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 |
|---|---|---|---|---|
| Knee disarticulat leather so HCPCS L5640 | not published | not published | $704.55 – $1,150.76 | 19 |
| Knee disc/dial lock/adj flex HCPCS L2425 | not published | not published | $159.41 – $260.37 | 19 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | not published | not published | $159.41 – $260.37 | 19 |
| Knee joint cam lock each joi HCPCS L2415 | not published | not published | $135.09 – $220.65 | 19 |
| Knee joint drop lock ea jnt HCPCS L2405 | not published | not published | $96.97 – $158.38 | 19 |
| Knee lift loop drop lock rin HCPCS L2492 | not published | not published | $105.46 – $172.25 | 19 |
| Knee MRI (with and without contrast) CPT 73723 | not published | not published | $399.48 – $1,096.82 | 4 |
| Knee MRI (with contrast) CPT 73722 | not published | not published | $304.48 – $920.54 | 4 |
| Knee MRI (without contrast) CPT 73721 | not published | not published | $254.04 – $557.98 | 4 |
| Knee orth pos locking joint HCPCS L1831 | not published | not published | $327.28 – $534.55 | 19 |
| Knee-shin exo fluid swing ph HCPCS L5724 | not published | not published | $1,663.11 – $2,716.41 | 19 |
| Knee-shin exo frct swg & sta HCPCS L5718 | not published | not published | $1,003.73 – $1,639.43 | 19 |
| Knee-shin exo frict swg & st HCPCS L5712 | not published | not published | $482.53 – $788.14 | 19 |
| Knee-shin exo mech stance ph HCPCS L5716 | not published | not published | $803.05 – $1,311.65 | 19 |
| Knee-shin exo mnl lock ultra HCPCS L5711 | not published | not published | $575.89 – $940.62 | 19 |
| Knee-shin exo variable frict HCPCS L5714 | not published | not published | $495.64 – $809.54 | 19 |
| Knee-shin ext jnts fld swg e HCPCS L5726 | not published | not published | $1,916.69 – $3,130.60 | 19 |
| Knee-shin fluid swg & stance HCPCS L5728 | not published | not published | $2,621.78 – $4,282.24 | 19 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | not published | not published | $1,261.49 – $2,060.43 | 19 |
| Knee-shin pneum swg frct exo HCPCS L5722 | not published | not published | $1,060.40 – $1,731.98 | 19 |
| Knee-shin pro flex/ext cont HCPCS L5859 | not published | not published | $16,166.70 – $26,405.61 | 19 |
| Knee-shin sys hydraul stance HCPCS L5848 | not published | not published | $1,198.13 – $1,956.95 | 19 |
| Knee-shin sys stance flexion HCPCS L5845 | not published | not published | $1,997.15 – $3,262.00 | 19 |
| Knee X-ray CPT 73564 | not published | not published | $26.21 – $154.52 | 5 |
| Kne-shin exo sng axi mnl loc HCPCS L5710 | not published | not published | $412.07 – $673.05 | 19 |
| Kne sing axis fric shin sach HCPCS L5200 | not published | not published | $4,030.25 – $6,582.75 | 19 |
| Ko dbl upright w/air pre cst HCPCS L1847 | not published | not published | $639.65 – $1,044.76 | 19 |
| Ko dbl upright w/air pre ots HCPCS L1848 | not published | not published | $639.65 – $1,044.76 | 19 |
| Ko derot ant cruciate custom HCPCS L1840 | not published | not published | $1,036.79 – $1,693.43 | 19 |
| Ko elastic w/joints pre ots HCPCS L1812 | not published | not published | $77.14 – $125.99 | 19 |
| Ko rigid without joints pre ots HCPCS L1836 | not published | not published | $98.28 – $160.52 | 19 |
| Ko single upright pre cst HCPCS L1843 | not published | not published | $997.79 – $1,629.73 | 19 |
| Ko single upright prefab ots HCPCS L1851 | not published | not published | $660.85 – $1,079.39 | 19 |
| Ko supracondylar socket mold HCPCS L1860 | not published | not published | $1,154.63 – $1,885.89 | 19 |
| Ko swedish type pre ots HCPCS L1850 | not published | not published | $226.35 – $369.70 | 19 |
| Ko w/0 joint rigid molded to HCPCS L1834 | not published | not published | $986.32 – $1,610.99 | 19 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | not published | not published | $1,321.61 – $2,158.64 | 19 |
| Ko w/adj jt rot cntrl molded HCPCS L1844 | not published | not published | $1,728.96 – $2,823.97 | 19 |
| Kras gene addl variants CPT 81276 | not published | not published | $86.96 – $579.75 | 22 |
| Kras gene variants exon 2 CPT 81275 | $869.63 | $869.63 | $86.96 – $579.75 | 22 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $1,463.11 – $4,046.36 | 2 |
| Kyphosis pad HCPCS L1020 | not published | not published | $115.53 – $188.70 | 19 |
| Kyphosis pad floating HCPCS L1025 | not published | not published | $131.31 – $214.47 | 19 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | not published | not published | $0.21 – $0.93 | 2 |
| Lab pathology consultation CPT 80500 | not published | not published | $84.12 – $84.12 | 1 |
| Lab pathology consultation CPT 80502 | not published | not published | $275.64 – $275.64 | 1 |
| Lacer molded to patient mode HCPCS L2330 | not published | not published | $406.09 – $663.28 | 19 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $157.94 | $157.94 | $0.25 – $0.25 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | not published | not published | $2.72 – $18.12 | 22 |
| Lactated ringers intravenous solution HCPCS J7120 | not published | not published | $3.03 – $6.31 | 2 |
| Lactation class HCPCS S9443 | not published | not published | $58.34 – $58.34 | 1 |
| Lactic acid CPT 83605 | not published | not published | $5.21 – $34.71 | 22 |
| Lactoferrin fecal qualitative CPT 83630 | $189.00 | $189.00 | $8.87 – $59.10 | 22 |
| Lactoferrin fecal quant CPT 83631 | $279.96 | $279.96 | $8.83 – $58.89 | 22 |
| Lamination collar with couplin HCPCS L6629 | not published | not published | $161.20 – $263.29 | 19 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | not published | not published | $48.35 – $93.78 | 3 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | not published | not published | $0.24 – $0.24 | 1 |
| Laronidase injection HCPCS J1931 | not published | not published | $47.20 – $105.87 | 3 |
| Laryngeal function studies CPT 92520 | not published | not published | $68.56 – $124.29 | 19 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $126.77 – $207.06 | 19 |
| Lateral thoracic extension HCPCS L1210 | not published | not published | $270.61 – $442.00 | 19 |
| Lateral trochanteric pad HCPCS L1290 | not published | not published | $103.35 – $168.80 | 19 |
| Latex suspension sleeve each HCPCS L6632 | not published | not published | $82.48 – $134.71 | 19 |
| Lead capillary CPT 83655 | not published | not published | $5.45 – $36.33 | 22 |
| Leads any type vad, rep only HCPCS Q0487 | not published | not published | $380.34 – $621.22 | 19 |
| Left compres band >=3" <5"/yd HCPCS A6449 | not published | not published | $2.25 – $3.67 | 19 |
| Left compres band <3"/yd HCPCS A6448 | not published | not published | $1.48 – $2.41 | 19 |
| Left compres band >=5"/yd HCPCS A6450 | not published | not published | $2.25 – $3.67 | 19 |
| Legg perthes orth newington HCPCS L1710 | not published | not published | $2,102.90 – $3,434.73 | 19 |
| Legg perthes orthosis trilat HCPCS L1720 | not published | not published | $1,553.41 – $2,537.23 | 19 |
| Legg perthes orth scottish r HCPCS L1730 | not published | not published | $1,172.00 – $1,914.26 | 19 |
| Legg perthes patten bottom t HCPCS L1755 | not published | not published | $1,705.90 – $2,786.30 | 19 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $9.02 – $60.15 | 22 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $18.79 – $125.28 | 22 |
| Leg perthes orth toronto typ HCPCS L1700 | not published | not published | $1,789.04 – $2,922.10 | 19 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | not published | not published | $173.36 – $486.16 | 2 |
| Leishmania antibody CPT 86717 | not published | not published | $5.51 – $36.75 | 22 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | not published | not published | $131.16 – $214.22 | 19 |
| Lens iol ant chamb 10.5 HCPCS V2630 | not published | not published | $131.16 – $214.22 | 19 |
| Lepirudin HCPCS J1945 | not published | not published | $707.47 – $707.47 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $4.28 – $10.18 | 3 |
| Leukacyte transfusion CPT 86950 | not published | not published | $32.30 – $274.12 | 5 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $4.68 – $31.17 | 22 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $210.65 – $452.57 | 3 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $2,042.17 – $4,674.26 | 3 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $5,976.58 – $5,976.58 | 1 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $5.77 – $401.48 | 3 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $269.89 – $1,872.68 | 3 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $64.03 – $151.13 | 3 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $1.79 – $5.30 | 2 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.33 – $1.01 | 2 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.06 – $0.21 | 2 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | not published | not published | $0.06 – $0.11 | 3 |
| Levetiracetam therapeutic drug level CPT 80177 | $121.30 | $121.30 | $5.96 – $39.75 | 22 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $1.17 – $5.72 | 3 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $401.03 – $1,028.52 | 2 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $301.06 | $301.06 | $13.36 – $15.85 | 2 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.04 – $0.04 | 1 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | not published | not published | $0.13 – $0.13 | 1 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $91.27 | $91.27 | $0.01 – $0.03 | 2 |
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.