NORTHCREST MEDICAL CENTER
100 NORTHCREST DRIVE, SPRINGFIELD, TN · Tristarhealth · · NPI 1093397184
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $13.18 – $87.84 | 21 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $10.26 – $68.43 | 21 |
| 17-ketosteroids CPT 83586 | not published | not published | $5.76 – $38.40 | 21 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $16.16 – $107.76 | 20 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $42.71 – $42.71 | 1 |
| 2vhpv vaccine 3 dose im CPT 90650 | not published | not published | $184.14 – $184.14 | 1 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $118.87 – $310.33 | 2 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $211.22 – $211.22 | 1 |
| 3d ech img cgen car anomal CPT 93319 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $230.24 – $867.20 | 4 |
| 3d recon without postprocess indpndt CPT 76376 | not published | not published | $16.58 – $459.25 | 3 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $123.45 | $123.45 | $9.99 – $9.99 | 1 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $6.02 – $6.02 | 1 |
| 5' nucleotidase - sendout CPT 83915 | $130.89 | $130.89 | $5.02 – $33.45 | 21 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $235.99 | $235.99 | $19.19 – $69.12 | 6 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $53.03 – $118.64 | 3 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $5.40 – $36.03 | 21 |
| Abciximab injection HCPCS J0130 | not published | not published | $1,528.60 – $1,772.05 | 2 |
| Abd aorta w/runoff s&i CPT 75630 | $11,906.70 | $11,906.70 | $84.04 – $3,365.20 | 5 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $6,120.56 | $6,120.56 | $261.00 – $459.25 | 3 |
| Abdominal CT scan (with contrast) CPT 74160 | $5,594.00 | $5,594.00 | $237.36 – $459.25 | 3 |
| Abdominal CT scan (without contrast) CPT 74150 | $3,901.37 | $3,901.37 | $154.52 – $459.25 | 3 |
| Abdominal MRI (with and without contrast) CPT 74183 | $6,273.48 | $6,273.48 | $407.64 – $952.55 | 3 |
| Abdominal MRI (with contrast) CPT 74182 | $12,686.42 | $12,686.42 | $322.16 – $852.75 | 3 |
| Abdominal MRI (without contrast) CPT 74181 | $4,317.01 | $4,317.01 | $271.76 – $546.91 | 3 |
| Abdominal Ultrasound (complete) CPT 76700 | $2,307.86 | $2,307.86 | $89.41 – $246.60 | 5 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,059.33 | $1,059.33 | $70.48 – $188.38 | 5 |
| Abl1 gene CPT 81170 | not published | not published | $135.00 – $900.00 | 21 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $10.89 – $23.32 | 3 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $0.06 – $0.16 | 3 |
| Acetaminophen level CPT 80143 | $811.07 | $811.07 | $8.39 – $55.92 | 21 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $573.67 | $573.67 | $23.30 – $67.81 | 3 |
| Acetone qualitative CPT 82009 | not published | not published | $2.03 – $13.56 | 21 |
| Acetylcholine receptor modulating antibody CPT 86043 | $214.92 | $214.92 | $5.42 – $36.15 | 21 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $5.53 – $36.87 | 21 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $54.04 | $54.04 | $0.54 – $0.98 | 3 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $11.30 – $22.42 | 2 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $185.89 – $185.89 | 1 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $164.28 – $241.49 | 17 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $129.31 – $190.09 | 17 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $271.32 – $271.32 | 1 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $13.70 – $20.14 | 17 |
| Acoustic immitance testing CPT 92570 | not published | not published | $64.20 – $64.20 | 1 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $30.30 – $30.30 | 1 |
| Acth stimulation panel CPT 80402 | not published | not published | $39.13 – $260.88 | 21 |
| Acth stimulation panel CPT 80406 | not published | not published | $35.22 – $234.78 | 21 |
| Actinotherapy uv light CPT 96900 | not published | not published | $47.13 – $47.13 | 1 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $104.90 – $104.90 | 1 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | not published | not published | $58.93 – $58.93 | 1 |
| Acup 1/> without estim ea add 15 CPT 97811 | not published | not published | $52.54 – $52.54 | 1 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $90.67 – $90.67 | 1 |
| Acute hepatitis panel CPT 80074 | $588.98 | $588.98 | $21.43 – $142.89 | 21 |
| Acute venous thrombus image CPT 78456 | not published | not published | $184.36 – $1,623.62 | 5 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $2.07 | $2.07 | $0.04 – $0.32 | 3 |
| #acylcarnitineprfl CPT 82017 | not published | not published | $7.59 – $50.61 | 21 |
| Acylcarnitines qual CPT 82016 | not published | not published | $7.42 – $49.47 | 21 |
| Adalimumab injection HCPCS J0135 | not published | not published | $1,127.43 – $1,127.43 | 1 |
| Adding walker to prev cast CPT 29440 | not published | not published | $86.59 – $86.59 | 1 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $20.79 | $20.79 | $0.52 – $1.40 | 2 |
| Adenovirus ag ia CPT 87301 | not published | not published | $5.39 – $35.94 | 21 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $5.79 – $38.61 | 21 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $9.79 – $65.28 | 21 |
| Adh-sendout CPT 84588 | not published | not published | $15.27 – $101.82 | 21 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | not published | not published | $0.26 – $1.40 | 3 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $49.65 – $111.80 | 3 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $138.48 – $1,623.62 | 5 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $1.00 – $1.00 | 1 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $74.18 – $109.04 | 17 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $156.09 – $156.09 | 1 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $159.99 – $159.99 | 1 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $214.60 – $214.60 | 1 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $3,759.29 – $7,800.06 | 3 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $872,400.00 – $2,042,143.00 | 2 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $9.02 – $60.15 | 21 |
| #afb mycobacteria suscep. #1 CPT 87190 | $342.72 | $342.72 | $1.02 – $21.93 | 21 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $250.96 | $250.96 | $51.91 – $346.08 | 21 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $61.65 – $411.00 | 21 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $123.67 – $824.49 | 21 |
| Aflibercept injection HCPCS J0178 | not published | not published | $973.04 – $2,024.34 | 3 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $14.74 – $68.21 | 2 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $272.46 – $610.35 | 3 |
| Ag detect nos ia single CPT 87450 | not published | not published | $38.36 – $38.36 | 1 |
| Air conduction bilat CPT 92552 | not published | not published | $75.58 – $75.58 | 1 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $61.04 – $61.04 | 1 |
| Albumin body fluid quantitative each specimen CPT 82042 | $550.63 | $550.63 | $3.20 – $23.34 | 21 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $55.21 – $140.66 | 3 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $33.00 – $56.26 | 3 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $55.21 – $140.66 | 3 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $28.14 – $41.47 | 3 |
| Albumin ischemia modified CPT 82045 | not published | not published | $15.27 – $101.82 | 21 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $118.98 | $118.98 | $2.60 – $17.34 | 21 |
| Albumin serum plasma or whole blood CPT 82040 | $109.07 | $109.07 | $2.23 – $14.85 | 21 |
| Albuterol comp con HCPCS J7610 | not published | not published | $1.52 – $1.52 | 1 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.63 – $0.63 | 1 |
| Albuterol ipratrop non-comp HCPCS J7620 | $51.96 | $51.96 | $0.24 – $0.53 | 2 |
| Albuterol non-comp con HCPCS J7611 | $6.24 | $6.24 | $0.21 – $0.69 | 2 |
| Albuterol non-comp unit HCPCS J7613 | $6.24 | $6.24 | $0.06 – $0.19 | 2 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $1,187.27 | $1,187.27 | $7.77 – $51.81 | 21 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $0.01 – $45.60 | 2 |
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.