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 |
|---|---|---|---|---|
| T4 (thyroxine) free CPT 84439 | $366.00 | $366.00 | $4.06 – $27.06 | 21 |
| T4 (thyroxine) total CPT 84436 | $160.64 | $160.64 | $3.09 – $20.61 | 21 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.69 – $1.56 | 2 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $2.20 – $4.96 | 2 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.30 – $0.53 | 2 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $311.84 – $695.49 | 3 |
| Tacrolimus therapeutic drug level CPT 80197 | $832.90 | $832.90 | $6.18 – $41.19 | 21 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $17.03 – $37.74 | 3 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $86.04 – $195.94 | 3 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $83.84 – $198.54 | 3 |
| Talymed HCPCS Q4127 | not published | not published | $83.48 – $336.92 | 2 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $35.33 | $35.33 | $0.36 – $0.36 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $341.79 – $2,278.59 | 21 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $1,313.82 – $8,758.80 | 21 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $269.06 – $1,793.73 | 21 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,800.00 – $4,151.46 | 2 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.46 – $0.66 | 3 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $61.65 – $411.00 | 21 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $36.62 – $149.48 | 4 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $9.67 – $39.48 | 4 |
| Tbs techl calculation only CPT 77091 | not published | not published | $24.97 – $310.33 | 5 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $1.98 – $310.33 | 5 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $45.00 – $300.00 | 21 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $789.25 | $789.25 | $27.89 – $185.94 | 21 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $516.31 – $1,393.18 | 2 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $1,240.37 – $3,434.27 | 2 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $2,055.13 – $4,502.11 | 3 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $827.26 – $2,121.64 | 2 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $88.53 – $163.74 | 2 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $2,167.83 – $2,475.44 | 2 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $2,056.76 – $2,458.43 | 3 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $372.00 – $870.79 | 2 |
| Tc-99m labeled rbc HCPCS A9560 | $169.89 | $169.89 | $118.13 – $288.56 | 3 |
| Tc-99m maa HCPCS A9540 | $99.44 | $99.44 | $36.00 – $80.53 | 3 |
| Tc-99m mebrofenin HCPCS A9537 | $218.22 | $218.22 | $67.80 – $300.67 | 3 |
| Tc-99m medronate HCPCS A9503 | $145.02 | $145.02 | $15.60 – $170.82 | 3 |
| Tc-99m mertiatide HCPCS A9562 | $1,682.21 | $1,682.21 | $2,102.17 – $2,102.17 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $55.65 – $138.09 | 2 |
| Tc-99m pentetate dtpa HCPCS A9539 | $473.74 | $473.74 | $39.63 – $76.11 | 2 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $730.00 | $730.00 | $21.74 – $55.76 | 2 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $2.11 – $31.85 | 2 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $76.86 – $105.34 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $1,218.15 | $1,218.15 | $84.00 – $1,194.04 | 3 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $758.15 – $1,748.81 | 2 |
| Tc-99m sulfur colloid HCPCS A9541 | $218.22 | $218.22 | $320.84 – $1,991.21 | 3 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $102.32 – $309.79 | 3 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,646.31 | $1,646.31 | $793.88 – $836.76 | 2 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $521.13 – $521.13 | 1 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $443.80 – $443.80 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $1,005.43 | $1,005.43 | $21.14 – $140.94 | 21 |
| T cells absolute cd 4 count CPT 86361 | $1,005.43 | $1,005.43 | $12.05 – $80.34 | 21 |
| T cells total count CPT 86359 | $912.60 | $912.60 | $16.98 – $113.19 | 21 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $262.57 – $588.86 | 3 |
| Telavancin injection HCPCS J3095 | not published | not published | $8.68 – $19.53 | 3 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $117.91 – $476.88 | 4 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $64.38 – $263.12 | 4 |
| Temozolomide HCPCS J8700 | not published | not published | $0.28 – $1.43 | 2 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $12.73 – $27.56 | 3 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $37.07 – $53.85 | 3 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $195.26 – $495.47 | 3 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $3,156.88 – $3,156.88 | 1 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $27.55 – $40.50 | 17 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $89.38 | $89.38 | $1.73 – $6.55 | 3 |
| Teriparatide injection HCPCS J3110 | not published | not published | $63.66 – $207.76 | 2 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $83.34 – $555.60 | 21 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $2.70 – $18.03 | 21 |
| Test for porphobilinogen CPT 84106 | not published | not published | $2.62 – $17.46 | 21 |
| Test for urine cystines CPT 82615 | not published | not published | $4.30 – $28.65 | 21 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $133.12 – $513.47 | 5 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $132.98 – $132.98 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $23.24 – $154.92 | 21 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.34 – $5.49 | 3 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $4,288.89 | $4,288.89 | $25.50 – $53.40 | 3 |
| Test stress cardiovascular tracing only CPT 93017 | $4,152.87 | $4,152.87 | $3,807.00 – $3,807.00 | 1 |
| Test urine for lactose CPT 83633 | not published | not published | $5.06 – $33.75 | 21 |
| Test urine for porphyrins CPT 84119 | not published | not published | $6.01 – $40.08 | 21 |
| Test urine urobilinogen CPT 84578 | not published | not published | $2.01 – $13.41 | 21 |
| Tetanus ig im CPT 90389 | not published | not published | $901.57 – $2,084.99 | 2 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $700.50 – $1,559.63 | 3 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $21.72 – $47.22 | 3 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $61.65 – $411.00 | 21 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $341.79 – $2,278.59 | 21 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $1,313.82 – $8,758.80 | 21 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $269.06 – $1,793.73 | 21 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $11.21 – $183.69 | 3 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $11.21 – $183.69 | 3 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $7.99 – $183.69 | 3 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $11.21 – $183.69 | 3 |
| Theophylline therapeutic drug level CPT 80198 | $750.87 | $750.87 | $6.36 – $42.42 | 21 |
| Therapeutic procd strg endur HCPCS G0237 | not published | not published | $21.87 – $21.87 | 1 |
| Therapy activation ipnss CPT 93150 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | not published | not published | $29.65 – $43.59 | 17 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | not published | not published | $25.58 – $37.60 | 17 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $249.33 – $249.33 | 1 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $94.13 – $510.45 | 5 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $265.10 – $641.72 | 2 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $170.29 – $412.20 | 2 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $112.02 – $271.28 | 2 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $49.75 | $49.75 | $2.15 – $4.80 | 3 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $5.90 – $5.90 | 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.