Visits & medical services prices at TriStar Horizon Medical Center

Dickson, TN · every code in this section with a posted price and a Medicare benchmark.

89 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $311.92 $311.92 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $2,781.55 $2,781.55 7.8×
Cardiac Stress Tst,Tracing Only (93017) $4,542.94 $4,542.94 21.9×
Cardioversion (92960) $2,645.95 $2,645.95 4.2×
Cbt 1st hour (94644) $826.98 $826.98 6.5×
Chemother, IV infusion, 1 hr (96413) $968.40 $968.40 3.1×
Color/duplex Doppler, complete (93975) $2,134.33 $2,134.33 9.3×
Color/duplex Doppler, limited (93976) $1,940.05 $1,940.05 19.3×
Cpap initiation and management (94660) $1,277.32 $1,277.32 6.1×
Cpt initial (94667) $299.55 $299.55 2.3×
Critical care (99291) $9,341.25 $9,341.25 11.8×
Debridement Open Wound 20 Sq Cm< (97597) $739.67 $739.67 3.8×
Demo &/or eval,pt use,aerosol device (94664) $780.78 $780.78 3.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $2,005.60 $2,005.60 8.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $4,482 $4,482 19.6×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $2,050 $2,050 20.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $4,482 $4,482 19.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $2,000.53 $2,000.53 19.9×
Dup-scan xtr veins unilateral/limited study (93971) $1,408.22 $1,408.22 14.0×
Duplex hemodialysis access (93990) $246.70 $246.70 2.5×
Duplex scan extracranial art compl bi study (93880) $1,869.08 $1,869.08 8.2×
Echo Heart Xthoracic,Limited (93308) $5,202.46 $5,202.46 22.7×
Echo r-t 2d w/probe placement only (93313) $1,885.49 $1,885.49 3.6×
Echo transesophageal (93312) $6,775.18 $6,775.18 12.9×
EEG awake asleep (95819) $728.39 $728.39 3.5×
EEG cerebral death evaluation (95824) $1,169.33 $1,169.33 3.3×
EKG (93005) $695.01 $695.01 12.3×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,070.24 $1,070.24 5.2×
Er level 1 (99281) $817.86 $817.86 10.1×
Er level ii (99282) $1,233.98 $1,233.98 8.4×
Er level iii (99283) $2,753.08 $2,753.08 10.5×
Er level IV (99284) $3,602.41 $3,602.41 9.0×
Er level v (99285) $5,400.69 $5,400.69 9.5×
Esophgl balo distension dx std w/provocation (91040) $1,630.23 $1,630.23 4.6×
Evaluation of swallowing function (92610) $1,419.84 $1,419.84 16.7×
External ECG rec>48hr<7d recording (93242) $98.68 $98.68 2.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $162.30 $162.30 1.3×
External ECG rec>7d<15d recording (93246) $162.30 $162.30 4.5×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,630.23 $1,630.23 2.0×
Group Therapeutic Procedures (97150) $588.20 $588.20 32.6×
Icd Device Interrogate (93289) $141.93 $141.93 4.0×
Immunization Admin (90471) $363 $363 5.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $157.70 $157.70 2.8×
IV infusion hydration each additional hour (96361) $433.44 $433.44 9.6×
IV infusion hydration initial 31 min-1 hour (96360) $965.32 $965.32 4.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $965.32 $965.32 14.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $964.50 $964.50 4.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $433.44 $433.44 9.6×
IV push initial (96374) $289.32 $289.32 1.4×
Manual therapy 15 min (97140) $601.28 $601.28 21.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $198.87 $198.87 5.4×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $1,419.84 $1,419.84 15.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $779.62 $779.62 4.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,387.77 $1,387.77 3.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $549.66 $549.66 17.1×
Ot eval high complex 60 min (97167) $1,493.55 $1,493.55 14.9×
Ot eval low complex 30 min (97165) $938.23 $938.23 9.3×
Ot eval mod complex 45 min (97166) $1,104.61 $1,104.61 11.0×
Ot re-eval est plan care (97168) $751.77 $751.77 11.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $531.23 $531.23 4.3×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $35 $35 0.3×
Pt Electrical Stimulation (97032) $603.77 $603.77 41.1×
Pt eval high complex 45 min (97163) $1,493.55 $1,493.55 15.3×
Pt eval low complex 20 min (97161) $938.23 $938.23 9.6×
Pt Gait Training Therapy (97116) $545.30 $545.30 18.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $553.60 $553.60 16.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $1,104.61 $1,104.61 11.3×
Pt re-evaluation (97164) $751.77 $751.77 11.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $513.50 $513.50 15.8×
Pt Ultrasound Therapy (97035) $352.43 $352.43 24.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $714.85 $714.85 3.7×
Rt Chest Wall Manipulation,Subsequent (94668) $164.81 $164.81 1.3×
Speech group therapy (92508) $571.40 $571.40 23.8×
Speech sound lang comprehen (92523) $920 $920 4.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $270.65 $270.65 12.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $270.65 $270.65 12.9×
Ther/Proph/Diag Inj Sc/Im (96372) $273.84 $273.84 4.0×
Therapeutic Activities (97530) $545.30 $545.30 15.5×
Tilt Table Eval (93660) $1,323.22 $1,323.22 3.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $4,670.03 $4,670.03 8.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $5,393.12 $5,393.12 23.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $484.24 $484.24 6.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $544.61 $544.61 6.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $251.35 $251.35 5.6×
Tympanometry (92567) $101.15 $101.15 2.8×
Unlisted Cardiovascular Service/Procedure (93799) $6,589.12 $6,589.12 53.4×
Vasc Duplex Extrem Venous,Bilat (93970) $3,088 $3,088 13.5×
Ventilation assist & mgmt inpatient 1st day (94002) $7,036.17 $7,036.17 11.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $6,019.51 $6,019.51 10.2×