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 |
|---|---|---|---|---|
| Lipoprotein direct measurement hdl CPT 83718 | not published | not published | $3.69 – $24.57 | 21 |
| Lipoprotein direct measurement ldl CPT 83721 | not published | not published | $4.73 – $31.50 | 21 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $15.39 – $102.57 | 21 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $631,423.78 – $1,489,833.29 | 2 |
| Listeria monocytogenes CPT 86723 | not published | not published | $5.94 – $39.57 | 21 |
| Lithium therapeutic drug level CPT 80178 | $349.00 | $349.00 | $2.97 – $19.83 | 21 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $79.29 – $528.57 | 21 |
| Liver elastography 91200 CPT 91200 | not published | not published | $18.75 – $186.77 | 2 |
| Liver Function Test CPT 80076 | $146.74 | $146.74 | $3.68 – $24.51 | 21 |
| Liver imaging CPT 78201 | not published | not published | $79.56 – $1,623.62 | 5 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $91.72 – $1,623.62 | 5 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $90.20 – $500.66 | 5 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $85.67 – $471.74 | 5 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $145.47 – $145.47 | 1 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $1.14 – $2.76 | 3 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $142.27 – $142.27 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $255.95 – $586.23 | 3 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $18.71 | $18.71 | $1.63 – $3.74 | 3 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $78.44 – $115.31 | 17 |
| Loudness balance test CPT 92562 | not published | not published | $93.89 – $93.89 | 1 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $1,334.44 – $1,334.44 | 1 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $3,987.72 – $3,987.72 | 1 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $1,334.44 – $1,334.44 | 1 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $1,334.44 – $1,334.44 | 1 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $9,547.50 | $9,547.50 | $236.80 – $459.25 | 3 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $6,365.58 | $6,365.58 | $226.72 – $616.10 | 3 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $7,825.33 | $7,825.33 | $154.52 – $459.25 | 3 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $6,273.48 | $6,273.48 | $425.72 – $894.50 | 3 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $6,500.85 | $6,500.85 | $331.56 – $756.19 | 3 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $4,317.01 | $4,317.01 | $277.00 – $530.38 | 3 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $1,012.37 | $1,012.37 | $21.62 – $154.52 | 5 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $362.36 – $532.67 | 17 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $18.97 – $42.14 | 2 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $84.39 – $124.05 | 17 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $1,302.42 – $1,914.56 | 17 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $162.94 – $239.52 | 17 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $288.55 – $424.17 | 17 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $9.90 – $65.97 | 21 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $49.99 – $2,174.18 | 5 |
| Lumizyme injection HCPCS J0221 | not published | not published | $246.44 – $549.58 | 3 |
| Lung perfusion imaging CPT 78580 | $1,876.34 | $1,876.34 | $136.04 – $570.00 | 5 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $250.68 – $558.57 | 3 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $50.42 – $113.34 | 3 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $358.85 – $850.04 | 3 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $292.22 – $687.20 | 3 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $9.02 – $60.15 | 21 |
| Lymphatics/lymph node imaging CPT 78195 | $2,730.50 | $2,730.50 | $217.68 – $837.27 | 5 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $16.45 – $109.68 | 21 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $22.06 – $147.09 | 21 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $71.34 – $568.53 | 21 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $21.42 – $142.77 | 21 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $159.12 – $826.97 | 5 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $193.08 – $1,842.44 | 5 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $150.64 – $3,722.48 | 5 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $205.68 – $3,724.33 | 5 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $19.26 – $40.02 | 2 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $5.66 – $29.69 | 6 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $1.92 – $12.81 | 21 |
| Macroscopic exam parasite CPT 87169 | $44.28 | $44.28 | $1.94 – $12.93 | 21 |
| Magnesium CPT 83735 | not published | not published | $3.02 – $20.10 | 21 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.61 – $1.09 | 3 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $298.56 – $752.99 | 3 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $23.58 – $23.58 | 1 |
| Malaria antibody CPT 86750 | not published | not published | $5.94 – $39.57 | 21 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $637.84 | $637.84 | $72.79 – $72.79 | 1 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $1,536.03 | $1,536.03 | $47.52 – $47.52 | 1 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $2.76 – $3.58 | 2 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $3.13 – $8.32 | 2 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $2.28 – $15.21 | 21 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $59.33 – $142.44 | 3 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $3,323.10 – $3,323.10 | 1 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $177.85 – $261.44 | 17 |
| Mastoids complete CPT 70130 | not published | not published | $36.75 – $154.52 | 5 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $115.63 – $336.92 | 2 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $2,318.80 – $6,801.68 | 2 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $23.53 – $336.92 | 2 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $15.79 – $105.27 | 21 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $12.28 – $81.87 | 21 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $19.28 – $128.52 | 21 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $81.31 | $81.31 | $6.51 – $43.38 | 21 |
| Mayo aathr protein s free CPT 85306 | not published | not published | $6.89 – $45.96 | 21 |
| Mayo activated protein c resistance assay CPT 85307 | $259.78 | $259.78 | $6.89 – $45.96 | 21 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $17.36 – $115.71 | 21 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $0.01 – $53.88 | 2 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $0.01 – $86.44 | 2 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $317.29 | $317.29 | $6.65 – $44.34 | 21 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $0.01 – $86.44 | 2 |
| Mayo alpha 1 antitrypsin CPT 82103 | $249.79 | $249.79 | $6.05 – $40.32 | 21 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | not published | not published | $6.79 – $45.24 | 21 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $0.01 – $52.00 | 2 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $0.01 – $86.44 | 2 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $54.73 – $364.89 | 21 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $771.41 | $771.41 | $41.25 – $274.98 | 21 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $61.65 – $411.00 | 21 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $522.00 – $3,480.00 | 21 |
| Mayo androstenedione CPT 82157 | $442.22 | $442.22 | $13.18 – $87.84 | 21 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $313.32 | $313.32 | $6.57 – $43.80 | 21 |
| Mayo antithrombin iii antigen CPT 85301 | not published | not published | $4.86 – $32.43 | 21 |
| Mayo aspergillus fumigatus antibody CPT 86606 | not published | not published | $6.77 – $45.15 | 21 |
| Mayo avwpr vw factor activity CPT 85397 | not published | not published | $13.89 – $92.58 | 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.