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 |
|---|---|---|---|---|
| X-ray exam of femur 1 CPT 73551 | not published | not published | $16.89 – $83.86 | 5 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $20.04 – $83.86 | 5 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $46.84 – $313.62 | 5 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $24.15 – $154.52 | 5 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $30.99 – $313.62 | 5 |
| X-ray exam of penis CPT 74445 | not published | not published | $39.36 – $174.60 | 5 |
| X-ray exam of perineum CPT 74775 | not published | not published | $52.11 – $309.65 | 5 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $26.04 – $93.44 | 5 |
| X-ray exam of sinuses CPT 70210 | not published | not published | $19.73 – $83.86 | 5 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $33.89 – $313.62 | 5 |
| X-ray exam of teeth CPT 70300 | not published | not published | $8.07 – $83.86 | 5 |
| X-ray exam of teeth CPT 70310 | not published | not published | $17.69 – $313.62 | 5 |
| X-ray exam si joints CPT 72200 | not published | not published | $18.79 – $154.52 | 5 |
| X-ray exam thorac spine4/>vw CPT 72074 | not published | not published | $30.14 – $154.52 | 5 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $17.69 – $83.86 | 5 |
| X-ray facial bones complete > 3 views CPT 70150 | not published | not published | $26.67 – $154.52 | 5 |
| X-ray fallopian tube CPT 74742 | not published | not published | $50.97 – $114.32 | 3 |
| X-ray femur >=2 views (both sides) CPT 73552 | not published | not published | $20.03 – $85.96 | 5 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | not published | not published | $17.69 – $100.91 | 5 |
| X-ray foot 2 views (both sides) CPT 73620 | not published | not published | $17.52 – $83.86 | 5 |
| X-ray forearm 2 views (both sides) CPT 73090 | not published | not published | $17.52 – $83.86 | 5 |
| X-ray hand 2 views (both sides) CPT 73120 | not published | not published | $17.21 – $154.52 | 5 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $10.27 – $83.86 | 5 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | not published | not published | $18.15 – $83.86 | 5 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | not published | not published | $32.63 – $154.52 | 5 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | not published | not published | $24.44 – $154.52 | 5 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | not published | not published | $29.49 – $154.52 | 5 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $879.83 | $879.83 | $35.48 – $154.52 | 5 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | not published | not published | $17.51 – $83.86 | 5 |
| X-ray humerus >= 2 views left CPT 73060 | not published | not published | $18.15 – $83.86 | 5 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $20.68 – $154.52 | 5 |
| X-ray knee 1-2 views (both sides) CPT 73560 | not published | not published | $19.10 – $83.86 | 5 |
| X-ray knee 3 views (both sides) CPT 73562 | not published | not published | $24.12 – $100.91 | 5 |
| X-ray knee ap standing bilateral CPT 73565 | not published | not published | $21.03 – $100.91 | 5 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | not published | $18.15 – $83.86 | 5 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $1,501.71 | $1,501.71 | $25.72 – $154.52 | 5 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | not published | not published | $29.82 – $154.52 | 5 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | not published | not published | $42.42 – $154.52 | 5 |
| X-ray male genital tract CPT 74440 | not published | not published | $47.26 – $313.62 | 5 |
| X-ray mandible complete > 4 views CPT 70110 | not published | not published | $24.46 – $154.52 | 5 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $22.26 – $95.57 | 5 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $63.24 – $63.24 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | not published | not published | $22.26 – $93.44 | 5 |
| X-ray neck soft tissue CPT 70360 | not published | not published | $17.69 – $83.86 | 5 |
| X-ray nose to rectum for foreign body child CPT 76010 | not published | not published | $16.26 – $83.86 | 5 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $50.94 – $313.62 | 5 |
| X-ray optic foramina CPT 70190 | not published | not published | $22.88 – $84.90 | 5 |
| X-ray pelvis 1-2 views CPT 72170 | not published | not published | $17.52 – $154.52 | 5 |
| X-ray pelvis complete > 3 views CPT 72190 | $1,908.36 | $1,908.36 | $28.24 – $154.52 | 5 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $165.15 – $623.84 | 2 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $187.25 – $707.96 | 2 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,644.06 | $1,644.06 | $93.19 – $616.10 | 5 |
| X-ray ribs 2 views left CPT 71100 | not published | not published | $19.41 – $83.86 | 5 |
| X-ray ribs 3 views bilateral CPT 71110 | not published | not published | $24.46 – $154.52 | 5 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | not published | not published | $23.82 – $154.52 | 5 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | not published | not published | $33.60 – $154.52 | 5 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | not published | not published | $22.88 – $154.52 | 5 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | not published | not published | $18.15 – $83.86 | 5 |
| X-ray scapula complete (both sides) CPT 73010 | not published | not published | $20.04 – $154.52 | 5 |
| X-ray sella turcica CPT 70240 | not published | not published | $17.69 – $83.86 | 5 |
| X-ray shoulder 1 view (both sides) CPT 73020 | not published | not published | $14.37 – $83.86 | 5 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | not published | not published | $23.51 – $87.03 | 5 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,800.35 | $1,800.35 | $30.45 – $313.62 | 5 |
| X-ray skull < 4 views CPT 70250 | not published | not published | $22.26 – $154.52 | 5 |
| X-ray skull > 4 views complete CPT 70260 | not published | not published | $27.29 – $154.52 | 5 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $52.45 – $193.27 | 5 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | not published | not published | $54.51 – $261.94 | 5 |
| X-ray small intestine follow-through study CPT 74248 | $625.41 | $625.41 | $42.20 – $130.48 | 3 |
| X-ray spine single view CPT 72020 | not published | not published | $13.74 – $83.86 | 5 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | not published | not published | $23.51 – $97.70 | 5 |
| X-ray sternum > 2 views CPT 71120 | not published | not published | $19.41 – $83.86 | 5 |
| X-ray surgical specimen CPT 76098 | $920.64 | $920.64 | $9.64 – $657.03 | 5 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $522.22 | $522.22 | $54.51 – $308.90 | 5 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $1,613.42 | $1,613.42 | $32.65 – $132.88 | 5 |
| X-ray thoracic spine 2 views CPT 72070 | not published | not published | $20.04 – $154.52 | 5 |
| X-ray thoracic spine 3 views CPT 72072 | not published | not published | $23.82 – $154.52 | 5 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | not published | not published | $21.93 – $83.86 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | not published | not published | $22.24 – $97.70 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | not published | not published | $40.51 – $176.64 | 5 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | not published | not published | $16.90 – $83.86 | 5 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | not published | not published | $17.69 – $83.86 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | not published | not published | $69.09 – $341.20 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | not published | not published | $61.41 – $341.20 | 5 |
| X-ray wrist 2 views (both sides) CPT 73100 | not published | not published | $20.04 – $83.86 | 5 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $49.33 – $341.20 | 5 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $222.82 – $3,807.00 | 2 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $239.57 – $3,807.00 | 2 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $336.92 – $3,604.68 | 2 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $5.81 – $38.73 | 22 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.76 – $4.21 | 3 |
| Yersinia antibody CPT 86793 | not published | not published | $5.94 – $39.57 | 22 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $78,127.16 – $150,585.06 | 3 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $314.36 – $336.92 | 2 |
| Ziconotide injection HCPCS J2278 | not published | not published | $11.86 – $28.01 | 3 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $109.61 | $109.61 | $1.85 – $4.00 | 3 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.93 – $1.93 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $23.09 – $153.93 | 22 |
| Zika virus igm antibody CPT 86794 | not published | not published | $7.58 – $50.55 | 22 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.61 – $2.63 | 19 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $165.19 | $165.19 | $6.34 – $24.25 | 3 |
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.