12 – $53.31 | 22 |
| Glucose 1 hr post dose CPT 82950 | $271.00 | $271.00 | $2.14 – $14.25 | 22 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $2.72 – $18.15 | 22 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $1.48 – $9.84 | 22 |
| Glucose blood quantitative CPT 82947 | not published | not published | $1.77 – $11.79 | 22 |
| Glucose body fluid CPT 82945 | not published | not published | $1.77 – $11.79 | 22 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $124.11 – $124.11 | 1 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | not published | not published | $5.79 – $38.61 | 22 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | not published | not published | $1.76 – $11.76 | 22 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $88.10 | $88.10 | $0.57 – $1.01 | 3 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $36.28 – $37.38 | 2 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $13.16 – $30.82 | 3 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $1,038.33 | $1,038.33 | $8.36 – $55.74 | 22 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $66.78 – $445.23 | 22 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $676.71 | $676.71 | $8.33 – $55.56 | 22 |
| Gonioscopy CPT 92020 | not published | not published | $33.62 – $33.62 | 1 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $817.82 – $2,060.38 | 3 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $37.98 – $336.92 | 2 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $336.92 – $1,623.22 | 2 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $216.07 – $336.92 | 2 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $38.58 – $336.92 | 2 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $945.97 – $5,293.38 | 2 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $54.76 – $336.92 | 2 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $128.65 – $336.92 | 2 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $175.66 – $336.92 | 2 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $57.40 – $336.92 | 2 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $200.98 – $336.92 | 2 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | not published | $336.92 – $336.92 | 1 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $336.92 – $336.92 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $120.68 – $336.92 | 2 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $3.79 – $156.48 | 2 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.32 – $0.40 | 3 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $1,032.20 – $1,032.20 | 1 |
| Ground mileage HCPCS A0425 | not published | not published | $10.98 – $10.98 | 1 |
| Group health education CPT 99078 | not published | not published | $6.50 – $6.50 | 1 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $12.33 – $20.14 | 19 |
| Group train without patient HCPCS G0543 | not published | not published | $44.41 – $44.41 | 1 |
| Growth hormone antibody CPT 86277 | not published | not published | $7.08 – $47.22 | 22 |
| Growth hormone panel CPT 80428 | not published | not published | $30.02 – $200.10 | 22 |
| Growth hormone panel CPT 80430 | not published | not published | $58.20 – $387.99 | 22 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $29.93 – $226.80 | 22 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $62.60 – $2,289.17 | 5 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $613.34 – $1,001.79 | 19 |
| Guid loc target vol rad tx CPT 77387 | $2,341.87 | $2,341.87 | $33.41 – $320.60 | 4 |
| Hair analysis HCPCS P2031 | not published | not published | $2.23 – $14.85 | 20 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $48.07 – $78.51 | 19 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $2,246.05 – $3,668.55 | 19 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $2,776.49 – $4,534.94 | 19 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $3,243.06 – $5,297.00 | 19 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $5.64 – $10.44 | 3 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $63.42 | $63.42 | $0.95 – $1.93 | 3 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $239.69 – $391.49 | 19 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $30.50 – $49.82 | 19 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $5.58 – $6.50 | 2 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $106.91 – $174.62 | 19 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $1,956.24 – $3,195.19 | 19 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $1,672.78 – $2,732.20 | 19 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $843.39 – $1,377.54 | 19 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $1,967.42 – $3,213.45 | 19 |
| Hand X-ray CPT 73130 | not published | not published | $21.62 – $92.37 | 5 |
| Haptoglobin quantitative CPT 83010 | $210.00 | $210.00 | $5.66 – $37.74 | 22 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $222.65 – $363.66 | 19 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $152.95 – $249.83 | 19 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $132.32 – $216.12 | 19 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $270.00 – $1,800.00 | 22 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $91.08 – $607.20 | 22 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $168.86 – $1,125.75 | 22 |
| Hbb full gene sequence CPT 81364 | not published | not published | $146.06 – $973.74 | 22 |
| Hbb gene com variants CPT 81361 | not published | not published | $78.66 – $524.43 | 22 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $91.08 – $607.20 | 22 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $168.86 – $1,125.75 | 22 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $4.37 – $29.13 | 22 |
| Hbot, full body chamber, 30m HCPCS G0277 | $1,551.43 | $1,551.43 | $331.34 – $331.34 | 1 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $107.15 – $107.15 | 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.