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 |
|---|---|---|---|---|
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | not published | not published | $11.94 – $17.55 | 17 |
| Pt application of modality traction mechanical CPT 97012 | not published | not published | $12.02 – $17.67 | 17 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $129.40 – $129.40 | 1 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $87.60 – $900.00 | 21 |
| Pten gene full sequence CPT 81321 | not published | not published | $270.00 – $1,800.00 | 21 |
| Pten gene known fam variant CPT 81322 | not published | not published | $20.97 – $139.80 | 21 |
| Pt evaluation high complexity patient/family CPT 97163 | $1,567.46 | $1,567.46 | $82.30 – $120.98 | 17 |
| Pt evaluation low complexity patient/family CPT 97161 | $857.92 | $857.92 | $82.30 – $120.98 | 17 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $1,183.70 | $1,183.70 | $82.30 – $120.98 | 17 |
| Pt re-evaluation patient/family CPT 97164 | not published | not published | $56.43 – $82.95 | 17 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | not published | not published | $34.33 – $50.46 | 17 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $10.53 – $15.47 | 17 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $284.84 | $284.84 | $24.34 – $35.78 | 17 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $24.61 – $36.17 | 17 |
| Pt wheelchair management each 15 minutes CPT 97542 | not published | not published | $26.02 – $38.25 | 17 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $2,475.00 – $16,228.80 | 21 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $88.96 – $471.74 | 5 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $217.55 – $336.92 | 2 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $117.11 – $336.92 | 2 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $12.51 – $41.23 | 3 |
| Pyruvate CPT 84210 | not published | not published | $6.52 – $43.44 | 21 |
| Pyruvate kinase CPT 84220 | not published | not published | $4.25 – $28.32 | 21 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $2,939.04 | $2,939.04 | $153.72 – $736.37 | 5 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $132.36 – $472.29 | 5 |
| Quest t3 uptake CPT 84479 | not published | not published | $2.91 – $19.41 | 21 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $312.46 – $589.41 | 2 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $543.08 – $933.97 | 3 |
| Rabies ig ht&sol human im/sc CPT 90377 | $3,884.79 | $3,884.79 | $294.84 – $636.34 | 3 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $354.46 – $741.87 | 3 |
| Rabies vaccine id CPT 90676 | not published | not published | $627.68 – $627.68 | 1 |
| Radiation handling CPT 77790 | not published | not published | $22.93 – $57.48 | 3 |
| Radiation physics consult CPT 77336 | not published | not published | $65.76 – $467.91 | 4 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $30.76 – $117.96 | 4 |
| Radiation therapy management CPT 77431 | not published | not published | $167.05 – $405.64 | 2 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $45.89 – $64.90 | 4 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $8.07 – $309.97 | 4 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $75.84 – $231.60 | 4 |
| Radiation treatment delivery CPT 77401 | not published | not published | $17.52 – $150.08 | 2 |
| Radiation treatment delivery CPT 77402 | not published | not published | $123.14 – $482.24 | 4 |
| Radiation treatment delivery CPT 77412 | not published | not published | $212.35 – $926.84 | 4 |
| Radiation tx management x5 CPT 77427 | not published | not published | $298.25 – $724.28 | 2 |
| Radiesse injection HCPCS Q2026 | not published | not published | $925.35 – $925.35 | 1 |
| Radiology port images(s) CPT 77417 | not published | not published | $12.16 – $45.12 | 3 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $1,356.94 – $4,557.24 | 4 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $201.50 – $455.59 | 3 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | not published | not published | $145.56 – $1,623.62 | 5 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $184.52 – $1,672.19 | 5 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $327.76 – $1,752.20 | 5 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | not published | not published | $195.60 – $921.95 | 5 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $119.16 – $630.79 | 5 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $73.15 – $137.62 | 3 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $88.37 – $200.29 | 3 |
| Range of motion measurements CPT 95852 | not published | not published | $19.64 – $28.87 | 17 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $110.54 – $173.42 | 3 |
| Rapid Strep Test CPT 87880 | not published | not published | $7.44 – $49.59 | 21 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $452.94 – $1,015.93 | 3 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $269.38 – $595.72 | 3 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $482.48 – $1,417.96 | 2 |
| Rbc count only automated CPT 85041 | $43.63 | $43.63 | $1.36 – $9.06 | 21 |
| Rbc deglycerolized each unit HCPCS P9039 | $1,612.44 | $1,612.44 | $263.63 – $263.63 | 1 |
| Rbc irradiated each unit HCPCS P9038 | not published | not published | $17.27 – $17.27 | 1 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $3.87 – $25.80 | 21 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $3.36 – $22.41 | 21 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $19.94 – $270.22 | 5 |
| Recon, cta for surg plan HCPCS G0288 | not published | not published | $34.38 – $34.38 | 1 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $18,503.74 – $21,868.05 | 4 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $7,657.61 – $9,049.90 | 4 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $18,503.74 – $21,868.05 | 4 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $13,548.88 – $16,012.31 | 4 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $13,548.88 – $16,012.31 | 4 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $18,503.74 – $21,868.05 | 4 |
| Rectal sensation test CPT 91120 | not published | not published | $814.80 – $814.80 | 1 |
| Red blood cells each unit HCPCS P9021 | $1,382.62 | $1,382.62 | $85.45 – $85.45 | 1 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | not published | not published | $573.42 – $573.42 | 1 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | not published | not published | $184.55 – $184.55 | 1 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $2,479.00 | $2,479.00 | $336.66 – $336.66 | 1 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | not published | not published | $311.00 – $311.00 | 1 |
| Red blood cells washed each unit HCPCS P9022 | $1,323.38 | $1,323.38 | $181.42 – $181.42 | 1 |
| Red cell mass multiple CPT 78121 | not published | not published | $52.40 – $611.66 | 5 |
| Red cell mass single CPT 78120 | not published | not published | $37.44 – $471.74 | 5 |
| Red cell sequestration CPT 78140 | not published | not published | $93.86 – $471.74 | 5 |
| Red cell survival kinetics CPT 78135 | not published | not published | $107.36 – $107.36 | 1 |
| Red cell survival study CPT 78130 | not published | not published | $98.72 – $471.74 | 5 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $210.26 – $210.26 | 1 |
| Refill/maint pump/resvr syst CPT 96522 | not published | not published | $211.70 – $211.70 | 1 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $677.59 | $677.59 | $4.20 – $7.10 | 3 |
| Rem/biv cast full arm/leg CPT 29705 | not published | not published | $126.81 – $126.81 | 1 |
| Rem/biv cast shldr/hip spica CPT 29710 | not published | not published | $244.23 – $244.23 | 1 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $3,124.03 | $3,124.03 | $7.76 – $18.29 | 3 |
| Rem interrog dev eval icpms CPT 93297 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Rem interrog dev eval scrms CPT 93298 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Rem interrog evl pm/ids CPT 93296 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Rem interrog evl pm/ldls pm CPT 93294 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Rem mntr wrls p-art prs snr CPT 93264 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Remote 30 day ecg rev/report CPT 93228 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Remote 30 day ecg tech supp CPT 93229 | not published | not published | $539.05 – $3,807.00 | 2 |
| Remot img sub by pt, non e/m HCPCS G2250 | not published | not published | $12.26 – $18.02 | 17 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | not published | not published | $161.58 – $161.58 | 1 |
| Remove cva lumen obstruct CPT 75902 | not published | not published | $49.36 – $123.21 | 3 |
| Remove esophagus obstruction CPT 74235 | not published | not published | $94.19 – $222.60 | 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.