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 |
|---|---|---|---|---|
| Culture fungi skin/hair/nail CPT 87101 | $167.00 | $167.00 | $3.47 – $23.13 | 21 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $131.76 | $131.76 | $6.57 – $43.83 | 21 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $6.93 – $46.17 | 21 |
| Culture of specimen by kit CPT 87084 | not published | not published | $11.75 – $81.21 | 21 |
| Culture quantitative aerobic other source CPT 87071 | $501.82 | $501.82 | $4.45 – $29.67 | 21 |
| Culture screening strep group a CPT 87081 | not published | not published | $2.98 – $19.89 | 21 |
| Culture type pulse field gel CPT 87152 | not published | not published | $3.48 – $23.22 | 21 |
| Culture typing added method CPT 87158 | $191.16 | $191.16 | $3.48 – $23.22 | 21 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $5.63 – $37.56 | 21 |
| Culture typing immunologic CPT 87147 | $203.04 | $203.04 | $2.33 – $15.54 | 21 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $98.13 – $654.18 | 21 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $611.19 | $611.19 | $15.79 – $105.27 | 21 |
| Culture urine each isolate CPT 87088 | $455.53 | $455.53 | $3.64 – $24.27 | 21 |
| Culture virus isolation CPT 87250 | not published | not published | $8.80 – $58.68 | 21 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $6.44 – $42.96 | 21 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $155.89 | $155.89 | $0.82 – $1.70 | 3 |
| Cyclic citrullinated peptide antibody CPT 86200 | $214.16 | $214.16 | $5.83 – $38.85 | 21 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.97 – $1.56 | 3 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $1.19 – $4.82 | 2 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $49.46 – $195.25 | 2 |
| Cyclosporine 2 hour CPT 80158 | not published | not published | $8.12 – $54.15 | 21 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.99 – $1.40 | 2 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $2.72 – $4.80 | 2 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $336.92 – $338.77 | 2 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $65.46 – $336.92 | 2 |
| Cymetra injectable HCPCS Q4112 | not published | not published | $1,081.38 – $1,081.38 | 1 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $131.11 – $874.08 | 21 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $78.66 – $524.43 | 21 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $202.91 – $1,352.73 | 21 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $78.66 – $524.43 | 21 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $78.66 – $524.43 | 21 |
| Cystatin c CPT 82610 | $144.76 | $144.76 | $8.33 – $55.56 | 21 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $224.55 – $1,497.00 | 21 |
| Cystine urine quantitative CPT 82131 | not published | not published | $10.34 – $68.94 | 21 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $1,859.00 | $1,859.00 | $22.88 – $341.20 | 5 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $0.94 – $2.23 | 3 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $779.18 – $779.18 | 1 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $539.07 – $3,593.82 | 21 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $19.07 – $127.14 | 21 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $18.32 – $122.10 | 21 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $522.00 – $3,480.00 | 21 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $123.00 – $2,700.00 | 21 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $1,263.53 – $5,589.66 | 20 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $5.39 – $35.94 | 21 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $1,501.75 | $1,501.75 | $6.48 – $43.17 | 21 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $1,420.86 | $1,420.86 | $7.58 – $50.55 | 21 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $6.04 – $40.26 | 21 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $2,215.44 – $4,792.07 | 3 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $13.51 – $90.09 | 21 |
| Cyto/molecular report CPT 88291 | not published | not published | $23.66 – $125.32 | 6 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $11.42 – $76.11 | 21 |
| Cytopath c/v automated CPT 88147 | not published | not published | $14.42 – $151.68 | 21 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $12.44 – $82.92 | 21 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $7.99 – $55.62 | 21 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $6.59 – $43.95 | 21 |
| Cytopath c/v manual CPT 88150 | not published | not published | $7.99 – $55.62 | 21 |
| Cytopath c/v redo CPT 88153 | not published | not published | $10.81 – $72.09 | 21 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $10.37 – $69.12 | 21 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $24.67 – $90.66 | 6 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $458.09 | $458.09 | $31.07 – $106.60 | 6 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $11.97 – $79.83 | 21 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $9.12 – $60.78 | 21 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | not published | not published | $33.84 – $86.28 | 6 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $408.52 | $408.52 | $33.84 – $105.36 | 6 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $6.62 – $25.92 | 5 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $418.44 | $418.44 | $16.27 – $149.16 | 5 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $705.97 | $705.97 | $49.76 – $269.20 | 5 |
| Cytopath smear other source CPT 88160 | not published | not published | $24.67 – $100.48 | 6 |
| Cytopath smear other source CPT 88162 | not published | not published | $45.06 – $161.97 | 6 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $24.67 – $102.21 | 6 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $7.99 – $55.62 | 21 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $7.99 – $55.62 | 21 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $14.42 – $126.66 | 21 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $7.99 – $55.62 | 21 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $35.39 – $235.95 | 21 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $13.36 – $89.04 | 21 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $185.48 – $619.55 | 5 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $4.47 – $10.92 | 3 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $353.10 – $816.17 | 3 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $19.04 – $41.31 | 3 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $19.61 – $39.49 | 3 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $10.39 | $10.39 | $0.03 – $0.08 | 3 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.06 – $0.41 | 3 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $63.24 – $145.91 | 3 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $3.56 – $8.00 | 3 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $3.56 – $8.00 | 3 |
| Dark field exam spec collj CPT 87164 | not published | not published | $4.83 – $32.22 | 21 |
| Dark field exam without collj CPT 87166 | not published | not published | $5.09 – $33.90 | 21 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $299.60 – $690.30 | 3 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $32.27 – $69.77 | 3 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $71.50 – $71.50 | 1 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $517.55 – $517.55 | 1 |
| Dch glucoscan CPT 82948 | not published | not published | $2.27 – $15.12 | 21 |
| Dch validity tests CPT 81002 | not published | not published | $1.57 – $10.44 | 21 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $5.42 – $36.15 | 21 |
| Debridement (>20 cm) charge pt CPT 97598 | $706.22 | $706.22 | $44.16 – $64.92 | 17 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $602.40 – $602.40 | 1 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | $140.83 – $140.83 | 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.