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 |
|---|---|---|---|---|
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $20.59 – $3,807.00 | 2 |
| Interrog device eval heart CPT 93289 | $141.93 | $141.93 | $27.74 – $3,807.00 | 2 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $23.12 – $3,807.00 | 2 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Interscap-thor myoelectronic HCPCS L6975 | not published | not published | $18,118.35 – $29,593.31 | 19 |
| Interscapular-thor switch CT HCPCS L6970 | not published | not published | $16,566.39 – $27,058.44 | 19 |
| Interstitial brachy inter CPT 77799 | not published | not published | $385.92 – $385.92 | 1 |
| Intl custm cong/latyp insert HCPCS L5681 | not published | not published | $1,465.66 – $2,393.91 | 19 |
| Intra-atrial pacing CPT 93610 | not published | not published | $66.06 – $66.06 | 1 |
| Intra-atrial recording CPT 93602 | not published | not published | $54.02 – $54.02 | 1 |
| Intracard echo interv w/s&i CPT 93662 | not published | not published | $189.63 – $189.63 | 1 |
| Intracranial complete study CPT 93886 | not published | not published | $173.36 – $674.95 | 2 |
| Intracranial limited study CPT 93888 | not published | not published | $173.36 – $401.27 | 2 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $306.64 – $306.64 | 1 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $79.76 – $79.76 | 1 |
| Intraventricular pacing CPT 93612 | not published | not published | $79.10 – $79.10 | 1 |
| Intrinsic factor antibody CPT 86340 | $837.09 | $837.09 | $6.79 – $45.24 | 22 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $66.19 – $66.19 | 1 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | not published | $93.18 – $138.99 | 3 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $51.18 – $51.18 | 1 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $35.12 – $35.12 | 1 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $191.20 – $461.15 | 2 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $219.51 – $1,050.25 | 2 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $384.47 – $405.23 | 2 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $53.97 – $53.97 | 1 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $42.40 – $42.40 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $0.43 – $1.06 | 3 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | not published | not published | $0.17 – $0.40 | 3 |
| Io radiation tx management CPT 77469 | not published | not published | $290.53 – $1,211.04 | 3 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $434.22 – $26,941.76 | 3 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $615.33 – $26,941.76 | 3 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.36 – $0.36 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $219.21 – $495.31 | 3 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $133.92 – $133.92 | 1 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $185.42 – $185.42 | 1 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $251.04 – $251.04 | 1 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $101.49 – $101.49 | 1 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.06 – $0.06 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | $48.86 | $48.86 | $0.47 – $1.06 | 2 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $2.00 – $4.74 | 3 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $78.59 – $174.79 | 3 |
| Iron CPT 83540 | $254.43 | $254.43 | $2.91 – $19.41 | 22 |
| Iron binding capacity CPT 83550 | not published | not published | $3.93 – $26.22 | 22 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $21.07 – $47.91 | 3 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $3.10 – $20.64 | 22 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $512.19 | $512.19 | $0.28 – $0.64 | 3 |
| Irradiation of blood product each unit reference CPT 86945 | $327.68 | $327.68 | $18.34 – $104.96 | 5 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $157.70 | $157.70 | $34.50 – $34.50 | 1 |
| Irrigation syringe HCPCS A4322 | not published | not published | $3.91 – $6.39 | 19 |
| Irrigation tray HCPCS A4320 | not published | not published | $5.87 – $9.58 | 19 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $96.41 – $223.40 | 3 |
| Ivc venogram s&i CPT 75825 | $3,345.32 | $3,345.32 | $80.26 – $3,365.20 | 5 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $188.45 – $188.45 | 1 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | not published | not published | $43.41 – $43.41 | 1 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | not published | not published | $25.86 – $25.86 | 1 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | not published | not published | $27.70 – $27.70 | 1 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | not published | not published | $85.55 – $85.55 | 1 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $41.87 – $1,416.17 | 5 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $88.86 – $403.40 | 5 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $70.55 – $350.04 | 5 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $165.12 – $370.95 | 3 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $83.34 – $555.60 | 22 |
| John cunningham antibody CPT 86711 | not published | not published | $7.60 – $50.67 | 22 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $1,207.59 – $1,972.40 | 19 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $1,047.70 – $1,711.24 | 19 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $1,773.40 – $2,896.55 | 19 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $1,000.27 – $1,633.77 | 19 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $1,407.22 – $2,298.46 | 19 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $1,223.06 – $1,997.66 | 19 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $834.28 – $1,362.66 | 19 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $2,283.42 – $3,729.58 | 19 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $1,768.28 – $2,888.20 | 19 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $192.65 – $314.67 | 19 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $1,048.99 – $1,713.34 | 19 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $4,556.92 – $7,442.96 | 19 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $956.25 – $1,561.88 | 19 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $1,478.65 – $2,415.12 | 19 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $336.92 – $632.40 | 2 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $0.01 – $86.44 | 2 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $6.96 – $46.41 | 22 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $362.18 | $362.18 | $3.68 – $24.51 | 22 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | not published | not published | $0.61 – $1.03 | 3 |
| Kidney function study CPT 78725 | not published | not published | $69.32 – $471.74 | 5 |
| Kidney imaging morphology CPT 78700 | not published | not published | $82.16 – $471.74 | 5 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $185.18 – $853.28 | 5 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $4,968.96 | $4,968.96 | $166.06 – $611.66 | 5 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | not published | not published | $82.42 – $232.72 | 5 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | not published | not published | $47.23 – $77.15 | 19 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $8.99 – $14.69 | 19 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $56.19 – $374.61 | 22 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $17.73 – $28.96 | 19 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $464.00 | $464.00 | $31.21 – $336.92 | 2 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | not published | $1,918.88 – $3,134.17 | 19 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $21.04 – $34.37 | 19 |
| Knee cap medial or lateral p HCPCS L2800 | not published | not published | $110.31 – $180.18 | 19 |
| Knee control condylar pad HCPCS L2810 | not published | not published | $80.78 – $131.93 | 19 |
| Knee control full kneecap HCPCS L2795 | not published | not published | $87.89 – $143.55 | 19 |
| Knee disart expand wall sock HCPCS L5653 | not published | not published | $641.26 – $1,047.39 | 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.