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 |
|---|---|---|---|---|
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $881.24 | $881.24 | $188.42 – $318.06 | 2 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | not published | not published | $183.99 – $310.59 | 2 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,384.40 | $1,384.40 | $376.83 – $636.12 | 2 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | not published | not published | $225.46 – $380.59 | 2 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | not published | not published | $187.79 – $317.00 | 2 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $7.99 – $55.62 | 20 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $21.98 – $31.07 | 3 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $14.37 – $95.82 | 20 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $19.79 – $131.91 | 20 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $11.92 – $79.47 | 20 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $12.17 – $81.15 | 20 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $9.12 – $60.78 | 20 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $21.98 – $31.07 | 3 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $8.12 – $54.15 | 20 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $12.72 – $84.81 | 20 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $19.44 – $139.05 | 20 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $10.84 – $72.24 | 20 |
| Screening Mammogram CPT 77067 | $765.14 | $765.14 | $82.76 – $295.03 | 18 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $16.26 – $21.98 | 2 |
| Screening prostate cancer PSA HCPCS G0103 | $178.00 | $178.00 | $8.69 – $57.93 | 20 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $7.99 – $55.62 | 20 |
| Sedimentation rate erythrocyte automated CPT 85652 | $233.99 | $233.99 | $1.22 – $8.10 | 21 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,915.72 – $7,697.35 | 2 |
| Select picture audiometry CPT 92583 | not published | not published | $112.20 – $112.20 | 1 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $28.19 – $28.19 | 1 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $20.60 – $20.60 | 1 |
| Semen analysis HCPCS G0027 | not published | not published | $2.93 – $19.50 | 20 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $5.42 – $36.15 | 21 |
| Semen analysis w/count CPT 89310 | not published | not published | $3.87 – $25.83 | 21 |
| Sensorimotor examination CPT 92060 | not published | not published | $51.56 – $51.56 | 1 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $139.76 – $139.76 | 1 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $83.67 – $576.00 | 21 |
| Serial tonometry CPT 92100 | not published | not published | $164.46 – $164.46 | 1 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $2.23 – $3.55 | 2 |
| Serpina1 gene CPT 81332 | not published | not published | $19.64 – $130.95 | 21 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $0.01 – $86.44 | 2 |
| Set radiation therapy field CPT 77280 | not published | not published | $145.32 – $736.15 | 4 |
| Set radiation therapy field CPT 77285 | not published | not published | $218.44 – $1,240.64 | 4 |
| Set radiation therapy field CPT 77290 | not published | not published | $317.04 – $1,144.22 | 4 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.27 – $0.27 | 1 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.82 – $0.82 | 1 |
| Sex chromatin identification CPT 88130 | not published | not published | $8.09 – $53.94 | 21 |
| Sex chromatin identification CPT 88140 | not published | not published | $3.60 – $23.97 | 21 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $86.96 – $579.75 | 21 |
| Shigella antibody CPT 86771 | not published | not published | $11.02 – $73.44 | 21 |
| Shoulder MRI (with and without contrast) CPT 73223 | not published | not published | $400.72 – $1,100.16 | 3 |
| Shoulder MRI (with contrast) CPT 73222 | not published | not published | $304.48 – $920.54 | 3 |
| Shoulder MRI (without contrast) CPT 73221 | not published | not published | $254.04 – $559.65 | 3 |
| Shoulder X-ray CPT 73030 | not published | not published | $18.79 – $83.86 | 5 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $70.48 – $186.24 | 5 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $5.50 – $36.66 | 21 |
| Sialography s&i CPT 70390 | not published | not published | $71.24 – $313.62 | 5 |
| Sickling rbc CPT 85660 | $501.71 | $501.71 | $2.48 – $16.53 | 21 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.33 – $0.33 | 1 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $175.15 – $291.84 | 3 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $154.52 – $154.52 | 1 |
| Sinus CT scan (with and without contrast) CPT 70488 | $4,615.61 | $4,615.61 | $236.12 – $459.25 | 3 |
| Sinus CT scan (with contrast) CPT 70487 | $3,901.37 | $3,901.37 | $209.20 – $459.25 | 3 |
| Sinus CT scan (without contrast) CPT 70486 | $3,901.37 | $3,901.37 | $154.52 – $459.25 | 3 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $86.25 – $3,365.20 | 5 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $177.91 – $261.53 | 17 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $68,835.85 – $144,170.89 | 3 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $1.66 – $2.57 | 2 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $141.03 – $230.84 | 3 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $0.01 – $86.44 | 2 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $0.01 – $47.16 | 2 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $4.09 – $24.67 | 5 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $1,218.28 – $3,369.26 | 2 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $78.66 – $524.43 | 21 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $93.34 – $137.21 | 17 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $63.79 – $63.79 | 1 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $181.70 – $181.70 | 1 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $156.13 – $156.13 | 1 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $8,373.47 – $20,594.59 | 3 |
| Small animal inoculation CPT 87003 | not published | not published | $7.58 – $50.52 | 21 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.03 – $374.97 | 2 |
| Smear fluorescent and/or acid fast stain CPT 87206 | not published | not published | $2.43 – $16.17 | 21 |
| Smear gram stain CPT 87205 | not published | not published | $1.92 – $12.81 | 21 |
| Smear nasal eosinophil CPT 89190 | not published | not published | $2.61 – $17.37 | 21 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $103.12 | $103.12 | $2.70 – $17.97 | 21 |
| Smear wet mount CPT 87210 | not published | not published | $2.62 – $17.46 | 21 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $135.61 – $904.05 | 21 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $83.34 – $555.60 | 21 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $21.15 – $141.00 | 21 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $22.98 – $153.21 | 21 |
| Sodium 24 hour urine CPT 84300 | $108.00 | $108.00 | $2.28 – $15.18 | 21 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $109.12 | $109.12 | $3.33 – $5.27 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $1.67 – $3.42 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.83 – $1.75 | 2 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.15 – $0.27 | 3 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $550.39 | $550.39 | $2.38 – $5.86 | 3 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $90.42 – $193.37 | 3 |
| Sodium serum/plasma/whole blood CPT 84295 | $214.16 | $214.16 | $2.16 – $14.43 | 21 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.98 – $2.33 | 2 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,345.31 – $4,035.93 | 21 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $3,587.49 | 21 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $9,865.53 | 21 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $3,139.05 | 21 |
| Somatosensory testing CPT 95927 | not published | not published | $282.70 – $282.70 | 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.