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 |
|---|---|---|---|---|
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,408.25 – $1,408.25 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $4,274.35 – $9,987.35 | 3 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $274.58 – $598.77 | 3 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $6,120.56 | $6,120.56 | $226.72 – $459.25 | 3 |
| Pelvic CT scan (with contrast) CPT 72193 | $5,594.00 | $5,594.00 | $215.84 – $459.25 | 3 |
| Pelvic CT scan (without contrast) CPT 72192 | $3,901.37 | $3,901.37 | $154.52 – $459.25 | 3 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,680.49 | $4,680.49 | $408.88 – $950.88 | 3 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $322.16 – $756.53 | 3 |
| Pelvic MRI (without contrast) CPT 72195 | $4,317.01 | $4,317.01 | $273.00 – $644.45 | 3 |
| Pelvic Ultrasound (complete) CPT 76856 | $2,490.17 | $2,490.17 | $79.95 – $230.59 | 5 |
| Pelvic Ultrasound (limited) CPT 76857 | $546.93 | $546.93 | $30.76 – $154.52 | 5 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $70.26 – $158.28 | 3 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $4.61 – $9.51 | 3 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $21.23 – $51.73 | 3 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $29.72 – $84.72 | 3 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $482.21 | $482.21 | $0.95 – $2.07 | 3 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $26.55 – $58.12 | 2 |
| Penile vascular study CPT 93980 | not published | not published | $109.70 – $185.18 | 2 |
| Penile vascular study CPT 93981 | not published | not published | $93.26 – $157.43 | 2 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | not published | not published | $0.64 – $0.64 | 1 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $106.40 – $435.71 | 2 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $15.78 – $15.78 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $72.58 – $134.40 | 2 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $63.40 – $96.09 | 3 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $3,145.97 – $6,723.32 | 3 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $166.50 | $166.50 | $51.20 – $106.56 | 3 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $27.56 – $27.56 | 1 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $46.41 – $657.03 | 5 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $164.04 – $627.59 | 5 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.69 – $1.78 | 2 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $7.91 – $7.91 | 1 |
| Pertussis ag if CPT 87265 | not published | not published | $5.39 – $35.94 | 21 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $19.78 – $45.08 | 3 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $77.02 – $161.54 | 3 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $443.36 – $2,672.00 | 4 |
| Pet CT whole body initial CPT 78816 | not published | not published | $448.52 – $2,672.00 | 4 |
| Pet fdg brain metoblic eval sb CPT 78608 | $4,638.56 | $4,638.56 | $269.08 – $2,672.00 | 4 |
| Pet image full body CPT 78813 | not published | not published | $353.24 – $2,672.00 | 4 |
| Pet image ltd area CPT 78811 | not published | not published | $277.20 – $2,672.00 | 4 |
| Pet image skull-thigh CPT 78812 | not published | not published | $350.40 – $2,672.00 | 4 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $399.56 – $2,672.00 | 4 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $385.11 – $509.11 | 2 |
| Pet scan brain perf study CPT 78609 | not published | not published | $72.78 – $2,672.00 | 3 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $24.04 – $35.34 | 17 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $33.61 – $49.41 | 17 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $13.08 – $19.23 | 17 |
| Ph body fluid CPT 83986 | $83.29 | $83.29 | $1.61 – $10.74 | 21 |
| Phencyclidine (pcp) CPT 83992 | $577.62 | $577.62 | $0.01 – $133.36 | 6 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $35.99 – $77.06 | 3 |
| Phenobarbital therapeutic drug level CPT 80184 | $247.88 | $247.88 | $6.89 – $45.90 | 21 |
| Phentolaine mesylate inj HCPCS J2760 | $4,730.72 | $4,730.72 | $495.17 – $1,114.48 | 3 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.01 – $0.03 | 2 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $141.60 – $258.48 | 3 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.62 – $1.59 | 3 |
| Phenytoin total therapeutic drug level CPT 80185 | $283.58 | $283.58 | $5.96 – $39.75 | 21 |
| Phlebotomy therapeutic CPT 99195 | $494.43 | $494.43 | $168.97 – $168.97 | 1 |
| Phosphorus CPT 84100 | $105.09 | $105.09 | $2.13 – $14.22 | 21 |
| Phosphorus 24 hour urine CPT 84105 | $958.80 | $958.80 | $2.60 – $17.34 | 21 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $221.27 – $221.27 | 1 |
| Photochemotherapy puva CPT 96912 | not published | not published | $187.79 – $187.79 | 1 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $284.84 – $284.84 | 1 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $49.79 – $49.79 | 1 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $105.82 – $105.82 | 1 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $22.90 – $202.68 | 5 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $38.14 – $202.68 | 5 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $24.67 – $202.68 | 6 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | not published | $2.99 – $7.45 | 3 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $733.97 – $918.20 | 3 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $123.67 – $824.49 | 21 |
| Pinworm exam CPT 87172 | not published | not published | $1.92 – $12.81 | 21 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $1.92 – $12.81 | 20 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | not published | not published | $1.37 – $2.89 | 3 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $260.77 – $1,738.44 | 21 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $1,340.89 – $1,340.89 | 1 |
| Place endorectal app HCPCS C9725 | not published | not published | $893.48 – $893.48 | 1 |
| Placental lactogen CPT 83632 | not published | not published | $9.10 – $60.66 | 21 |
| Plaelet rich plasma unit HCPCS P9020 | not published | not published | $257.27 – $257.27 | 1 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $66.90 – $66.90 | 1 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $28.48 – $28.48 | 1 |
| Plasma volume multiple CPT 78111 | not published | not published | $36.08 – $1,623.62 | 5 |
| Plasma volume single CPT 78110 | not published | not published | $30.68 – $1,623.62 | 5 |
| Platelet aggregation each agent teg CPT 85576 | not published | not published | $11.21 – $74.73 | 21 |
| Platelet automated CPT 85049 | $99.15 | $99.15 | $2.02 – $13.44 | 21 |
| Platelet pheresis each unit HCPCS P9034 | $3,250.80 | $3,250.80 | $327.24 – $327.24 | 1 |
| Platelet pheresis irr ea HCPCS P9036 | not published | not published | $620.14 – $620.14 | 1 |
| Platelets each unit HCPCS P9019 | $207.36 | $207.36 | $90.13 – $90.13 | 1 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | not published | not published | $654.47 – $654.47 | 1 |
| Platelets irradiated ea unit HCPCS P9032 | not published | not published | $61.78 – $61.78 | 1 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $1,424.76 | $1,424.76 | $185.80 – $185.80 | 1 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | not published | not published | $437.18 – $437.18 | 1 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | not published | not published | $243.41 – $243.41 | 1 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | not published | not published | $1,115.20 – $1,115.20 | 1 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $7,096.54 | $7,096.54 | $846.28 – $846.28 | 1 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | not published | not published | $731.59 – $731.59 | 1 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,452.60 | $1,452.60 | $1,094.12 – $1,094.12 | 1 |
| Platelet survival CPT 78191 | not published | not published | $98.72 – $471.74 | 5 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $131.11 – $874.08 | 21 |
| Plerixafor injection HCPCS J2562 | not published | not published | $30.53 – $157.99 | 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.