18/100
#2,236 nationally
Tristar Horizon Medical Center
111 Highway 70 East, Dickson, TN 37055 · (615) 446-0446
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Tristar Horizon Medical Center billed $7.23 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 7.2x
- volume-weighted across all its priced work
- Procedures priced
- 46
- inpatient and outpatient combined
- Rank in TN
- #52
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 17% of U.S. hospitals.
Better than 16% of U.S. hospitals.
Better than 21% of U.S. hospitals.
Better than 15% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
181 | $81,019 | $13,622 | +24% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
106 | $32,329 | $2,323 | +66% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
100 | $43,578 | $9,393 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
84 | $6,878 | $1,397 | -32% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
71 | $21,349 | $1,620 | +82% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
55 | $13,383 | $1,951 | +14% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
52 | $51,914 | $9,807 | +11% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
47 | $37,341 | $4,918 | +6% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
40 | $82,309 | $10,919 | +34% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
39 | $55,760 | $2,812 | +121% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$13,305 | $567 | +324% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$55,760 | $2,812 | +121% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$63,271 | $6,658 | +83% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$66,659 | $6,775 | +82% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$21,349 | $1,620 | +82% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
$64,144 | $6,996 | +74% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
$71,175 | $7,775 | +72% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$19,364 | $1,385 | +72% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$6,878 | $1,397 | -32% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$67,144 | $10,618 | -6% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$43,578 | $9,393 | about average |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$56,255 | $12,700 | about average |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$37,341 | $4,918 | +6% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$53,207 | $9,290 | +10% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$14,365 | $1,755 | +11% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$51,914 | $9,807 | +11% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.