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 |
|---|---|---|---|---|
| Ondansetron 4 mg s0119 HCPCS S0119 | not published | not published | $0.57 – $0.57 | 1 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | not published | not published | $0.01 – $0.03 | 2 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $8.32 | $8.32 | $0.11 – $1.03 | 3 |
| One-way allow prorated trip HCPCS P9604 | not published | not published | $8.03 – $8.03 | 1 |
| Oocyte identification CPT 89254 | not published | not published | $149.16 – $425.72 | 3 |
| Ophthalmic biometry CPT 92136 | not published | not published | $32.61 – $32.61 | 1 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $543.87 – $543.87 | 1 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $37.23 – $37.23 | 1 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $71.12 – $141.80 | 5 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $52.83 – $154.52 | 5 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $43.06 – $154.52 | 5 |
| Opioids & opiate analogs 3/4 CPT 80363 | not published | not published | $0.01 – $84.92 | 2 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $928.29 – $928.29 | 1 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $529.38 – $655.00 | 2 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $37.06 – $183.72 | 6 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $38.17 – $38.17 | 1 |
| Oral aprepitant HCPCS J8501 | not published | not published | $4.21 – $7.34 | 2 |
| Oral busulfan HCPCS J8510 | not published | not published | $26.82 – $173.74 | 2 |
| Oral everolimus HCPCS J7527 | not published | not published | $3.13 – $3.13 | 1 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $5.39 – $35.94 | 20 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $23.09 – $49.40 | 2 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $24.18 – $59.44 | 2 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $488.38 – $1,007.50 | 2 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $10.62 – $70.80 | 21 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $51.99 – $114.11 | 3 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $34.87 – $75.45 | 3 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $326.32 | $326.32 | $11.27 – $16.93 | 3 |
| Orthopantogram CPT 70355 | not published | not published | $8.69 – $83.86 | 5 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $148.55 – $294.84 | 3 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $39.31 – $39.31 | 1 |
| Osmolality blood CPT 83930 | $138.81 | $138.81 | $2.97 – $19.83 | 21 |
| Osmolality urine CPT 83935 | $144.76 | $144.76 | $3.07 – $20.46 | 21 |
| Ot evaluation high complexity patient/family CPT 97167 | $1,287.75 | $1,287.75 | $84.43 – $124.11 | 17 |
| Ot evaluation low complexity patient/family CPT 97165 | $823.81 | $823.81 | $84.43 – $124.11 | 17 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $1,026.79 | $1,026.79 | $84.43 – $124.11 | 17 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $10.41 – $69.39 | 21 |
| Oth resp proc, group HCPCS G0239 | not published | not published | $25.03 – $25.03 | 1 |
| Oth resp proc, indiv HCPCS G0238 | not published | not published | $19.34 – $19.34 | 1 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | not published | not published | $41.25 – $60.64 | 17 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | not published | not published | $38.09 – $56.00 | 17 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | not published | not published | $23.21 – $34.12 | 17 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $55.42 – $55.42 | 1 |
| Ot re-evaluation patient/family CPT 97168 | not published | not published | $57.23 – $84.12 | 17 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | not published | not published | $29.12 – $42.80 | 17 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $124.51 | $124.51 | $20.59 – $30.27 | 17 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $124.51 | $124.51 | $19.13 – $28.12 | 17 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | not published | not published | $24.34 – $35.78 | 17 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | not published | not published | $27.41 – $40.30 | 17 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | not published | not published | $27.01 – $39.70 | 17 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $170.87 – $291.21 | 2 |
| Ovulation tests CPT 84830 | not published | not published | $5.71 – $38.10 | 21 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.78 – $1.51 | 3 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.06 – $0.13 | 3 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $3.54 – $6.20 | 2 |
| Oxytetracycline injection HCPCS J2460 | not published | not published | $1.17 – $1.17 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $33.25 | $33.25 | $1.68 – $7.13 | 3 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $161.53 – $414.25 | 2 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $365.86 – $737.34 | 3 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $61.65 – $411.00 | 21 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.11 – $0.27 | 2 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $15.97 – $21.68 | 3 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $282.88 – $2,029.50 | 21 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $135.61 – $904.05 | 21 |
| Palifermin injection HCPCS J2425 | not published | not published | $40.61 – $97.07 | 3 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $336.92 – $499.11 | 2 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $1,574.68 – $3,819.98 | 2 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $18.01 – $40.04 | 3 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $1,157.39 – $2,528.54 | 3 |
| Palonosetron hcl HCPCS J2469 | not published | not published | $0.61 – $1.17 | 3 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | not published | not published | $14.47 – $29.92 | 3 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $196.77 – $460.23 | 3 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $110.17 | $110.17 | $5.75 – $23.03 | 2 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $45.00 – $121.74 | 3 |
| Parathormone (pth) intact CPT 83970 | $882.47 | $882.47 | $18.58 – $123.84 | 21 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $288.00 – $1,011.12 | 5 |
| Parathyroid planar imaging CPT 78070 | $2,155.94 | $2,155.94 | $145.56 – $725.70 | 5 |
| Parathyroid planar img w/tomo spect CPT 78071 | not published | not published | $218.92 – $827.04 | 5 |
| Paricalcitol HCPCS J2501 | not published | not published | $0.98 – $2.57 | 3 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | not published | not published | $3.17 – $21.01 | 2 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $68.27 – $364.52 | 5 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $36.27 – $201.00 | 5 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $32.62 – $164.08 | 5 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $17.00 – $100.40 | 5 |
| Pathogen reduced plasma pool HCPCS P9070 | not published | not published | $742.00 – $742.00 | 1 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $114.77 – $765.15 | 21 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $347.92 – $912.26 | 3 |
| Pdgfra gene CPT 81314 | not published | not published | $148.28 – $988.53 | 21 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $418.76 – $418.76 | 1 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $97.05 – $97.05 | 1 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $459.41 – $459.41 | 1 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $456.27 – $456.27 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $974.02 – $974.02 | 1 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $33,097.56 – $75,323.76 | 3 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $24.43 – $325.53 | 3 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $98.71 – $352.58 | 3 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $200.03 – $429.27 | 3 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $307.18 – $415.88 | 3 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $138.02 – $262.01 | 3 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $200.70 – $337.16 | 3 |
| Peginesatide injection HCPCS J0890 | not published | not published | $10.17 – $10.17 | 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.