CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Tristar Horizon Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$87
about 0.7× the $118 Medicare rate · typically $70–$185
modeled estimate · not a bill or quote
What this hospital charges insurers
$98
About the fair price
about $11 over the fair price · 0.8× Medicare
Medicare pays $118 Fair price $87 This hospital $98 Cash price $846 Hospital's list price $846

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $42 Priciest $98

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a New patient office visit (30-44 min) is about $87 (about 0.7× the $118 Medicare rate). Tristar Horizon Medical Center charges insurers about $98, or about $846 in cash — about the fair price. Located in Dickson, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $260 - $381 221%
Blue Cross Blue Shieldmajor $90 - $163 77%
Aetnamajor $127 - $423 108%
Cignamajor $676 575%
Humanamajor $211 179%
Health Net $592 504%
Oscar Health $155 132%
+ 8 smaller / regional plans $156 - $719
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 111 Highway 70 East, Dickson, TN 37055
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals