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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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$164.81–$459.02 $164.81–$459.02 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $352.43 $352.43 24.5×
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×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $968.40 $968.40 3.1×
Chest Wall Manipulation (94668) $164.81 $164.81 1.3×
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×
Community/Work Reintegration Trainj Ea 15 Min (97537) $549.66 $549.66 17.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,277.32 $1,277.32 6.1×
Cpt initial (94667) $299.55 $299.55 2.3×
Critical care first hour (99291) $9,341.25 $9,341.25 11.8×
Debridement Open Wound 20 Sq Cm< (97597) $739.67 $739.67 3.8×
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)
range across 3 matching MRF lines
$1,805.68–$2,050 $1,805.68–$2,050 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $3,088 $3,088 13.5×
Dup-scan xtr veins unilateral/limited study (93971) $1,408.22 $1,408.22 14.0×
Duplex Scan Hemodialysis Access (93990) $246.70 $246.70 2.5×
Duplex up extrem art bilat (93930) $4,482 $4,482 19.6×
Duplex up extrem art unilat/ltd (93931)
range across 4 matching MRF lines
$1,516.82–$2,017 $1,516.82–$2,017 varies
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 41-60 Minutes (95812) $1,070.24 $1,070.24 5.2×
EEG awake and asleep (95819) $728.39 $728.39 3.5×
EEG cerebral death evaluation (95824) $1,169.33 $1,169.33 3.3×
Electrical Stimulation Ea 15 Min (97032) $603.77 $603.77 41.1×
Electrocardiogram Tracing (93005) $695.01 $695.01 12.3×
Emergency Dept Visit Level 2 (99282) $1,233.98 $1,233.98 8.4×
Emergency Dept Visit Level 3 (99283) $2,753.08 $2,753.08 10.5×
Emergency Dept Visit Level 4 (99284) $3,602.41 $3,602.41 9.0×
Er level 1 (99281) $817.86 $817.86 10.1×
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×
Evaluate pt use of inhaler (94664) $780.78 $780.78 3.7×
Evaluate 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×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$1,813.17–$1,925 $1,813.17–$1,925 varies
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 administration (90471)
range across 2 matching MRF lines
$347–$379 $347–$379 varies
Irrig Drug Delivery Device (96523) $157.70 $157.70 2.8×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$427.87–$439 $427.87–$439 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$951.99–$978.66 $951.99–$978.66 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$951.99–$978.66 $951.99–$978.66 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$427.87–$439 $427.87–$439 varies
IV push initial (96374)
range across 5 matching MRF lines
$246.38–$375 $246.38–$375 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $198.87 $198.87 5.4×
Motion Fluoroscopy/Swallow (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×
Neuromuscular Reeducation (97112) $553.60 $553.60 16.9×
Oral Function Therapy (92526) $544.61 $544.61 6.5×
Ot eval high complexity (97167) $1,493.55 $1,493.55 14.9×
Ot Eval Low Complex (97165) $938.23 $938.23 9.3×
Ot Eval Moderate Complexity (97166) $1,104.61 $1,104.61 11.0×
Ot manual therapy 15 min (97140) $601.28 $601.28 21.7×
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 Eval High Complex (97163) $1,493.55 $1,493.55 15.3×
Pt eval low complex 20 min (97161) $938.23 $938.23 9.6×
Pt Eval Mod Complex (97162) $1,104.61 $1,104.61 11.3×
Pt gait training 15 min (97116) $545.30 $545.30 18.8×
Pt Re-Eval Est Plan Care (97164) $751.77 $751.77 11.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $714.85 $714.85 3.7×
Self Care Mngment Training (97535) $513.50 $513.50 15.8×
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 Ea Addl 15 Min (97130) $270.65 $270.65 12.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$246.38–$374 $246.38–$374 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$951.99–$977 $951.99–$977 varies
Therapeutic Activities (97530) $545.30 $545.30 15.5×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,323.22 $1,323.22 3.7×
Tte w/doppler, complete (93306) $4,670.03 $4,670.03 8.9×
Tte W/O Doppler Complete (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 Speech Language Voice Commj Auditry 2/>Indiv (92508) $571.40 $571.40 23.8×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$246.38–$374 $246.38–$374 varies
Tympanometry (92567) $101.15 $101.15 2.8×
Unlisted cardiovascular service/procedure (93799) $6,589.12 $6,589.12 53.4×
Vent Mgmt Inpat Init 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×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.