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 |
|---|---|---|---|---|
| Assay of progesterone CPT 84234 | not published | not published | $29.20 – $194.64 | 23 |
| Assay of prostaglandin CPT 84150 | not published | not published | $18.80 – $125.31 | 23 |
| Assay of PSA complexed CPT 84152 | not published | not published | $8.28 – $55.17 | 23 |
| Assay of quinine CPT 84228 | not published | not published | $5.23 – $34.89 | 23 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $4.25 – $28.32 | 23 |
| Assay of salicylate CPT 80179 | $664.53 | $664.53 | $8.39 – $55.92 | 23 |
| Assay of semen fructose CPT 82757 | not published | not published | $7.80 – $52.02 | 23 |
| Assay of sialic acid CPT 84275 | not published | not published | $6.05 – $40.32 | 23 |
| Assay of silica CPT 84285 | not published | not published | $11.34 – $75.63 | 23 |
| Assay of somatostatin CPT 84307 | not published | not published | $8.23 – $54.84 | 23 |
| Assay of thiocyanate CPT 84430 | $746.63 | $746.63 | $5.23 – $34.89 | 23 |
| Assay of troponin qual CPT 84512 | not published | not published | $4.54 – $30.27 | 23 |
| Assay of tyrosine CPT 84510 | not published | not published | $4.78 – $31.89 | 23 |
| Assay of urine sulfate CPT 84392 | not published | not published | $2.47 – $16.47 | 23 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $4.30 – $28.65 | 23 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $2.72 – $18.15 | 23 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $7.43 – $49.56 | 23 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $4.83 – $32.19 | 23 |
| Assay rbc glutathione CPT 82979 | not published | not published | $4.25 – $28.32 | 23 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $8.88 – $59.22 | 23 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | not published | not published | $75.70 – $136.78 | 20 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $422.21 | $422.21 | $1.92 – $12.81 | 23 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $47.82 – $47.82 | 1 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $32.46 – $53.02 | 20 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $294.25 – $696.57 | 3 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $149.16 – $827.82 | 3 |
| Ast/sgot CPT 84450 | $598.65 | $598.65 | $2.33 – $15.54 | 23 |
| Asxl1 full gene sequence CPT 81175 | not published | not published | $304.43 – $2,029.50 | 23 |
| Asxl1 gene target seq alys CPT 81176 | not published | not published | $108.86 – $725.70 | 23 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $106.37 – $248.86 | 3 |
| Atn1 gene detc abnor alleles CPT 81177 | not published | not published | $61.65 – $411.00 | 23 |
| Atomic absorption CPT 82190 | not published | not published | $7.16 – $47.70 | 23 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | not published | not published | $0.10 – $0.27 | 3 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $1,552.66 | $1,552.66 | $83.23 – $83.23 | 1 |
| Atxn10 gene detc abnor allel CPT 81183 | not published | not published | $61.65 – $411.00 | 23 |
| Atxn1 gene detc abnor allele CPT 81178 | not published | not published | $61.65 – $411.00 | 23 |
| Atxn2 gene detc abnor allele CPT 81179 | not published | not published | $61.65 – $411.00 | 23 |
| Atxn3 gene detc abnor allele CPT 81180 | not published | not published | $61.65 – $411.00 | 23 |
| Atxn7 gene detc abnor allele CPT 81181 | not published | not published | $61.65 – $411.00 | 23 |
| Atxn8os gen detc abnor allel CPT 81182 | not published | not published | $61.65 – $411.00 | 23 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $57.30 – $57.30 | 1 |
| Audiometry air + bone CPT 92553 | not published | not published | $28.85 – $28.85 | 1 |
| Auditory function + 15 min CPT 92621 | not published | not published | $12.04 – $12.04 | 1 |
| Auditory function 60 min CPT 92620 | not published | not published | $48.65 – $48.65 | 1 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $378.29 – $2,521.95 | 23 |
| Autologous blood op salvage CPT 86891 | not published | not published | $52.99 – $656.15 | 5 |
| Autologous blood process CPT 86890 | not published | not published | $25.62 – $358.08 | 5 |
| Automated diff wbc count CPT 85004 | not published | not published | $2.91 – $19.41 | 23 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $16.04 – $16.04 | 1 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $16.04 – $16.04 | 1 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $16.04 – $16.04 | 1 |
| Autopsy (necropsy) complete CPT 88020 | not published | not published | $14.11 – $1,301.44 | 4 |
| Autopsy (necropsy) complete CPT 88025 | not published | not published | $13.65 – $1,259.44 | 4 |
| Autopsy (necropsy) complete CPT 88027 | not published | not published | $14.57 – $1,343.40 | 4 |
| Autopsy (necropsy) complete CPT 88028 | not published | not published | $8.20 – $755.68 | 4 |
| Autopsy (necropsy) complete CPT 88029 | not published | not published | $8.20 – $755.68 | 4 |
| Autopsy (necropsy) gross CPT 88000 | not published | not published | $8.20 – $755.68 | 4 |
| Autopsy (necropsy) gross CPT 88005 | not published | not published | $9.55 – $881.60 | 4 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $10.01 – $923.60 | 4 |
| Autopsy (necropsy) gross CPT 88012 | not published | not published | $8.20 – $755.68 | 4 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $7.52 – $692.68 | 4 |
| Autopsy (necropsy) gross CPT 88016 | not published | not published | $10.49 – $965.56 | 4 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $117.47 – $278.22 | 3 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $63.00 – $147.47 | 2 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $614,793.95 – $1,410,309.44 | 2 |
| Axillary crutch extension HCPCS L0978 | not published | not published | $199.08 – $325.16 | 20 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.38 – $1.22 | 3 |
| Azathioprine 50 mg tablet HCPCS J7500 | $38.75 | $38.75 | $0.16 – $2.27 | 2 |
| Azathioprine parenteral HCPCS J7501 | $3,073.20 | $3,073.20 | $300.00 – $671.85 | 3 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $802.45 | $802.45 | $2.70 – $5.41 | 3 |
| Azithromycin dihydrate, oral HCPCS Q0144 | not published | not published | $30.70 – $34.53 | 2 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $2.64 – $5.91 | 2 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $213.72 – $480.90 | 3 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $56.97 – $157.70 | 3 |
| Baclofen eval charges CPT 97750 | $489.76 | $489.76 | $25.27 – $41.28 | 20 |
| Bacterial meningitis antigen CPT 86403 | not published | not published | $5.19 – $34.62 | 23 |
| Bacterial vaginosis pcr CPT 87801 | not published | not published | $31.59 – $210.60 | 23 |
| Bactericidal level serum CPT 87197 | not published | not published | $6.76 – $45.06 | 23 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $15.79 – $105.27 | 23 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $7.24 – $11.82 | 20 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.30 – $0.49 | 20 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $3.11 – $5.09 | 20 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $12.66 – $20.68 | 20 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $7.96 – $12.99 | 20 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $6.31 – $10.30 | 20 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $11.23 – $18.35 | 20 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $15.79 – $105.27 | 23 |
| Bartonella dna quant CPT 87472 | not published | not published | $19.28 – $128.52 | 23 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $17.88 – $17.88 | 1 |
| Basiliximab HCPCS J0480 | not published | not published | $5,680.71 – $12,669.84 | 3 |
| Battery chrgr 12 volt utah/e HCPCS L7366 | not published | not published | $591.42 – $965.98 | 20 |
| Battery chrgr six volt otto HCPCS L7362 | not published | not published | $276.06 – $450.89 | 20 |
| Battery elec/combo vad, rep HCPCS Q0496 | not published | not published | $1,670.49 – $2,728.47 | 20 |
| Battery pneum vad replacemnt HCPCS Q0503 | not published | not published | $1,448.90 – $2,366.54 | 20 |
| B cells total count CPT 86355 | $288.00 | $288.00 | $16.98 – $113.19 | 23 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $3.56 – $8.69 | 2 |
| Bcg vaccine intravesical CPT 90586 | not published | not published | $226.86 – $434.52 | 2 |
| Bcg vaccine percut CPT 90585 | not published | not published | $226.86 – $578.65 | 2 |
| Bckdhb gene CPT 81205 | not published | not published | $42.75 – $284.97 | 23 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $57.32 – $57.32 | 1 |
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.