STONECREST MEDICAL CENTER
200 StoneCrest Blvd, Smyrna, TN · Tristarhealth · · NPI 1992776405
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $70.47 – $469.77 | 22 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $27.96 – $186.42 | 22 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $7.71 – $51.42 | 23 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | not published | not published | $27.96 – $186.42 | 23 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $8.09 – $53.94 | 23 |
| Ductogram sgl duct CPT 77053 | not published | not published | $37.07 – $313.62 | 5 |
| Duodenal motility study CPT 91022 | not published | not published | $160.22 – $160.22 | 1 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,587.01 | $1,587.01 | $253.37 – $664.90 | 2 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $144.17 – $388.02 | 2 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $106.95 – $389.09 | 2 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $102.54 – $432.84 | 2 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,960.69 | $1,960.69 | $151.69 – $508.13 | 2 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $24.03 – $24.03 | 1 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | not published | not published | $336.92 – $336.92 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $101.52 – $228.62 | 3 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $36.05 – $154.52 | 5 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $158.16 – $158.16 | 1 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $40.72 – $40.72 | 1 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $7.39 – $7.39 | 1 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $31.28 – $31.28 | 1 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $84.20 – $84.20 | 1 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $27.21 – $27.21 | 1 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $53.44 – $53.44 | 1 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $22.68 – $22.68 | 1 |
| Dynamic surface emg CPT 96002 | not published | not published | $24.54 – $24.54 | 1 |
| Ear and throat examination CPT 92502 | not published | not published | $121.56 – $121.56 | 1 |
| Ear protector evaluation CPT 92596 | not published | not published | $25.72 – $25.72 | 1 |
| Ecallantide injection HCPCS J1290 | not published | not published | $690.35 – $1,536.34 | 3 |
| Ecg 12 lead tracing only CPT 93005 | $664.25 | $664.25 | $19.19 – $3,807.00 | 2 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $12.60 – $3,807.00 | 2 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $302.22 | $302.22 | $6.12 – $3,807.00 | 2 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $100.34 – $3,807.00 | 2 |
| Ecg external < 48 hours recording CPT 93225 | $830.19 | $830.19 | $52.96 – $3,807.00 | 2 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $2,313.82 | $2,313.82 | $93.25 – $3,807.00 | 2 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $16.53 – $3,807.00 | 2 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $16.53 – $3,807.00 | 2 |
| Ecg record/review CPT 93268 | not published | not published | $52.09 – $3,807.00 | 2 |
| Ecg/review interpret only CPT 93272 | not published | not published | $41.96 – $3,807.00 | 2 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $5,439.58 | $5,439.58 | $208.28 – $3,807.00 | 2 |
| Echocardiography doppler color flow mapping CPT 93325 | $1,880.06 | $1,880.06 | $62.01 – $3,807.00 | 2 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $4,079.72 | $4,079.72 | $82.73 – $3,807.00 | 2 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $2,606.33 | $2,606.33 | $47.47 – $3,807.00 | 2 |
| Echo exam of eye CPT 76516 | not published | not published | $41.80 – $154.52 | 5 |
| Echo exam of eye CPT 76519 | not published | not published | $45.72 – $154.52 | 5 |
| Echo exam of eye CPT 76529 | not published | not published | $41.17 – $169.17 | 5 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $2.35 – $23.58 | 5 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $71.84 – $657.03 | 5 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $25.93 – $367.12 | 5 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $41.48 – $154.52 | 5 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $5.99 – $154.52 | 5 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $55.11 – $313.62 | 5 |
| Echograp trans r pros study CPT 76873 | not published | not published | $79.94 – $315.93 | 5 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $20.68 – $128.42 | 3 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $20.84 – $464.60 | 2 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $11.53 – $51.32 | 3 |
| Echo guide for artery repair CPT 76936 | $1,682.72 | $1,682.72 | $154.98 – $525.61 | 5 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $49.39 – $134.68 | 3 |
| Echo guide for transfusion CPT 76941 | not published | not published | $52.22 – $237.68 | 3 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $11.53 – $124.96 | 3 |
| Echo guide villus sampling CPT 76945 | not published | not published | $53.86 – $124.96 | 3 |
| Echo stress CPT 93350 | $5,543.28 | $5,543.28 | $147.29 – $3,807.00 | 2 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $32.14 – $3,807.00 | 2 |
| Echo tee guidance CPT 93355 | not published | not published | $267.33 – $267.33 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | not published | not published | $151.35 – $3,807.00 | 2 |
| Echo transesophageal CPT 93313 | not published | not published | $13.80 – $3,807.00 | 2 |
| Echo transesophageal CPT 93314 | not published | not published | $160.82 – $3,807.00 | 2 |
| Echo transesophageal CPT 93315 | not published | not published | $169.34 – $3,807.00 | 2 |
| Echo transesophageal CPT 93317 | not published | not published | $169.34 – $3,807.00 | 2 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $623.06 – $3,807.00 | 2 |
| Echo transthoracic CPT 93303 | not published | not published | $163.04 – $3,807.00 | 2 |
| Echo transthoracic CPT 93304 | not published | not published | $82.05 – $3,807.00 | 2 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | not published | not published | $164.81 – $3,807.00 | 2 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $127.71 – $127.71 | 1 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $5.70 – $37.98 | 23 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | not published | not published | $54.78 – $119.33 | 2 |
| Eculizumab injection HCPCS J1300 | not published | not published | $279.58 – $279.58 | 1 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $7,898.29 – $16,455.65 | 3 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.87 – $1.57 | 2 |
| Ed svc ckd grp per session HCPCS G0421 | not published | not published | $23.44 – $38.28 | 20 |
| Ed svc ckd ind per session HCPCS G0420 | not published | not published | $97.25 – $158.85 | 20 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | not published | not published | $29.22 – $29.22 | 1 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | not published | not published | $59.70 – $59.70 | 1 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | not published | not published | $17.93 – $17.93 | 1 |
| Eeg during surgery CPT 95955 | not published | not published | $84.52 – $84.52 | 1 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $74.66 – $74.66 | 1 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $21.07 – $21.07 | 1 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | not published | not published | $56.56 – $56.56 | 1 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | not published | not published | $59.70 – $59.70 | 1 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | not published | not published | $77.22 – $77.22 | 1 |
| Eeg recording awake and asleep CPT 95819 | $2,391.59 | $2,391.59 | $56.56 – $56.56 | 1 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $308.71 – $308.71 | 1 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $2,391.61 | $2,391.61 | $308.71 – $308.71 | 1 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $592.33 – $592.33 | 1 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $592.33 – $592.33 | 1 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $308.71 – $308.71 | 1 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $592.33 – $592.33 | 1 |
| E equine encephalitis igg CPT 86652 | not published | not published | $5.94 – $39.57 | 23 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $39.58 – $85.38 | 3 |
| Egfr gene com variants CPT 81235 | $1,370.32 | $1,370.32 | $139.90 – $973.74 | 23 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $1,914.70 | $1,914.70 | $15.79 – $105.27 | 23 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.