The 24 services Tristar Horizon Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Cigna$11,751
Insurer A*$10,446
Insurer B*$12,383
Insurer C*$15,266
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Cigna$18,955
Insurer A*$11,142
Insurer B*$19,204
Insurer C*$19,278
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Aetna$45,524
Insurer A*$27,911
Insurer B*$40,567
Insurer C*$54,068
Medicare $11,178Nearby hospitals $23,92680% above nearby hospitals
21 Medicare discharges for this DRG in CMS hospital data
Aetna$6,219
Insurer A*$7,008
Insurer B*$11,914
Insurer C*$13,481
Medicare $5,566Nearby hospitals $8,25215% above nearby hospitals
47 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cigna$11,751
Insurer A*$10,446
Insurer B*$12,383
Insurer C*$15,266
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Blue Cross$344
Insurer A*$1,522
Insurer B*$1,768
Insurer C*$4,700
Medicare $503Nearby hospitals $87887% above nearby hospitals
Common here, based on CMS Medicare volume
Blue Cross$2,895
Insurer A*$3,495
Insurer B*$3,667
Insurer C*$4,666
Medicare $835Nearby hospitals $2,36851% above nearby hospitals
Common here, based on CMS Medicare volume
Blue Cross$1,149
Insurer A*$3,495
Insurer B*$3,667
Insurer C*$4,953
Medicare $1,102Nearby hospitals $2,55240% above nearby hospitals
Common here, based on CMS Medicare volume
Blue Cross$4,285
Insurer A*$5,813
Insurer B*$6,446
Insurer C*$7,008
Medicare $5,566Nearby hospitals $6,90811% below nearby hospitals
47 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Blue Cross$2,668
Insurer A*$3,495
Insurer B*$3,667
Insurer C*$4,953
Medicare $1,102Nearby hospitals $2,55240% above nearby hospitals
Common here, based on CMS Medicare volume
Aetna$7,024
Insurer A*$1,321
Insurer B*$4,368
Insurer C*$7,437
Medicare $2,125Nearby hospitals $4,04141% above nearby hospitals
55 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Aetna$24,149
Insurer A*$11,202
Insurer B*$14,581
Insurer C*$24,527
Medicare $8,362Nearby hospitals $12,16259% above nearby hospitals
Hospital reports inpatient surgical services to CMS
UnitedHealthcare$341
Insurer A*$309
Insurer B*$310
Medicare $321Nearby hospitals $3419% below nearby hospitals
Common here, based on CMS Medicare volume
Cigna$345
Insurer A*$113
Insurer B*$124
Insurer C*$137
Medicare $83Nearby hospitals $17526% below nearby hospitals
Common here, based on CMS Medicare volume
UnitedHealthcare$155
Insurer A*$214
Insurer B*$238
Medicare $96Nearby hospitals $15538% above nearby hospitals
Common here, based on CMS Medicare volume
Aetna$6,952
Insurer A*$3,847
Insurer B*$5,455
Insurer C*$9,292
Medicare $3,012Nearby hospitals $4,39841% above nearby hospitals
21 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
UnitedHealthcare$616
Insurer A*$1,128
Medicare $321Nearby hospitals $52367% above nearby hospitals
Common here, based on CMS Medicare volume
Aetna$7,313
Insurer A*$5,813
Insurer B*$6,629
Insurer C*$7,008
Medicare $9,787Nearby hospitals $8,17417% below nearby hospitals
Typical for a hospital with this service line
UnitedHealthcare$314
Insurer A*$162
Insurer B*$310
Medicare $220Nearby hospitals $314In line with nearby hospitals
Common here, based on CMS Medicare volume
Aetna$472
Insurer A*$352
Insurer B*$1,270
Insurer C*$1,624
Medicare $1,192Nearby hospitals $1,47841% below nearby hospitals
Common here, based on CMS Medicare volume
Aetna$7,024
Insurer A*$3,603
Insurer B*$4,368
Insurer C*$5,813
Medicare $2,980Nearby hospitals $4,965In line with nearby hospitals
Typical for a hospital with this service line
UnitedHealthcare$341
Insurer A*$67
Insurer B*$402
Medicare $161Nearby hospitals $341In line with nearby hospitals
Common here, based on CMS Medicare volume
Blue Cross$3,462
Insurer A*$3,495
Insurer B*$3,667
Insurer C*$6,735
Medicare $1,585Nearby hospitals $2,87724% above nearby hospitals
Typical for a hospital with this service line
Aetna$6,391
Insurer A*$3,847
Insurer B*$7,008
Insurer C*$9,292
Medicare $5,566Nearby hospitals $7,048In line with nearby hospitals
Typical for a hospital with this service line
How we chose these services: 5 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Tristar Horizon Medical Center.