Tristar Horizon Medical Center — procedure prices

Published prices for 379 procedures at Tristar Horizon Medical Center (Dickson, TN), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $83 $83 $127 $51
Abdominal fluid drain (paracentesis) $2,569 $284
Abdominal ultrasound $3,515 $3,515 $792 $100
Abscess incision and drainage $1,845 $174
Achilles tendon repair $3,514 $624
ACL knee reconstruction $3,514 $889
Acupuncture $72 $38
Adenoid removal (adenoidectomy) $3,599 $204
Albumin blood test $249 $249 $5 $5
Alkaline phosphatase test $229 $229 $5 $5
Allergy patch testing $10 $5
Allergy shots $23 $11
Allergy testing $5 $4
Alpha-fetoprotein (AFP) test $307 $307 $18 $17
ALT liver enzyme test $148 $148 $5 $5
Ammonia blood test $775 $775 $15 $15
Amniocentesis $1,940 $120
Anal fistula repair $3,514 $541
Ankle fracture repair $3,514 $608
Ankle replacement $5,647 $885
Annual physical (established patient) $98
Annual physical (new patient) $93
Anoscopy $1,804 $129
Aortic aneurysm repair (AAA) $3,461 $1,345
Aortic valve replacement $3,853 $1,603
AST liver enzyme test $173 $173 $5 $5
Barium swallow study $522 $522 $341 $107
Bartholin cyst removal $1,968 $182
Basic metabolic panel $784 $784 $9 $8
Benign skin lesion removal $2,069 $171
Bilirubin blood test $397 $397 $5 $5
Bladder function test (urodynamics) $1,804 $345
Bladder scope (cystoscopy) $1,940 $216
Bladder tumor removal (TURBT) $2,614 $236
Blood clotting test (PT/INR) $302 $302 $5 $4
Blood crossmatch $549 $549 $149
Blood glucose test $271 $271 $5 $5
Blood transfusion $2,990 $2,990 $1,968 $47
Blood type test $272 $272 $3 $3
BNP (heart failure) test $1,066 $1,066 $51 $39
Bone density scan (DEXA) $526 $526 $155 $39
Bone marrow biopsy $2,303 $172
Bone scan (nuclear) $5,024 $5,024 $716 $259
Botox for migraine $990 $157
Brain shunt (VP shunt) $2,569 $1,023
Breast biopsy $2,569 $478
Breast MRI $331 $216
Breast reconstruction $3,147 $1,227
Breast reduction $4,013 $980
Breast ultrasound $183 $183 $126 $92
Breathing tube insertion (intubation) $1,968 $133
Bronchoscopy $2,303 $303
Bunion surgery (bunionectomy) $3,514 $883
Burn treatment $1,968 $129
C-reactive protein (CRP) $233 $233 $5 $5
CA 19-9 tumor marker test $593 $593 $21 $21
CA-125 ovarian marker test $849 $849 $21 $21
Calcium blood test $395 $395 $5 $5
Capsule endoscopy $1,111 $802
Cardiac ablation $5,923 $759
Cardiac catheterization $7,374 $1,049
Cardiac event monitor $108 $170
Cardiac MRI $616 $322
Cardiac rehabilitation $531 $531 $150 $26
Cardiac stress test $4,543 $4,543 $1,140 $39
Cardioversion $2,646 $2,646 $1,896 $155
Carotid artery surgery $3,692 $1,026
Carotid artery ultrasound $1,925 $1,925 $284 $156
Carpal tunnel release $2,303 $483
Cataract surgery $4,473 $547
CEA tumor marker test $849 $849 $19 $19
Central line placement $2,303 $238
Cervical cerclage $2,303 $137
Cervical LEEP procedure $2,569 $325
Cesarean section (C-section) $8,326 $7,552
Chalazion (eyelid cyst) removal $1,968 $131
Chemotherapy infusion $968 $968 $242 $81
Chest fluid drain (thoracentesis) $2,069 $311
Chest tube insertion $2,069 $143
Chest X-ray $1,364 $1,364 $116 $37
Chickenpox (varicella) vaccine $490 $490 $355
Chiropractic adjustment $39 $38
Circumcision $2,303 $167
CK-MB heart enzyme test $12 $12
Clotting time test (PTT) $302 $302 $6 $6
Colon resection (colectomy) $2,569 $1,238
Colonoscopy $2,303 $480
Colostomy $2,614 $1,122
Colposcopy $1,968 $161
Complete blood count (CBC) $500 $500 $8 $7
Complex wound repair $2,460 $390
Comprehensive eye exam $246 $138
Comprehensive metabolic panel $961 $961 $11 $11
Contact lens fitting $105
Continuous glucose monitor setup $69 $35
Contraceptive implant (Nexplanon) $1,804 $115
Corneal transplant $5,214 $1,066
Coronary artery bypass (CABG) $40,731 $36,593
Coronary CT angiography $459 $326
Cortisol test $213 $213 $40 $16
COVID-19 PCR test $67 $67 $51 $51
CPAP titration study $1,277 $1,277 $128 $69
Craniotomy (brain surgery) $4,013 $2,161
Creatine kinase (CK) test $258 $258 $7 $7
CT angiography of the chest $10,913 $10,913 $2,074 $281
CT angiography of the head $12,674 $12,674 $2,408 $274
CT colonography (virtual colonoscopy) $891 $835
CT scan of the abdomen $11,011 $11,011 $2,092 $230
CT scan of the abdomen and pelvis $20,102 $20,102 $3,819 $300
CT scan of the arm $9,042 $9,042 $2,261 $199
CT scan of the chest $8,326 $8,326 $1,582 $167
CT scan of the head $9,833 $9,833 $1,868 $148
CT scan of the leg $4,110 $4,110 $1,109 $166
CT scan of the lower back (lumbar spine) $8,862 $8,862 $1,684 $169
CT scan of the neck $10,086 $10,086 $1,916 $183
CT scan of the neck (cervical spine) $6,858 $6,858 $1,263 $168
CT scan of the pelvis $9,094 $9,094 $1,728 $226
CT scan of the sinuses $7,421 $7,421 $596 $152
Defibrillator (ICD) implant $11,088 $798
Developmental screening (child) $94
DHEA-sulfate test $502 $502 $23 $22
Diagnostic mammogram $1,185 $1,185 $173 $140
Dialysis fistula creation $5,050 $601
Dilation and curettage (D&C) $2,303 $298
Droopy eyelid repair (ptosis) $3,599 $745
Drug screen (urine) $57 $57 $25 $17
Ear pressure test (tympanometry) $101 $101 $32 $16
Ear tubes (myringotomy) $2,460 $174
Eardrum repair (tympanoplasty) $4,413 $799
Echocardiogram $5,202 $5,202 $1,354 $138
Elbow replacement $8,418 $1,301
Electrocardiogram (EKG) $695 $695 $175 $8
Electroencephalogram (EEG) $728 $728 $182 $448
Electrolyte panel $295 $295 $7 $7
Electromyography (EMG) $115 $141
Emergency department visit $2,753 $2,753 $991 $69
Endometrial biopsy $1,804 $98
Epidural steroid injection $2,069 $275
ERCP (bile duct endoscopy) $2,303 $311
Esophageal dilation $2,303 $522
Esophageal variceal banding $2,303 $126
Estradiol (estrogen) test $1,040 $1,040 $28 $28
Eye refraction (glasses prescription) $21
Eyelid surgery (blepharoplasty) $3,147 $552
Facet joint injection (spine) $2,303 $99
Fallopian tube X-ray (HSG) $2,469 $2,469 $1,804 $164
Family therapy session $160 $110
Fecal occult blood (stool) test $129 $129 $16 $10
Feeding tube (PEG) placement $2,303 $178
Femoral hernia repair $4,526 $584
Ferritin (iron) test $601 $601 $14 $14
Fibrinogen test $667 $667 $10 $10
Fibroid removal (myomectomy) $3,723 $914
Flexible sigmoidoscopy $2,069 $323
Flu test $17 $17
Flu vaccine $111 $111 $48
Folate (folic acid) test $532 $532 $15 $15
Foreign body removal (skin) $1,804 $157
Free T4 thyroid test $461 $461 $9 $9
FSH hormone test $1,038 $1,038 $19 $19
Gallbladder removal (laparoscopic) $6,489 $658
Gallbladder scan (HIDA) $1,798 $1,798 $612 $334
Ganglion cyst removal $3,433 $321
GGT liver test $180 $180 $7 $7
Glaucoma surgery $3,599 $984
Glucose tolerance test $13 $8
Group therapy session $39 $30
H. pylori test $945 $945 $68 $67
Hammertoe repair $3,514 $548
HDL cholesterol test $8 $8
Hearing test (audiometry) $73 $36
Hematocrit test $239 $239 $3 $2
Hemodialysis $267 $75
Hemoglobin A1c (diabetes test) $475 $475 $10 $10
Hemorrhoid removal $2,303 $338
Hepatitis A vaccine $195
Hepatitis B test $358 $358 $10 $10
Hepatitis B vaccine $176
Hepatitis C test $817 $817 $15 $14
Hip arthroscopy $6,489 $931
Hip fracture repair $4,950 $1,120
Hip replacement $4,013 $1,162
HIV test $204 $204 $24 $19
Holter heart monitor $249 $26
Home sleep apnea test $1,770 $123
HPV vaccine $1,046
Hydrocele repair $3,514 $315
Hysterectomy $4,243 $933
Hysteroscopy $3,514 $1,270
Ileostomy $2,569 $968
Incisional hernia repair $4,238
Inguinal hernia repair $4,235 $538
Iron blood test $254 $254 $7 $6
IUD insertion $1,845
IUD removal $1,968 $112
IV infusion therapy $952 $952 $225 $44
IVC filter placement $3,514 $1,885
Joint aspiration (small/intermediate) $1,968 $57
Kidney biopsy $2,303 $492
Kidney removal (nephrectomy) $2,569 $1,164
Kidney scan (nuclear) $432 $172
Kidney stone shock-wave (lithotripsy) $4,450 $760
Kidney ultrasound $2,802 $2,802 $609 $84
Knee arthroscopy $3,058 $524
Knee joint injection $1,968 $69
Knee replacement $19,605 $18,054
Lactate test $721 $721 $12 $12
Laminectomy (spine) $5,050 $1,157
Laryngoscopy $1,845 $189
LDH test $280 $280 $9 $6
LDL cholesterol test $11 $11
Leg artery angiogram $12,071 $12,071 $3,365 $149
Leg artery angioplasty $5,050
Leg vein ultrasound (Doppler) $1,408 $1,408 $352 $150
LH hormone test $677 $677 $19 $19
Lipase test $350 $350 $7 $7
Lipid (cholesterol) panel $766 $766 $14 $13
Liver biopsy $2,303 $288
Lower back (lumbar) spinal fusion $38,112 $1,511
Lumbar discectomy $6,446 $898
Lumpectomy (breast) $3,723 $750
Lung function test (PFT) $2,782 $2,782 $695 $37
Lung scan (V/Q) $1,937 $1,937 $612 $291
Magnesium blood test $508 $508 $10 $7
Mastectomy $4,013 $1,021
Mastoidectomy $4,707 $840
Meniscus repair (knee) $3,058 $714
MMR vaccine $385 $385 $158
Mohs skin cancer surgery $2,303 $535
MRA of the brain $10,095 $10,095 $616 $226
MRA of the neck $18,610 $18,610 $616 $245
MRI of the abdomen $11,496 $11,496 $616 $300
MRI of the ankle $12,479 $12,479 $1,838 $261
MRI of the brain $14,518 $14,518 $750 $269
MRI of the chest $735 $371
MRI of the knee $12,479 $12,479 $2,297 $315
MRI of the lower back (lumbar spine) $13,772 $13,772 $756 $270
MRI of the mid-back (thoracic spine) $12,479 $12,479 $846 $271
MRI of the neck (cervical spine) $12,479 $12,479 $759 $274
MRI of the pelvis $14,804 $14,804 $644 $268
MRI of the shoulder $12,479 $12,479 $1,838 $313
MRI of the wrist $13,471 $13,471 $1,317 $330
Nebulizer breathing treatment $312 $312 $31 $9
Neck (cervical) spinal fusion $7,729 $1,410
Nerve conduction study $86 $118
Newborn hospital care $74 $58
Nuchal translucency ultrasound $185 $116
Nuclear cardiac stress test $5,613 $5,613 $1,375 $428
Occupational therapy evaluation $1,105 $1,105 $207 $101
Office visit (established patient) $1,070 $1,070 $348 $115
Office visit (new patient) $991 $991 $337 $177
Orthopedic hardware removal $3,433 $632
Ovarian cyst removal $4,526 $698
Ovary removal (oophorectomy) $2,569 $822
Pacemaker insertion $18,784 $15,506
Pap smear (cervical screening) $21 $20
Parathyroid hormone (PTH) test $879 $879 $42 $41
Parathyroid removal $4,955 $891
Pelvic ultrasound $2,327 $2,327 $536 $78
PET scan $5,052 $5,052 $2,526
Phosphorus blood test $338 $338 $5 $5
Physical therapy evaluation $1,105 $1,105 $202 $98
Pilonidal cyst removal $3,433 $541
Pneumonia vaccine $311 $311 $155
Pregnancy blood test (hCG) $323 $323 $8 $8
Pregnancy ultrasound $2,406 $2,406 $548 $126
Procalcitonin test $27 $27
Prolactin test $648 $648 $20 $19
Prostate biopsy $1,924
Prostate removal (prostatectomy) $3,461 $1,063
Prostate surgery (TURP) $4,013 $526
Prostate test (PSA) $464 $464 $19 $18
Pterygium removal (eye) $2,303 $540
Pulmonary rehabilitation $148 $87
Radiofrequency nerve ablation $2,569 $462
Retina scan (OCT) $20 $33
Retinal (fundus) photography $31 $37
Retinal detachment repair $4,955 $966
Rheumatoid factor test $6 $6
Rotator cuff repair $4,955 $792
Routine eye exam $165 $88
RSV vaccine $1,015
Sacroiliac joint injection $1,968 $176
Scoliosis spine X-ray $370 $370 $115 $58
Screening colonoscopy $1,940 $378
Screening mammogram $655 $655 $137 $126
Scrotal ultrasound $3,041 $3,041 $669 $99
Semen analysis $12 $12
Septoplasty (deviated septum) $3,727 $613
Shingles vaccine $294
Shoulder arthroscopy $3,514 $962
Shoulder replacement $4,013 $1,300
Simple wound stitches $1,845 $127
Sinus surgery (endoscopic) $3,514 $224
Skin biopsy $2,303 $121
Skin cancer lesion removal $2,069 $240
Skin graft $2,303 $898
Skin lesion freezing (cryotherapy) $1,968 $36
Skin tag removal $1,804 $92
Sleep study (polysomnography) $1,770 $691
Small bowel resection $2,569 $1,136
Soft tissue ultrasound $1,844 $1,844 $406 $64
Speech therapy $484 $484 $155 $76
Spinal cord stimulator $2,303 $2,388
Spinal tap (lumbar puncture) $1,940 $165
Spine fracture repair (kyphoplasty) $6,446 $5,803
Spleen removal (splenectomy) $3,435 $1,036
Stomach removal (gastrectomy) $2,614 $1,595
Strabismus (eye muscle) surgery $3,514 $475
Strep throat test $17 $17
Stress echocardiogram $503 $209
Swallow study $1,420 $1,420 $172 $85
Tdap (tetanus) vaccine $299 $299 $105
Testicle removal (orchiectomy) $3,514 $306
Testosterone test $849 $849 $26 $26
Thyroid removal (thyroidectomy) $4,955 $1,004
Thyroid test (TSH) $736 $736 $18 $17
Thyroid ultrasound $2,425 $2,425 $533 $109
Thyroid uptake scan $1,308 $1,308 $472 $145
Tilt table test $1,323 $1,323 $1,158 $168
Tonsillectomy $3,514 $252
Total IgE allergy test $398 $398 $17 $16
Total protein test $211 $211 $4 $4
Tracheostomy $2,614 $273
Transesophageal echocardiogram (TEE) $6,775 $6,775 $1,707 $239
Transvaginal ultrasound $2,966 $2,966 $653 $118
Trigger finger release $2,303 $630
Trigger point injection $1,968 $56
Triglycerides test $201 $201 $6 $6
Tubal ligation $3,514 $333
Turbinate reduction $2,303 $294
Turning a breech baby (version) $2,569 $94
Ulnar nerve surgery (elbow) $2,303 $575
Umbilical hernia repair $4,238
Upper GI endoscopy (EGD) $2,303 $371
Upper GI series (barium) $3,448 $3,448 $341 $128
Ureteral stent placement $2,399 $373
Ureteroscopy (stone removal) $5,214 $365
Uric acid (gout) test $418 $418 $5 $5
Urinalysis $337 $337 $3 $3
Urine microalbumin test $342 $342 $6 $5
UV light therapy (skin) $188 $106
Vaccine administration $379 $379 $99 $19
Vaginal delivery $6,527 $5,487
Varicocele repair $3,599 $327
Varicose vein ablation $4,526 $1,018
Vasectomy $2,303 $347
Visual field test $69 $64
Vitamin B12 test $563 $563 $15 $15
Vitamin D test $999 $999 $30 $30
Vitrectomy (eye) $4,526 $814
Vocal cord injection $2,303 $211
Wart removal $1,804 $121
Weight-loss (bariatric) surgery $14,103 $11,645
Well-child visit $75
Whipple procedure (pancreas) $4,615 $2,871
Wound debridement $1,622 $186
Wrist fracture repair $4,955 $735
X-ray of the abdomen $1,424 $1,424 $155 $36
X-ray of the ankle $945 $945 $236 $37
X-ray of the collarbone $1,006 $1,006 $252 $33
X-ray of the elbow $1,345 $1,345 $233 $33
X-ray of the facial bones $988 $988 $155 $39
X-ray of the foot $1,143 $1,143 $286 $34
X-ray of the forearm $791 $791 $198 $29
X-ray of the hand $1,008 $1,008 $252 $38
X-ray of the hip $279 $279 $102 $49
X-ray of the knee $1,349 $1,349 $256 $42
X-ray of the lower back (lumbar spine) $1,794 $1,794 $245 $47
X-ray of the lower leg $1,053 $1,053 $263 $31
X-ray of the mid-back (thoracic spine) $1,704 $1,704 $314 $36
X-ray of the neck (cervical spine) $1,205 $1,205 $216 $47
X-ray of the pelvis $1,908 $1,908 $155 $36
X-ray of the ribs $1,379 $1,379 $262 $42
X-ray of the shoulder $1,155 $1,155 $289 $36
X-ray of the skull $1,227 $1,227 $155 $40
X-ray of the upper arm $1,060 $1,060 $265 $32
X-ray of the wrist $1,060 $1,060 $201 $43
YAG laser capsulotomy (eye) $1,940 $335

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.