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 |
|---|---|---|---|---|
| X-ray ribs 2 views left CPT 71100 | not published | not published | $19.41 – $83.86 | 5 |
| X-ray ribs 3 views bilateral CPT 71110 | $1,923.23 | $1,923.23 | $24.46 – $154.52 | 5 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | not published | not published | $23.82 – $154.52 | 5 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $875.63 | $875.63 | $33.60 – $154.52 | 5 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $1,033.09 | $1,033.09 | $22.88 – $154.52 | 5 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $1,033.09 | $1,033.09 | $18.15 – $83.86 | 5 |
| X-ray scapula complete (both sides) CPT 73010 | not published | not published | $20.04 – $154.52 | 5 |
| X-ray sella turcica CPT 70240 | not published | not published | $18.79 – $83.86 | 5 |
| X-ray shoulder 1 view (both sides) CPT 73020 | not published | not published | $14.37 – $83.86 | 5 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $1,256.82 | $1,256.82 | $23.51 – $87.03 | 5 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $30.45 – $313.62 | 5 |
| X-ray skull < 4 views CPT 70250 | $501.36 | $501.36 | $22.26 – $154.52 | 5 |
| X-ray skull > 4 views complete CPT 70260 | $875.63 | $875.63 | $27.29 – $154.52 | 5 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $61.66 – $193.27 | 5 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $1,033.09 | $1,033.09 | $76.48 – $261.94 | 5 |
| X-ray small intestine follow-through study CPT 74248 | $1,033.09 | $1,033.09 | $42.20 – $130.48 | 3 |
| X-ray spine single view CPT 72020 | not published | not published | $13.74 – $83.86 | 5 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | not published | not published | $23.51 – $97.70 | 5 |
| X-ray sternum > 2 views CPT 71120 | $1,103.52 | $1,103.52 | $19.41 – $83.86 | 5 |
| X-ray surgical specimen CPT 76098 | $2,248.47 | $2,248.47 | $9.64 – $657.03 | 5 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $1,033.09 | $1,033.09 | $58.51 – $308.90 | 5 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $1,191.92 | $1,191.92 | $32.65 – $132.88 | 5 |
| X-ray thoracic spine 2 views CPT 72070 | not published | not published | $20.04 – $154.52 | 5 |
| X-ray thoracic spine 3 views CPT 72072 | $1,033.09 | $1,033.09 | $23.82 – $154.52 | 5 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $1,033.09 | $1,033.09 | $21.93 – $83.86 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $875.63 | $875.63 | $22.24 – $97.70 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $2,167.56 | $2,167.56 | $40.51 – $176.64 | 5 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | not published | not published | $16.90 – $83.86 | 5 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | not published | not published | $21.31 – $83.86 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,255.45 | $1,255.45 | $85.30 – $341.20 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $1,143.57 | $1,143.57 | $72.06 – $341.20 | 5 |
| X-ray wrist 2 views (both sides) CPT 73100 | not published | not published | $20.04 – $83.86 | 5 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $54.72 – $341.20 | 5 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $336.92 – $3,604.68 | 2 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $5.81 – $38.73 | 21 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.76 – $4.21 | 3 |
| Yersinia antibody CPT 86793 | not published | not published | $5.94 – $39.57 | 21 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $78,127.16 – $150,585.06 | 3 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $314.36 – $336.92 | 2 |
| Ziconotide injection HCPCS J2278 | not published | not published | $11.86 – $28.01 | 3 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $43.79 | $43.79 | $1.85 – $4.00 | 3 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.93 – $1.93 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $23.09 – $153.93 | 21 |
| Zika virus igm antibody CPT 86794 | not published | not published | $7.58 – $50.55 | 21 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $276.45 | $276.45 | $6.34 – $24.25 | 3 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.79 – $19.13 | 3 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $41.03 – $89.23 | 2 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $296.03 | $296.03 | $7.11 – $13.46 | 2 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $295.36 – $378.84 | 2 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $86.96 – $579.75 | 21 |
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.