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 |
|---|---|---|---|---|
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $196.12 – $1,080.43 | 3 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $171.52 – $428.37 | 3 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $156.04 – $389.71 | 3 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $159.71 – $446.18 | 3 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $93.14 – $251.22 | 3 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $69.55 – $173.50 | 3 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $36.31 – $98.16 | 3 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $136.07 – $351.66 | 2 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $77.51 – $208.53 | 3 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $209.50 – $529.81 | 2 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $144.47 – $374.37 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $36.83 – $99.69 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $15.78 – $43.25 | 3 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $104.05 – $194.88 | 3 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $159.89 – $449.49 | 3 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $47.17 – $113.98 | 3 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $83.21 – $83.21 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $83.08 – $199.15 | 3 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $87.23 – $199.15 | 3 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $188.40 – $470.53 | 3 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $373.37 | $373.37 | $35.23 – $87.98 | 3 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $399.33 – $1,046.11 | 2 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $222.44 – $300.06 | 2 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $88.60 – $260.12 | 3 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $72.69 – $260.12 | 3 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $22.38 – $58.49 | 2 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $110.81 | $110.81 | $24.26 – $61.53 | 3 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $25.61 – $25.61 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $94.42 – $94.42 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $26.53 – $26.53 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $430.25 | $430.25 | $27.40 – $27.40 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $12.81 – $12.81 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $34.03 – $34.03 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $89.59 – $89.59 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $27.33 – $131.18 | 3 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $7.43 – $29.23 | 2 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $310.75 – $798.76 | 2 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $264.23 – $717.99 | 2 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $231.91 – $562.81 | 2 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $218.52 – $561.54 | 2 |
| Vaccine mmr live subcutaneous CPT 90707 | $831.41 | $831.41 | $114.70 – $310.42 | 3 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $335.86 – $917.96 | 3 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $1,051.74 | $1,051.74 | $141.62 – $353.70 | 3 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $314.47 – $683.30 | 2 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $285.74 – $713.67 | 3 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $342.42 – $829.19 | 3 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $53.96 – $151.63 | 3 |
| Vaccine rabies im CPT 90675 | $3,965.82 | $3,965.82 | $545.72 – $847.34 | 3 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $409.69 – $1,014.63 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $721.83 – $1,892.29 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $721.83 – $1,892.29 | 2 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $388.87 – $974.19 | 2 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $192.68 – $495.05 | 2 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $133.28 – $326.32 | 2 |
| Vaccine tdap >=7 years im CPT 90715 | $503.00 | $503.00 | $59.06 – $105.18 | 3 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $440.64 | $440.64 | $38.87 – $103.27 | 3 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $177.29 – $440.93 | 3 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $242.10 – $610.53 | 2 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $270.91 – $815.14 | 3 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.03 | 2 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $153.92 | $153.92 | $0.13 – $0.13 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $289.54 | $289.54 | $6.09 – $40.62 | 21 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,766.16 – $3,453.85 | 3 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | not published | not published | $0.04 – $0.08 | 2 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | not published | not published | $0.14 – $0.27 | 2 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $2.48 – $2.48 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | not published | not published | $6.09 – $40.62 | 21 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $15.79 – $105.27 | 21 |
| Vantas implant HCPCS J9225 | not published | not published | $6,164.46 – $12,480.25 | 2 |
| Varicella zoster antibody igg CPT 86787 | $279.62 | $279.62 | $5.80 – $38.64 | 21 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $3,031.16 – $6,262.98 | 2 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $2,199.09 | $2,199.09 | $1.40 – $2.39 | 2 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $25.87 – $56.63 | 3 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $88.77 – $3,365.20 | 5 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $106.74 – $278.36 | 2 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $89.08 – $826.97 | 5 |
| Vein x-ray kidney CPT 75831 | not published | not published | $85.94 – $3,365.20 | 5 |
| Vein x-ray liver CPT 75891 | not published | not published | $88.14 – $3,365.20 | 5 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $87.19 – $3,365.20 | 5 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $87.83 – $3,365.20 | 5 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $87.19 – $1,327.01 | 5 |
| Vein x-ray skull CPT 75870 | not published | not published | $88.14 – $826.97 | 5 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $87.83 – $826.97 | 5 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $186.72 – $3,718.00 | 5 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $457.70 – $1,024.04 | 3 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $148.55 – $148.55 | 1 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $148.94 – $148.94 | 1 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $239.06 – $239.06 | 1 |
| Ven-artl shunt det mbubb njx CPT 93898 | not published | not published | $363.43 – $363.43 | 1 |
| Ven blood coll snf/hha HCPCS G0471 | not published | not published | $4.87 – $34.02 | 20 |
| Vendaje, per square centimet HCPCS Q4252 | not published | not published | $336.92 – $354.59 | 2 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | not published | not published | $11.30 – $11.30 | 1 |
| Venogram ext bil s&i CPT 75822 | $8,034.03 | $8,034.03 | $91.61 – $1,327.01 | 5 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | not published | not published | $79.95 – $826.97 | 5 |
| Venous sampling s&i CPT 75893 | not published | not published | $88.77 – $5,757.70 | 5 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $140.84 – $1,623.62 | 5 |
| Ven thrombosis images bilat CPT 78458 | not published | not published | $111.21 – $471.89 | 5 |
| Verteporfin injection HCPCS J3396 | not published | not published | $14.09 – $30.63 | 3 |
| Very long chain fatty acids CPT 82726 | $166.57 | $166.57 | $8.89 – $59.25 | 21 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | not published | not published | $4.81 – $13.73 | 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.