Musculoskeletal and connective tissue symptoms, no major complications at Tristar Horizon Medical Center

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 41efcec26401
Generated: October 17, 2026

Original text from hospital filings

SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC

DICKSON, TN

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Pricing by billing methodology

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How this price compares nationally

Tristar Horizon Medical Center’s median price of $7.6k is 9% below the median hospital's median price ($8.4k), higher than 37% of the 2,226 hospitals reporting MS-DRG 556. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting MS-DRG 556 at Tristar Horizon Medical Center

Negotiated rates from the hospital’s own file: 9 payers, 31 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	UnitedHealthcare corepayer per diem · inpatient	$2,625	$2,625	$2,625 – $2,625
2	Blue Cross Blue Shield tenncare fee schedule · inpatient	$2,627	$2,627	$2,627 – $2,627
3	UnitedHealthcare heritageselect per diem · inpatient	$2,800	$2,800	$2,800 – $2,800
4	Blue Cross Blue Shield coverkids fee schedule · inpatient	$2,847	$2,847	$2,847 – $2,847
5	UnitedHealthcare allpayerappendix per diem · inpatient	$3,500	$3,500	$3,500 – $3,500
6	UnitedHealthcare tenncare fee schedule · inpatient	$4,143	$4,143	$4,143 – $4,143
7	Ambetter select fee schedule · inpatient	$5,874	$5,874	$5,874 – $5,874
8	Ambetter core fee schedule · inpatient	$6,109	$6,109	$6,109 – $6,109
9	Blue Cross Blue Shield bluecare fee schedule · inpatient	$7,063	$7,063	$7,063 – $7,063
10	UnitedHealthcare mgmcr fee schedule · inpatient	$7,326	$7,326	$7,326 – $7,326
11	Humana choicecaremgmcr fee schedule · inpatient	$7,498	$7,498	$7,498 – $7,498
12	UnitedHealthcare vaccn fee schedule · inpatient	$7,498	$7,498	$7,498 – $7,498
13	Aetna mgmcrhmo fee schedule · inpatient	$7,573	$7,573	$7,573 – $7,573
14	Aetna mgmcrppo fee schedule · inpatient	$7,573	$7,573	$7,573 – $7,573
15	Aetna mgmcrsnp fee schedule · inpatient	$7,573	$7,573	$7,573 – $7,573
16	Devoted mcr fee schedule · inpatient	$7,648	$7,648	$7,648 – $7,648
17	Blue Cross Blue Shield mcr fee schedule · inpatient	$7,723	$7,723	$7,723 – $7,723
18	WellCare mcr fee schedule · inpatient	$7,723	$7,723	$7,723 – $7,723
19	UnitedHealthcare corepayer case rate · inpatient	$7,800	$7,800	$7,800 – $7,800
20	UnitedHealthcare heritageselect case rate · inpatient	$8,320	$8,320	$8,320 – $8,320
21	Oscar hix fee schedule · inpatient	$9,550	$9,550	$9,550 – $9,550
22	Blue Cross Blue Shield networkp fee schedule · inpatient	$9,736	$9,736	$9,736 – $9,736
23	UnitedHealthcare allpayerappendix case rate · inpatient	$10,400	$10,400	$10,400 – $10,400
24	Humana broadnetwork fee schedule · inpatient	$10,439	$10,439	$10,439 – $10,439
25	Humana humanachoice fee schedule · inpatient	$10,439	$10,439	$10,439 – $10,439

Page 1 of 2 · 31 rates

Last updated: Mar 1, 2026

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