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 |
|---|---|---|---|---|
| Io radiation tx management CPT 77469 | not published | not published | $290.53 – $1,211.04 | 3 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $434.22 – $26,941.76 | 3 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $615.33 – $26,941.76 | 3 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.36 – $0.36 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $219.21 – $495.31 | 3 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.06 – $0.06 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | $18.71 | $18.71 | $0.47 – $1.06 | 2 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $2.00 – $4.74 | 3 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $78.59 – $174.79 | 3 |
| Iron CPT 83540 | $136.83 | $136.83 | $2.91 – $19.41 | 21 |
| Iron binding capacity CPT 83550 | not published | not published | $3.93 – $26.22 | 21 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $21.07 – $47.91 | 3 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $3.10 – $20.64 | 21 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $300.23 | $300.23 | $0.28 – $0.64 | 3 |
| Irradiation of blood product each unit reference CPT 86945 | $593.15 | $593.15 | $18.34 – $104.96 | 5 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | not published | not published | $45.54 – $45.54 | 1 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $96.41 – $223.40 | 3 |
| Ivc venogram s&i CPT 75825 | not published | not published | $80.26 – $3,365.20 | 5 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $188.45 – $188.45 | 1 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $41.87 – $1,416.17 | 5 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $90.20 – $403.40 | 5 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $79.63 – $350.04 | 5 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $165.12 – $370.95 | 3 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $83.34 – $555.60 | 21 |
| John cunningham antibody CPT 86711 | not published | not published | $7.60 – $50.67 | 21 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $336.92 – $632.40 | 2 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $0.01 – $86.44 | 2 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $6.96 – $46.41 | 21 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $347.04 | $347.04 | $3.68 – $24.51 | 21 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | not published | not published | $0.61 – $1.03 | 3 |
| Kidney function study CPT 78725 | not published | not published | $69.32 – $471.74 | 5 |
| Kidney imaging morphology CPT 78700 | not published | not published | $82.16 – $471.74 | 5 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $256.76 – $853.28 | 5 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $2,339.12 | $2,339.12 | $166.06 – $611.66 | 5 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $1,059.33 | $1,059.33 | $85.30 – $232.72 | 5 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $56.19 – $374.61 | 21 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $31.21 – $336.92 | 2 |
| Knee MRI (with and without contrast) CPT 73723 | not published | not published | $399.48 – $1,096.82 | 3 |
| Knee MRI (with contrast) CPT 73722 | not published | not published | $304.48 – $920.54 | 3 |
| Knee MRI (without contrast) CPT 73721 | not published | not published | $254.04 – $557.98 | 3 |
| Knee X-ray CPT 73564 | not published | not published | $28.24 – $154.52 | 5 |
| Ko elastic w/joints pre ots HCPCS L1812 | not published | not published | $117.65 – $172.95 | 17 |
| Ko rigid without joints pre ots HCPCS L1836 | not published | not published | $137.03 – $201.43 | 17 |
| Ko single upright prefab ots HCPCS L1851 | not published | not published | $921.47 – $1,354.56 | 17 |
| Ko swedish type pre ots HCPCS L1850 | not published | not published | $291.13 – $427.96 | 17 |
| Kras gene addl variants CPT 81276 | not published | not published | $86.96 – $579.75 | 21 |
| Kras gene variants exon 2 CPT 81275 | $2,518.34 | $2,518.34 | $86.96 – $579.75 | 21 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $1,463.11 – $4,046.36 | 2 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $80.45 | $80.45 | $0.21 – $0.93 | 2 |
| Lab pathology consultation CPT 80500 | not published | not published | $84.12 – $84.12 | 1 |
| Lab pathology consultation CPT 80502 | not published | not published | $275.64 – $275.64 | 1 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $140.54 | $140.54 | $0.25 – $0.25 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | not published | not published | $2.72 – $18.12 | 21 |
| Lactated ringers intravenous solution HCPCS J7120 | not published | not published | $3.03 – $6.31 | 2 |
| Lactation class HCPCS S9443 | not published | not published | $58.34 – $58.34 | 1 |
| Lactic acid CPT 83605 | $230.04 | $230.04 | $5.21 – $34.71 | 21 |
| Lactoferrin fecal qualitative CPT 83630 | $69.00 | $69.00 | $8.87 – $59.10 | 21 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $8.83 – $58.89 | 21 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | not published | not published | $48.35 – $93.78 | 3 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | not published | not published | $0.24 – $0.24 | 1 |
| Laronidase injection HCPCS J1931 | not published | not published | $47.20 – $105.87 | 3 |
| Laryngeal function studies CPT 92520 | not published | not published | $84.55 – $124.29 | 17 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $140.86 – $207.06 | 17 |
| Lead capillary CPT 83655 | not published | not published | $5.45 – $36.33 | 21 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $9.02 – $60.15 | 21 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $18.79 – $125.28 | 21 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,384.40 | $1,384.40 | $288.00 – $486.16 | 2 |
| Leishmania antibody CPT 86717 | not published | not published | $5.51 – $36.75 | 21 |
| Lepirudin HCPCS J1945 | not published | not published | $707.47 – $707.47 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $4.28 – $10.18 | 3 |
| Leukacyte transfusion CPT 86950 | not published | not published | $47.93 – $274.12 | 5 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $4.68 – $31.17 | 21 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $210.65 – $452.57 | 3 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $2,042.17 – $4,674.26 | 3 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $5,976.58 – $5,976.58 | 1 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $5.77 – $401.48 | 3 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $269.89 – $1,872.68 | 3 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $64.03 – $151.13 | 3 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $1.79 – $5.30 | 2 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.33 – $1.01 | 2 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.06 – $0.21 | 2 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $8.32 | $8.32 | $0.06 – $0.11 | 3 |
| Levetiracetam therapeutic drug level CPT 80177 | $91.23 | $91.23 | $5.96 – $39.75 | 21 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $1.17 – $5.72 | 3 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $401.03 – $1,028.52 | 2 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $1,091.22 | $1,091.22 | $13.36 – $15.85 | 2 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.04 – $0.04 | 1 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | not published | not published | $0.13 – $0.13 | 1 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $49.29 | $49.29 | $0.01 – $0.03 | 2 |
| Lidocaine therapeutic drug level CPT 80176 | not published | not published | $6.61 – $44.07 | 21 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $1,122.34 – $3,111.05 | 2 |
| Limb exercise test CPT 95875 | not published | not published | $118.53 – $118.53 | 1 |
| Limited autopsy CPT 88036 | not published | not published | $4.10 – $377.84 | 4 |
| Limited autopsy CPT 88037 | not published | not published | $3.64 – $335.84 | 4 |
| Limited visual field xm CPT 92081 | not published | not published | $33.25 – $33.25 | 1 |
| Lincomycin injection HCPCS J2010 | not published | not published | $7.62 – $14.31 | 3 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $241.11 | $241.11 | $3.25 – $7.26 | 3 |
| Lipase CPT 83690 | $178.47 | $178.47 | $3.10 – $20.67 | 21 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $15.24 – $101.58 | 21 |
| Lipoprotein blood quant CPT 83704 | not published | not published | $15.39 – $102.57 | 21 |
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.