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 |
|---|---|---|---|---|
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $251.93 | $251.93 | $0.04 – $0.08 | 2 |
| Metyrapone panel CPT 80436 | not published | not published | $41.02 – $273.48 | 21 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $56.09 – $373.92 | 21 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.35 – $0.66 | 3 |
| Microalbumin urine screen CPT 82044 | not published | not published | $2.37 – $18.69 | 21 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $14.14 – $120.51 | 21 |
| Microdissection laser CPT 88380 | not published | not published | $78.86 – $209.80 | 5 |
| Microdissection manual CPT 88381 | not published | not published | $92.56 – $296.11 | 6 |
| Microfluid analy tears CPT 83861 | not published | not published | $10.12 – $67.44 | 21 |
| Microsatellite instability CPT 81301 | not published | not published | $156.85 – $1,045.68 | 21 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | not published | not published | $0.16 – $0.37 | 3 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $136.08 | $136.08 | $0.26 – $0.48 | 2 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $51.88 – $174.51 | 5 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $45.33 – $45.33 | 1 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $1.72 – $3.58 | 3 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $3.11 – $7.08 | 3 |
| Minoxidil, 10 mg HCPCS S0139 | $10.39 | $10.39 | $0.58 – $0.58 | 1 |
| Miroderm HCPCS Q4175 | not published | not published | $77.94 – $336.92 | 2 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $82.92 – $188.60 | 3 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $1.27 – $1.27 | 1 |
| Mitochondrial gene CPT 81440 | not published | not published | $1,495.80 – $9,972.00 | 21 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $31.30 – $69.17 | 3 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $380.26 – $858.36 | 3 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $33.86 – $81.83 | 3 |
| Mlh1 gene CPT 81288 | not published | not published | $86.54 – $576.96 | 21 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $91.08 – $607.20 | 21 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $303.93 – $2,026.20 | 21 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $148.95 – $993.00 | 21 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $19.40 – $28.52 | 17 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.10 – $7.50 | 17 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $45.94 – $310.33 | 5 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $25.58 – $37.60 | 17 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $9.58 – $113.19 | 21 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $3.14 – $50.82 | 3 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $13.87 – $30.08 | 3 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $808.30 – $1,496.64 | 3 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $28.78 – $191.88 | 21 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $67.65 – $450.99 | 21 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $123.67 – $824.49 | 21 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $135.61 – $904.05 | 21 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $127.30 – $848.64 | 21 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $380.82 – $2,538.81 | 21 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $900.00 – $6,000.00 | 21 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $4.02 – $8.06 | 3 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $5.65 – $17.94 | 2 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $9.59 – $9.59 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $149.64 | $149.64 | $13.00 – $35.78 | 2 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $418.44 | $418.44 | $143.07 – $400.97 | 5 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $500.57 | $500.57 | $88.33 – $291.26 | 6 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $500.57 | $500.57 | $67.42 – $160.32 | 6 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $783.66 – $1,736.76 | 3 |
| Motion analysis video/3d CPT 96000 | not published | not published | $168.41 – $168.41 | 1 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $212.33 – $212.33 | 1 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $56.61 – $56.61 | 1 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $35.18 – $99.48 | 5 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $1,251.45 | $1,251.45 | $133.11 – $562.23 | 6 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $43.53 – $168.75 | 6 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $82.22 – $216.80 | 6 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $67.65 – $450.99 | 21 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $9.02 – $60.15 | 21 |
| M.pneumon dna quant CPT 87582 | not published | not published | $56.96 – $907.86 | 21 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $171.06 – $237.20 | 2 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $331.84 – $941.43 | 3 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $334.48 – $934.83 | 3 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $341.20 – $341.20 | 1 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $313.62 – $313.62 | 1 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $616.10 – $616.10 | 1 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $333.40 – $937.44 | 3 |
| MRA pelvis CPT 72198 | not published | not published | $331.84 – $939.74 | 3 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $341.20 – $341.20 | 1 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $313.62 – $313.62 | 1 |
| MRA spinal canal CPT 72159 | not published | not published | $335.56 – $964.86 | 3 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $323.40 – $956.61 | 3 |
| MRA w/cont, abd HCPCS C8900 | $10,833.65 | $10,833.65 | $341.20 – $341.20 | 1 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $616.10 – $616.10 | 1 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $616.10 – $616.10 | 1 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $341.20 – $341.20 | 1 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $313.62 – $313.62 | 1 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $313.62 – $313.62 | 1 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $313.62 – $313.62 | 1 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $313.62 – $313.62 | 1 |
| MRA without fol w/cont, abd HCPCS C8902 | $11,803.57 | $11,803.57 | $616.10 – $616.10 | 1 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $616.10 – $616.10 | 1 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $616.10 – $616.10 | 1 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $341.20 – $341.20 | 1 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $341.20 – $341.20 | 1 |
| Mr elastography CPT 76391 | not published | not published | $205.08 – $311.26 | 3 |
| MRI brain w/dye CPT 70558 | not published | not published | $341.20 – $650.16 | 3 |
| MRI brain without dye CPT 70557 | not published | not published | $313.62 – $1,286.87 | 3 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $341.20 – $610.64 | 3 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $270.36 – $321.51 | 3 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $390.12 – $511.02 | 3 |
| MRI breast without cont bi CPT 77047 | not published | not published | $297.32 – $330.93 | 3 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $395.55 – $522.76 | 3 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $313.62 – $788.29 | 3 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $480.32 – $1,035.72 | 3 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $551.16 – $1,219.70 | 3 |
| MRI chest without contrast CPT 71550 | $8,721.55 | $8,721.55 | $271.76 – $735.20 | 3 |
| MRI chest without & w/contrast CPT 71552 | $6,273.48 | $6,273.48 | $419.68 – $1,166.18 | 3 |
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.