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 |
|---|---|---|---|---|
| Whole blood for transfusion HCPCS P9010 | not published | not published | $31.67 – $31.67 | 1 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | not published | not published | $182.28 – $182.28 | 1 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | not published | not published | $339.62 – $339.62 | 1 |
| Whole body photography CPT 96904 | not published | not published | $125.48 – $125.48 | 1 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $579.15 – $3,861.00 | 21 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $421.20 – $2,808.00 | 21 |
| Wilate injection HCPCS J7183 | not published | not published | $1.57 – $3.50 | 3 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | not published | not published | $224.43 – $224.43 | 1 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $188.05 – $188.05 | 1 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $336.92 – $710.52 | 2 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $1,185.26 | $1,185.26 | $334.45 – $491.64 | 17 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $1,185.26 | $1,185.26 | $361.07 – $530.77 | 17 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $709.48 | $709.48 | $39.77 – $58.46 | 17 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $695.53 | $695.53 | $47.51 – $69.84 | 17 |
| Wrist X-ray CPT 73110 | not published | not published | $26.04 – $105.17 | 5 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $16.45 – $41.34 | 2 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $306.12 – $811.67 | 3 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $411.30 – $2,742.00 | 21 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $0.01 – $2,742.00 | 21 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $14.99 – $87.16 | 6 |
| X-ray abdomen 1 view CPT 74018 | $1,142.19 | $1,142.19 | $16.08 – $83.86 | 5 |
| X-ray abdomen 2 views CPT 74019 | $2,134.76 | $2,134.76 | $19.26 – $154.52 | 5 |
| X-ray abdomen >=3 views CPT 74021 | not published | not published | $22.43 – $154.52 | 5 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $1,037.23 | $1,037.23 | $29.82 – $154.52 | 5 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $1,096.61 | $1,096.61 | $25.72 – $83.86 | 5 |
| X-ray ankle 2 views (both sides) CPT 73600 | not published | not published | $18.15 – $83.86 | 5 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | not published | not published | $69.54 – $616.10 | 5 |
| X-ray assay calculus CPT 82370 | not published | not published | $5.63 – $37.56 | 21 |
| X-ray bone age studies CPT 77072 | $632.56 | $632.56 | $12.48 – $154.52 | 5 |
| X-ray bone length studies CPT 77073 | $508.26 | $508.26 | $20.36 – $154.52 | 5 |
| X-ray bone survey complete CPT 77075 | $1,200.21 | $1,200.21 | $70.81 – $232.72 | 5 |
| X-ray bone survey infant CPT 77076 | $1,599.38 | $1,599.38 | $64.18 – $234.86 | 5 |
| X-ray cervical spine 2-3 views CPT 72040 | $1,012.37 | $1,012.37 | $21.62 – $92.37 | 5 |
| X-ray cervical spine 4-5 views CPT 72050 | $1,740.22 | $1,740.22 | $29.18 – $154.52 | 5 |
| X-ray cervical spine >= 6 views CPT 72052 | $875.63 | $875.63 | $39.28 – $154.52 | 5 |
| X-ray clavicle complete (both sides) CPT 73000 | not published | not published | $18.47 – $83.86 | 5 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $1,033.09 | $1,033.09 | $111.15 – $341.20 | 5 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,588.29 | $1,588.29 | $154.34 – $498.31 | 5 |
| X-ray consultation CPT 76140 | not published | not published | $146.26 – $146.26 | 1 |
| X-ray elbow 2 views (both sides) CPT 73070 | not published | not published | $18.15 – $83.86 | 5 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | not published | not published | $22.26 – $83.86 | 5 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $328.51 – $1,246.56 | 2 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $281.48 – $1,066.12 | 2 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $1,096.61 | $1,096.61 | $61.66 – $341.20 | 5 |
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $43.98 – $200.74 | 5 |
| X-ray exam entire spi 6/> vw CPT 72084 | not published | not published | $53.12 – $249.80 | 5 |
| X-ray exam of arm infant CPT 73092 | not published | not published | $18.15 – $154.52 | 5 |
| X-ray exam of eye sockets CPT 70200 | $990.64 | $990.64 | $26.67 – $154.52 | 5 |
| X-ray exam of femur 1 CPT 73551 | not published | not published | $16.89 – $83.86 | 5 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $20.04 – $83.86 | 5 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $46.84 – $313.62 | 5 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $24.15 – $154.52 | 5 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $33.60 – $313.62 | 5 |
| X-ray exam of penis CPT 74445 | not published | not published | $39.36 – $174.60 | 5 |
| X-ray exam of perineum CPT 74775 | not published | not published | $52.11 – $309.65 | 5 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $26.04 – $93.44 | 5 |
| X-ray exam of sinuses CPT 70210 | not published | not published | $19.73 – $83.86 | 5 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $33.89 – $313.62 | 5 |
| X-ray exam of teeth CPT 70300 | not published | not published | $8.07 – $83.86 | 5 |
| X-ray exam of teeth CPT 70310 | not published | not published | $26.98 – $313.62 | 5 |
| X-ray exam si joints CPT 72200 | not published | not published | $18.79 – $154.52 | 5 |
| X-ray exam thorac spine4/>vw CPT 72074 | $1,305.17 | $1,305.17 | $30.14 – $154.52 | 5 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $18.79 – $83.86 | 5 |
| X-ray facial bones complete > 3 views CPT 70150 | $1,256.82 | $1,256.82 | $26.67 – $154.52 | 5 |
| X-ray fallopian tube CPT 74742 | not published | not published | $50.97 – $114.32 | 3 |
| X-ray femur >=2 views (both sides) CPT 73552 | not published | not published | $20.03 – $85.96 | 5 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | not published | not published | $23.51 – $100.91 | 5 |
| X-ray foot 2 views (both sides) CPT 73620 | not published | not published | $17.52 – $83.86 | 5 |
| X-ray forearm 2 views (both sides) CPT 73090 | not published | not published | $17.52 – $83.86 | 5 |
| X-ray hand 2 views (both sides) CPT 73120 | not published | not published | $17.21 – $154.52 | 5 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $10.27 – $83.86 | 5 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | not published | not published | $18.15 – $83.86 | 5 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | not published | not published | $32.63 – $154.52 | 5 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $1,142.19 | $1,142.19 | $24.44 – $154.52 | 5 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $1,142.19 | $1,142.19 | $29.49 – $154.52 | 5 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $2,707.12 | $2,707.12 | $35.48 – $154.52 | 5 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | not published | not published | $17.51 – $83.86 | 5 |
| X-ray humerus >= 2 views left CPT 73060 | not published | not published | $18.15 – $83.86 | 5 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $20.68 – $154.52 | 5 |
| X-ray knee 1-2 views (both sides) CPT 73560 | not published | not published | $19.10 – $83.86 | 5 |
| X-ray knee 3 views (both sides) CPT 73562 | not published | not published | $24.46 – $100.91 | 5 |
| X-ray knee ap standing bilateral CPT 73565 | $1,030.32 | $1,030.32 | $23.20 – $100.91 | 5 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | not published | $18.15 – $83.86 | 5 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $934.37 | $934.37 | $25.72 – $154.52 | 5 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $1,200.21 | $1,200.21 | $29.82 – $154.52 | 5 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $1,200.21 | $1,200.21 | $42.42 – $154.52 | 5 |
| X-ray male genital tract CPT 74440 | not published | not published | $56.61 – $313.62 | 5 |
| X-ray mandible complete > 4 views CPT 70110 | $2,135.80 | $2,135.80 | $24.46 – $154.52 | 5 |
| X-ray mandible ltd <4 views CPT 70100 | $1,218.15 | $1,218.15 | $22.88 – $95.57 | 5 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $63.24 – $63.24 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | $1,012.37 | $1,012.37 | $22.57 – $93.44 | 5 |
| X-ray neck soft tissue CPT 70360 | $501.36 | $501.36 | $18.47 – $83.86 | 5 |
| X-ray nose to rectum for foreign body child CPT 76010 | $1,033.09 | $1,033.09 | $16.26 – $83.86 | 5 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $50.94 – $313.62 | 5 |
| X-ray optic foramina CPT 70190 | not published | not published | $22.88 – $84.90 | 5 |
| X-ray pelvis 1-2 views CPT 72170 | $1,033.09 | $1,033.09 | $17.52 – $154.52 | 5 |
| X-ray pelvis complete > 3 views CPT 72190 | $1,118.71 | $1,118.71 | $28.24 – $154.52 | 5 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $165.15 – $623.84 | 2 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $187.25 – $707.96 | 2 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,859.00 | $1,859.00 | $93.19 – $616.10 | 5 |
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.