Imaging prices at TriStar NorthCrest Medical Center

Springfield, TN · every code in this section with a posted price and a Medicare benchmark.

227 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $1,142.19 $1,142.19 13.7×
Abdomen 2 views (74019) $2,134.76 $2,134.76 21.3×
Acute Gastrointestinal Blood Loss Imaging (78278) $2,600.67 $2,600.67 6.8×
Angiography extremity bilateral rs&i (75716) $10,439 $10,439 3.4×
Ankle 2 views (73600) $787.24 $787.24 9.4×
Arthrogram hip (73525) $3,470.69 $3,470.69 10.4×
Arthrogram Wrist (73115) $3,573.26 $3,573.26 10.7×
Bone age studies (77072) $632.56 $632.56 6.3×
Bone Imaging 3 Phase (78315) $2,738.79 $2,738.79 7.1×
Bone Imaging Whole Body (78306) $2,738.79 $2,738.79 7.1×
Bone survey infant (77076) $1,599.38 $1,599.38 15.9×
Brain Imaging Pet Metabolic Evaluation (78608) $4,638.56 $4,638.56 3.4×
Cat Scan Follow-Up Study (76380) $8,709.84 $8,709.84 104.3×
Chest 1 view (71045) $501.36 $501.36 6.0×
Chest 2 views (71046) $588.36 $588.36 7.0×
Chest 3 views (71047) $990.30 $990.30 11.9×
Chest 4 or more views (71048) $1,393 $1,393 13.9×
Clavicle complete (73000) $501.36 $501.36 6.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $910.60 $910.60 9.1×
Contrast Exam Abdominl Aorta (75625) $9,349 $9,349 3.1×
Contrast X-Ray Bladder (74430) $1,859 $1,859 5.6×
Contrast X-Ray Of Knee Joint (73580) $3,470.69 $3,470.69 10.4×
CT abdomen and pelvis without and with contrast (74178) $12,242.84 $12,242.84 36.6×
CT abdomen and pelvis without contrast (74176) $9,495.37 $9,495.37 41.5×
CT abdomen w contrast (74160) $5,594 $5,594 33.2×
CT abdomen w wo contrast (74170) $6,120.56 $6,120.56 36.4×
CT abdomen w/o contrast (74150) $3,901.37 $3,901.37 38.9×
CT Angio Abdomen and Pelvis (74174) $3,903.11 $3,903.11 11.7×
CT Angio Chest (71275) $4,608.67 $4,608.67 27.4×
CT Angio Head (70496) $3,901.37 $3,901.37 23.2×
CT angio hrt w/3d image (75574) $5,300.31 $5,300.31 15.8×
Ct Angio Lwr Extr W/O&W/Dye (73706) $4,608.67 $4,608.67 27.4×
CT Angio Neck (70498) $4,608.67 $4,608.67 27.4×
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 2 matching MRF lines
$4,608.67–$4,733.78 $4,608.67–$4,733.78 varies
CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) $537.60 $537.60 3.2×
CT cervical spine w/ contrast (72126) $7,825.33 $7,825.33 23.4×
CT cervical spine w/o contrast (72125) $6,113.60 $6,113.60 61.0×
CT chest w contrast (71260) $5,594 $5,594 33.2×
CT chest w/wo contrast (71270) $6,120.56 $6,120.56 36.4×
CT head/brain with contrast (70460) $3,901.37 $3,901.37 23.2×
CT head/brain without and with contrast (70470) $4,615.61 $4,615.61 27.4×
CT heart no contrast quant eval coronry calcium (75571) $45 $45 0.5×
CT iac w contrast (70481) $3,901.37 $3,901.37 23.2×
CT l-spine w&w/o contrast (72133) $9,547.50 $9,547.50 56.7×
CT lower ext w/o (73700) $3,901.37 $3,901.37 38.9×
CT lower extremity w/contrast material (73701) $3,901.37 $3,901.37 23.2×
CT lumbar spine w contrast (72132) $6,365.58 $6,365.58 19.0×
CT lumbar spine w/o contrast (72131) $7,825.33 $7,825.33 78.0×
CT maxillofacial w contrast (70487) $3,901.37 $3,901.37 23.2×
CT maxillofacial wo contrast (70486) $3,901.37 $3,901.37 38.9×
CT neck tissue combo (70492) $4,615.61 $4,615.61 27.4×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $4,615.61 $4,615.61 27.4×
CT orbits w/o contrast (70480) $3,901.37 $3,901.37 38.9×
CT pelvis w&w/o contrast (72194) $6,120.56 $6,120.56 36.4×
CT pelvis w/o contrast (72192) $3,901.37 $3,901.37 38.9×
CT scan of leg combo (73702) $15,690.67 $15,690.67 93.2×
CT scans face/jaw combo (70488) $4,615.61 $4,615.61 27.4×
CT soft tissue neck w contrast (70491) $3,901.37 $3,901.37 23.2×
CT soft tissue neck w/o contrast (70490) $2,787.44 $2,787.44 27.8×
CT thoracic spine w contrast (72129) $7,825.33 $7,825.33 46.5×
CT thoracic spine w/o contrast (72128) $5,317.69 $5,317.69 53.0×
CT thoracic spine w/wo cont (72130) $15,690.67 $15,690.67 93.2×
CT thorax w/o contrast (71250) $6,094.49 $6,094.49 60.8×
CT upper ext wo (73200) $3,901.37 $3,901.37 38.9×
CT upper extremity w/o & w/contrast material (73202) $11,006.36 $11,006.36 65.4×
CT upper extremity with contrast (73201) $3,901.37 $3,901.37 11.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $4,608.67 $4,608.67 27.4×
Cta Abdomen (74175) $4,608.67 $4,608.67 27.4×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $8,510.04 $8,510.04 25.4×
Dxa Bone Density Axial (77080) $615.31 $615.31 6.1×
Esophagram (74220) $1,096.61 $1,096.61 6.5×
Fetal Biophys Profile W/Nst (76818) $2,371.61 $2,371.61 23.6×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $785.11 $785.11 7.8×
Fluoroscopy up to 1 hr (76000) $903.26 $903.26 3.9×
Foot 2 views (73620) $1,033.09 $1,033.09 12.4×
Forearm 2 views (73090) $501.36 $501.36 6.0×
Gastric emptying imaging study (78264) $2,600.67 $2,600.67 6.8×
Hand 2 views (73120) $762.38 $762.38 7.6×
Hepatobil Syst Image W/Drug (78227) $2,307.86 $2,307.86 4.4×
Hepatobiliary System Imaging (78226) $2,307.86 $2,307.86 6.0×
Ht Muscle Image Spect Sing (78451) $7,614.16 $7,614.16 6.1×
Hysterosalpingogram (74740) $2,229.14 $2,229.14 9.7×
K Flow/Funct Image W/Drug (78708) $2,911.42 $2,911.42 5.6×
K Flow/Funct Image W/O Drug (78707) $2,339.12 $2,339.12 4.5×
Knee 3 Views (73562) $2,049.59 $2,049.59 24.5×
Lung Perf&Ventilat Diferentl (78598) $2,939.04 $2,939.04 5.6×
Lung Ventilat&Perfus Imaging (78582) $2,939.04 $2,939.04 5.6×
Lymph System Imaging (78195) $2,730.50 $2,730.50 5.2×
Magnetic Image Jaw Joint (70336) $10,518.93 $10,518.93 46.0×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $77.88 $77.88 2.8×
Mra Head W/O & W/Contrast Material (70546) $16,681.21 $16,681.21 49.8×
MRA head w/o contrast (70544) $4,093 $4,093 17.9×
MRA head with contrast (70545) $4,635.60 $4,635.60 13.9×
MRA neck w contrast (70548) $4,635.60 $4,635.60 13.9×
Mra Neck W/O &W/Contrast Material (70549) $6,273.48 $6,273.48 18.7×
MRA neck w/o contrast (70547) $3,752.22 $3,752.22 16.4×
MRI abdomen w contrast (74182) $12,686.42 $12,686.42 37.9×
MRI abdomen w/o contrast (74181) $4,317.01 $4,317.01 18.9×
MRI any jt lower extrem w/contrast material (73722) $6,500.85 $6,500.85 8.6×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $6,273.48 $6,273.48 18.7×
MRI any jt upper extremity w/contrast matrl (73222) $6,500.85 $6,500.85 8.6×
MRI cervical spine w contrast (72142) $11,496.78 $11,496.78 34.3×
MRI cervical spine w/o cont (72141) $4,317.01 $4,317.01 18.9×
MRI chest w/o contrast (71550) $8,721.55 $8,721.55 38.1×
MRI chest wo w contrast (71552) $6,273.48 $6,273.48 18.7×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $8,589 $8,589 25.7×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $6,273.48 $6,273.48 18.7×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $4,317.01 $4,317.01 18.9×
MRI lumbar spine w contrast (72149) $6,500.85 $6,500.85 19.4×
Mri Neck Spine W/O & W/Dye (72156) $6,273.48 $6,273.48 18.7×
MRI orbit face &/neck w/o contrast (70540) $10,699.84 $10,699.84 46.7×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $6,273.48 $6,273.48 18.7×
MRI pelvis w/o & w contrast (72197) $4,680.49 $4,680.49 14.0×
MRI pelvis w/o contrast (72195) $4,317.01 $4,317.01 18.9×
MRI thoracic spine w/o contrast (72146) $4,317.01 $4,317.01 18.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $4,317.01 $4,317.01 18.9×
Mri Uppr Extremity W/O&W/Dye (73220) $6,273.48 $6,273.48 18.7×
MRI, abdomen, combo (74183) $6,273.48 $6,273.48 18.7×
MRI, dorsal spine combo (72157) $6,273.48 $6,273.48 18.7×
MRI, joint upper extrem (73221) $4,317.01 $4,317.01 18.9×
MRI, joint upper extrem combo (73223) $6,273.48 $6,273.48 18.7×
MRI, lumbar spine combo (72158) $6,273.48 $6,273.48 18.7×
Myocardial Spect Multiple Studies (78452) $7,614.16 $7,614.16 6.1×
Neck soft tissue (70360) $501.36 $501.36 6.0×
Parathyroid Planar Imaging (78070) $2,155.94 $2,155.94 5.6×
Pelvis 1 or 2 views (72170) $1,033.09 $1,033.09 10.3×
Pet Image W/Ct Lmtd (78814) $8,252 $8,252 6.0×
PET image w/CT, full body (78816) $12,771.28 $12,771.28 9.3×
PET imaging CT attenuation skull base mid-thigh (78815) $12,771.28 $12,771.28 9.3×
Pulmonary Perfusion Imaging Particulate (78580) $1,876.34 $1,876.34 4.9×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $1,037.23 $1,037.23 10.3×
Radex Ankle Complete Minimum 3 Views (73610) $1,012.37 $1,012.37 12.1×
Radex Calcaneus Minimum 2 Views (73650) $1,033.09 $1,033.09 12.4×
Radex elbow complete minimum 3 views (73080) $501.36 $501.36 6.0×
Radex Facial Bones Complete Minimum 3 Views (70150) $1,256.82 $1,256.82 12.5×
Radex fingr minimum 2 views (73140) $991.27 $991.27 11.9×
Radex foot complete minimum 3 views (73630) $501.36 $501.36 6.0×
Radex Hand Minimum 3 Views (73130) $501.36 $501.36 6.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $1,012.37 $1,012.37 12.1×
Radex Ribs Unilateral 2 Views (71100) $946.78 $946.78 11.3×
Radex shoulder complete minimum 2 views (73030) $2,063.41 $2,063.41 24.7×
Radex Sternum Minimum 2 Views (71120) $1,103.52 $1,103.52 13.2×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $1,191.92 $1,191.92 14.3×
Radex Toe Minimum 2 Views (73660) $991.27 $991.27 11.9×
Radex Wrist Complete Minimum 3 Views (73110) $1,033.09 $1,033.09 12.4×
Radiolog exam mandible compl minimum 4 views (70110) $2,135.80 $2,135.80 21.3×
Radiologic exam colon double contrast study (74280) $1,588.29 $1,588.29 9.4×
Radiologic exam colon single contrast study (74270) $1,033.09 $1,033.09 6.1×
Radiologic exam knee complete 4/more views (73564) $2,636.58 $2,636.58 26.3×
Radiologic exam pelvis compl minimum 3 views (72190) $1,118.71 $1,118.71 11.2×
Radiologic Exam Small Int Single Contrast Study (74250) $1,033.09 $1,033.09 6.1×
Radiologic exam swallow function contrast study (74230) $1,033.09 $1,033.09 6.1×
Radiologic exam upr gi trc double contrast study (74246) $1,255.45 $1,255.45 7.5×
Radiologic examination femur 1 view (73551) $1,428.28 $1,428.28 17.1×
Radiologic examination femur minimum 2 views (73552) $501.36 $501.36 6.0×
Radiologic examination knee 1/2 views (73560) $1,033.09 $1,033.09 12.4×
Radiologic examination tibia & fibula 2 views (73590) $1,033.09 $1,033.09 12.4×
Ribs bilateral 3 views (71110) $1,923.23 $1,923.23 19.2×
Scapula (73010) $501.36 $501.36 5.0×
Screening Digital Breast Tomosynthesis Bi (77063) $228.19 $228.19 9.8×
Shoulder 1 view (73020) $501.36 $501.36 6.0×
Shoulder Arthrography (73040)
range across 2 matching MRF lines
$2,287.15–$3,102.37 $2,287.15–$3,102.37 varies
Skull less than 4 views (70250) $501.36 $501.36 5.0×
Thoracic spine 3 views (72072) $1,033.09 $1,033.09 10.3×
Thoracolumbar 2 views (72080) $1,033.09 $1,033.09 12.4×
Thyroid Imaging With Vascular Flow (78013) $4,553.46 $4,553.46 11.9×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $4,017.71 $4,017.71 10.5×
Ultrasound Breast Limited (76642) $1,408.75 $1,408.75 16.9×
Ultrasound Exam Aaa Screen (76706) $734.76 $734.76 7.3×
Ultrasound, abdomen limited (76705) $1,059.33 $1,059.33 10.6×
Umbilical-artery Doppler (OB) (76820) $726.47 $726.47 7.2×
Upper gi w/o kub (74240) $1,143.57 $1,143.57 6.8×
Urethrocystogram voiding (74455) $1,767.85 $1,767.85 7.7×
Urethrocystography retrograde (74450) $2,734.02 $2,734.02 11.9×
Us breast unilateral complete (76641) $2,433.55 $2,433.55 24.3×
Us chest (76604) $1,059.33 $1,059.33 10.6×
Us complete joint (76881) $1,059.33 $1,059.33 10.6×
Us exam, pelvic, limited (76857) $546.93 $546.93 5.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $1,059.33 $1,059.33 10.6×
Us ob detailed single fetus (76811) $3,041.04 $3,041.04 13.3×
Us ob limited 1 or more fetuses (76815) $1,707.08 $1,707.08 17.0×
Us ob transvaginal (76817) $1,059.33 $1,059.33 10.6×
Us pelvic non ob complete (76856) $2,490.17 $2,490.17 24.8×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $1,125.62 $1,125.62 11.2×
Us preg uterus real time f/u trnsabdl per fetus (76816) $685.04 $685.04 6.8×
Us retroperitoneal complete (76770) $1,059.33 $1,059.33 10.6×
Us retroperitoneal limited (76775) $1,059.33 $1,059.33 10.6×
Us scrotum and contents (76870) $1,059.33 $1,059.33 10.6×
Us thyroid (76536) $1,059.33 $1,059.33 10.6×
Venography extremity bilateral rs&i (75822) $8,034.03 $8,034.03 5.3×
Venography extremity unilateral rs&i (75820) $8,034.03 $8,034.03 5.3×
Wrist 2 views (73100) $1,033.09 $1,033.09 12.4×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $1,096.61 $1,096.61 13.1×
X-Ray Aorta Leg Arteries (75630) $11,906.70 $11,906.70 3.9×
X-Ray Bend Only L-S Spine (72120) $934.37 $934.37 9.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $1,033.09 $1,033.09 12.4×
X-Ray Exam Breast Specimen (76098) $2,248.47 $2,248.47 4.3×
X-Ray Exam Entire Spi 1 Vw (72081) $875.63 $875.63 10.5×
X-Ray Exam Entire Spi 2/3 Vw (72082) $2,167.56 $2,167.56 21.6×
X-Ray Exam Hip Uni 1 View (73501) $1,001.32 $1,001.32 12.0×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 4 matching MRF lines
$392.24–$1,570.15 $392.24–$1,570.15 varies
X-Ray Exam Hip Uni 4/> Views (73503) $1,556.43 $1,556.43 15.5×
X-Ray Exam Hips Bi 2 Views (73521) $1,142.19 $1,142.19 11.4×
X-Ray Exam Hips Bi 3-4 Views (73522) $1,142.19 $1,142.19 11.4×
X-Ray Exam Hips Bi 5/> Views (73523) $2,707.12 $2,707.12 27.0×
X-Ray Exam L-S Spine Bending (72114) $1,200.21 $1,200.21 12.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $1,012.37 $1,012.37 12.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $875.63 $875.63 8.7×
X-Ray Exam Unilat Ribs/Chest (71101) $766.53 $766.53 7.6×
X-ray humerus (73060) $1,033.09 $1,033.09 12.4×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $1,218.15 $1,218.15 14.6×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $1,030.32 $1,030.32 12.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $1,012.37 $1,012.37 10.1×
X-ray nose-rectum child f.b. (76010) $1,033.09 $1,033.09 12.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $875.63 $875.63 8.7×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $1,033.09 $1,033.09 10.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $1,033.09 $1,033.09 12.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $1,256.82 $1,256.82 15.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $875.63 $875.63 8.7×
X-ray thoracic spine 4 vw (72074) $1,305.17 $1,305.17 13.0×
X-Ray Tmj Unilat (70328) $1,728.13 $1,728.13 20.7×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,859 $1,859 5.6×
X-Rays Bone Length Studies (77073) $508.26 $508.26 5.1×
X-Rays Bone Survey Complete (77075) $1,200.21 $1,200.21 12.0×
Xr c-spine 4 or 5 views (72050) $1,740.22 $1,740.22 17.4×
Xr facial bones less than 3 views (70140) $501.36 $501.36 6.0×
Xr orbits complete 4 views (70200) $990.64 $990.64 9.9×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.