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 |
|---|---|---|---|---|
| Evoked oa emissions ltd CPT 92587 | not published | not published | $6.69 – $6.69 | 1 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $51.25 – $51.25 | 1 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $238.71 – $238.71 | 1 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $90.73 – $90.73 | 1 |
| Excimer lsr psriasis 250-500 CPT 96921 | not published | not published | $291.18 – $291.18 | 1 |
| Excimer lsr psriasis<250sqcm CPT 96920 | not published | not published | $272.35 – $272.35 | 1 |
| Excimer lsr psriasis>500sqcm CPT 96922 | not published | not published | $364.41 – $364.41 | 1 |
| Exemestane, 25 mg HCPCS S0156 | not published | not published | $2.95 – $2.95 | 1 |
| Exhaled breath condensate CPT 83987 | not published | not published | $1.61 – $10.74 | 21 |
| Exome re-evaluation CPT 81417 | not published | not published | $144.00 – $960.00 | 21 |
| Exome sequence analysis CPT 81415 | not published | not published | $2,151.00 – $14,340.00 | 21 |
| Exome sequence analysis CPT 81416 | not published | not published | $5,400.00 – $36,000.00 | 21 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Ext ecg>7d<15d rec scan a/r CPT 93245 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Ext ecg>7d<15d scan a/r CPT 93247 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Extended culture of oocytes CPT 89272 | not published | not published | $294.25 – $656.15 | 3 |
| Extended visual field xm CPT 92083 | not published | not published | $69.26 – $69.26 | 1 |
| External chromosome analysis 20-25 cells CPT 88264 | $1,089.70 | $1,089.70 | $65.07 – $433.83 | 21 |
| External newborn metabolic screening panel HCPCS S3620 | not published | not published | $4.06 – $4.06 | 1 |
| External ocular photography CPT 92285 | not published | not published | $37.67 – $37.67 | 1 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $79.92 | $79.92 | $22.20 – $125.96 | 5 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $1,742.85 – $11,619.00 | 21 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $2,984.28 | $2,984.28 | $64.69 – $431.25 | 21 |
| Extnd color vision xm CPT 92283 | not published | not published | $86.31 – $86.31 | 1 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | not published | not published | $8.07 – $53.79 | 21 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $188.55 – $188.55 | 1 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $78.93 – $526.20 | 21 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $127.30 – $848.64 | 21 |
| F-18 fdg pet diag HCPCS A9552 | $1,110.42 | $1,110.42 | $186.48 – $1,142.71 | 2 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $8,779.00 | $8,779.00 | $3,428.88 – $4,837.95 | 3 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $619.98 – $854.02 | 3 |
| F-18 sodium fluoride HCPCS A9580 | not published | not published | $279.55 – $716.96 | 2 |
| F9 full gene sequence CPT 81238 | not published | not published | $270.00 – $1,800.00 | 21 |
| Facial bones <3 CPT 70140 | $501.36 | $501.36 | $17.84 – $83.86 | 5 |
| Facial nerve function test CPT 92516 | not published | not published | $140.15 – $140.15 | 1 |
| Factor ix CPT 85250 | not published | not published | $8.57 – $57.12 | 21 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $4.33 – $9.54 | 3 |
| Factor ix complex HCPCS J7194 | not published | not published | $2.02 – $4.51 | 3 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $6.27 – $14.10 | 3 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.68 – $3.63 | 3 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $5.29 – $12.06 | 3 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $2.01 – $4.61 | 2 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $2.26 – $4.85 | 3 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.81 – $6.23 | 2 |
| Factor viii CPT 85240 | $390.68 | $390.68 | $8.05 – $53.70 | 21 |
| Factor viii HCPCS J7190 | not published | not published | $1.34 – $2.94 | 3 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.84 – $6.55 | 3 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.46 – $2.99 | 3 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.52 – $5.72 | 3 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.91 – $4.21 | 3 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.71 – $4.11 | 3 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.95 – $8.56 | 3 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $12.58 – $28.51 | 3 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $21.19 – $49.18 | 3 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $29.11 | $29.11 | $0.01 – $0.03 | 2 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $34.41 – $82.95 | 3 |
| Fancc gene CPT 81242 | not published | not published | $16.48 – $109.86 | 21 |
| Fat/lipids feces qualitative CPT 82705 | $111.06 | $111.06 | $2.29 – $15.30 | 21 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $8.45 – $56.31 | 21 |
| Fecal bilirubin test CPT 82252 | not published | not published | $2.05 – $13.68 | 21 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $78.18 – $171.27 | 3 |
| #fecal-sodium CPT 84302 | not published | not published | $2.19 – $14.58 | 21 |
| Feeding tube reposition CPT 74355 | not published | not published | $93.51 – $181.19 | 3 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $212.67 – $312.62 | 17 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | not published | not published | $8.39 – $55.92 | 21 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | not published | not published | $1.02 – $3.15 | 3 |
| Fern test HCPCS Q0114 | not published | not published | $4.38 – $29.22 | 20 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | not published | not published | $1.37 – $2.97 | 3 |
| Ferritin CPT 82728 | $289.54 | $289.54 | $6.13 – $40.89 | 21 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.40 – $0.95 | 3 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.40 – $0.95 | 3 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $357.75 – $2,385.00 | 21 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $2,371.61 | $2,371.61 | $61.35 – $220.58 | 5 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $341.57 – $2,277.15 | 21 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $341.57 – $2,277.15 | 21 |
| Fetal fibronectin CPT 82731 | $916.19 | $916.19 | $28.98 – $193.23 | 21 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $355.00 | $355.00 | $3.48 – $23.19 | 21 |
| Fetal hemoglobin rosette CPT 85461 | $820.16 | $820.16 | $4.21 – $28.08 | 21 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $8.69 – $57.96 | 21 |
| #_fet/norfentcnfrmur CPT 80354 | $334.55 | $334.55 | $0.01 – $86.44 | 2 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $8.15 – $20.94 | 3 |
| Fibrin degradation d dimer quantitative CPT 85379 | $581.03 | $581.03 | $4.58 – $30.54 | 21 |
| Fibrin degradation products CPT 85362 | $144.76 | $144.76 | $3.10 – $20.67 | 21 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $4.37 – $29.16 | 21 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $4.58 – $30.54 | 21 |
| Fibrinogen activity CPT 85384 | $178.47 | $178.47 | $4.37 – $29.16 | 21 |
| Fibrinogen test CPT 85370 | not published | not published | $5.59 – $37.29 | 21 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | not published | not published | $6.97 – $46.44 | 21 |
| Fibrinolytic antiplasmin CPT 85410 | $2,191.03 | $2,191.03 | $3.47 – $23.13 | 21 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $3.47 – $23.13 | 21 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $7.74 – $51.57 | 21 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $4.58 – $30.54 | 21 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | not published | not published | $2.94 – $19.59 | 21 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.34 – $0.74 | 3 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $1.20 – $2.65 | 3 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.31 – $0.93 | 3 |
| Filtered speech hearing test CPT 92571 | not published | not published | $59.78 – $59.78 | 1 |
| Finasteride, 5 mg HCPCS S0138 | $51.96 | $51.96 | $0.20 – $0.20 | 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.