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 |
|---|---|---|---|---|
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $233.87 – $233.87 | 1 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $248.69 – $248.69 | 1 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | not published | $77.11 – $77.11 | 1 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $449.76 – $449.76 | 1 |
| Decalcification CPT 88311 | $81.31 | $81.31 | $6.94 – $30.32 | 6 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $1.72 – $2.16 | 3 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $657.82 | $657.82 | $8.56 – $22.45 | 3 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $5.29 – $11.79 | 3 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $648.32 | $648.32 | $33.62 – $33.62 | 1 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $91.66 – $209.88 | 2 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $33.17 – $78.07 | 3 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $48.77 – $137.32 | 3 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $336.92 – $358.18 | 2 |
| Dermagraft HCPCS Q4106 | not published | not published | $55.73 – $55.73 | 1 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $53.87 – $336.92 | 2 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $54.84 – $336.92 | 2 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $336.92 – $1,095.69 | 2 |
| Description not available HCPCS S0013 | not published | not published | $17.45 – $17.45 | 1 |
| Design mlc device for imrt CPT 77338 | not published | not published | $244.75 – $845.76 | 4 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $56.12 | $56.12 | $5.48 – $9.04 | 3 |
| Desoxycorticosterone CPT 82633 | not published | not published | $13.94 – $92.94 | 21 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $13.51 – $90.09 | 21 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $19.65 – $131.01 | 21 |
| Device intraute mirena HCPCS J7298 | not published | not published | $1,463.11 – $4,046.36 | 2 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $14.69 – $83.86 | 5 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $135.32 – $261.45 | 3 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.45 – $7.18 | 2 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.03 – $0.09 | 2 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.12 – $0.29 | 3 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $250.93 – $542.03 | 3 |
| Dexamethasone panel CPT 80420 | not published | not published | $72.85 – $485.64 | 21 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $2.33 – $2.33 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $98.98 – $153.73 | 3 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $49.38 – $1,009.62 | 3 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $18.00 – $18.00 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $1.30 – $1.30 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $259.82 | $259.82 | $1.44 – $3.47 | 2 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $137.64 | $137.64 | $9.78 – $16.03 | 2 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $2.08 – $4.64 | 2 |
| Dextrose 5 % IV bolus HCPCS J7070 | not published | not published | $4.17 – $7.79 | 3 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $471.96 | $471.96 | $10.00 – $66.69 | 21 |
| Diabetes (HbA1c) Test CPT 83036 | $243.91 | $243.91 | $4.37 – $29.13 | 21 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $15.21 – $22.36 | 17 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $82.62 – $356.44 | 5 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $105.28 – $279.68 | 5 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $843.88 | $843.88 | $100.25 – $356.44 | 18 |
| Diagnostic Mammogram (one breast) CPT 77065 | not published | not published | $78.21 – $279.68 | 18 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $83.86 – $310.33 | 2 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.74 – $9.91 | 17 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $177.88 | $177.88 | $0.09 – $0.19 | 2 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $241.11 | $241.11 | $6.75 – $17.73 | 3 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $15.72 – $30.02 | 3 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.28 – $0.74 | 3 |
| Diffusing capacity CPT 94729 | not published | not published | $89.47 – $89.47 | 1 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $122.63 | $122.63 | $5.96 – $25.36 | 3 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $29,825.25 | $29,825.25 | $5,924.03 – $13,692.52 | 3 |
| Digoxin total therapeutic drug level CPT 80162 | $283.58 | $283.58 | $5.98 – $39.84 | 21 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $58.42 – $151.26 | 3 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.04 – $0.08 | 2 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $67.65 – $67.70 | 2 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $2.44 – $10.47 | 3 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $873.85 – $1,985.46 | 3 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.03 – $3.76 | 2 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $56.12 | $56.12 | $0.80 – $1.88 | 3 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $48.68 – $91.79 | 2 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $4.69 – $22.29 | 3 |
| Disability dlco CPT 94727 | not published | not published | $62.94 – $62.94 | 1 |
| Disaccharidases CPT 82657 | not published | not published | $9.98 – $66.51 | 21 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $48.10 – $2,174.18 | 5 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.01 – $86.44 | 2 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $125.55 – $837.00 | 21 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $123.67 – $824.49 | 21 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $61.65 – $411.00 | 21 |
| Dna antibody native/double stranded CPT 86225 | $297.45 | $297.45 | $6.18 – $41.22 | 21 |
| Dna gardnerella CPT 87510 | $305.39 | $305.39 | $9.02 – $60.15 | 21 |
| Dna probe chlamydia CPT 87490 | not published | not published | $10.24 – $68.25 | 21 |
| Dna probe gc CPT 87590 | not published | not published | $12.10 – $80.64 | 21 |
| Dna trichomonas CPT 87660 | not published | not published | $9.02 – $60.15 | 21 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $258.66 | $258.66 | $9.40 – $21.25 | 3 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.76 – $1.72 | 3 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $63.12 – $131.86 | 2 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $7.65 – $9.73 | 2 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $76.28 – $151.37 | 2 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $562.43 | $562.43 | $0.86 – $2.12 | 3 |
| Doppler echo complete CPT 93320 | $3,000.60 | $3,000.60 | $3,807.00 – $3,807.00 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $2,153.36 | $2,153.36 | $205.23 – $346.44 | 2 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | not published | not published | $132.20 – $223.16 | 2 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $1.09 – $1.09 | 1 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $66.27 – $146.17 | 2 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $293.22 – $655.72 | 3 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $3.85 – $7.37 | 3 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $168.92 – $275.63 | 3 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $243.18 | $243.18 | $0.14 – $0.27 | 2 |
| Dpyd gene common variants CPT 81232 | not published | not published | $78.66 – $524.43 | 21 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $64.38 – $336.92 | 2 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $3.33 – $3.58 | 2 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $11.62 – $19.03 | 3 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $15.33 – $336.92 | 2 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $320.00 | $320.00 | $14.62 – $336.92 | 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.