Visits & medical services prices at TriStar NorthCrest Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $1,213.34 $1,213.34 5.8×
Assessment of aphasia (96105) $166 $166 1.7×
Behavioral and qualitative analysis of voice and resonance (92524) $535.56 $535.56 4.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,667.91 $1,667.91 4.7×
Cardiac Stress Tst,Tracing Only (93017) $4,152.87 $4,152.87 20.0×
Cardioversion (92960) $4,573.34 $4,573.34 7.2×
Caregiver training 1st 30 min (97550) $703.37 $703.37 13.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $351.69 $351.69 13.5×
Cbt 1st hour (94644) $1,230.49 $1,230.49 9.6×
Chemother, IV infusion, 1 hr (96413) $1,289 $1,289 4.1×
Color/duplex Doppler, complete (93975) $1,384.40 $1,384.40 6.0×
Color/duplex Doppler, limited (93976) $1,108.65 $1,108.65 11.1×
Cpap initiation and management (94660) $1,536.03 $1,536.03 7.3×
Cpt initial (94667) $1,536.03 $1,536.03 12.0×
Critical care (99291) $5,306 $5,306 6.7×
Debridement Open Wound 20 Sq Cm< (97597) $1,530.03 $1,530.03 7.9×
Demo &/or eval,pt use,aerosol device (94664) $648.32 $648.32 3.1×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,068.86 $1,068.86 4.7×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,384.40 $1,384.40 6.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,384.40 $1,384.40 13.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,384.40 $1,384.40 6.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $929.57 $929.57 9.3×
Dup-scan xtr veins unilateral/limited study (93971) $2,513.12 $2,513.12 25.1×
Duplex scan extracranial art compl bi study (93880) $2,643.71 $2,643.71 11.5×
Echo Heart Xthoracic,Limited (93308) $1,783.60 $1,783.60 7.8×
Echo transesophageal (93312) $5,399.17 $5,399.17 10.3×
EEG awake asleep (95819) $2,031 $2,031 9.8×
EEG awake drowsy (95816) $1,718.96 $1,718.96 8.3×
EEG coma or sleep only (95822) $1,071 $1,071 5.2×
EKG (93005) $647.75 $647.75 11.4×
Er level 1 (99281) $1,040.86 $1,040.86 12.9×
Er level ii (99282) $1,443.10 $1,443.10 9.8×
Er level iii (99283) $2,072.92 $2,072.92 7.9×
Er level IV (99284) $3,170.23 $3,170.23 7.9×
Er level v (99285) $5,070.25 $5,070.25 8.9×
Evaluation of speech sound production (92522) $535.56 $535.56 4.8×
Evaluation of swallowing function (92610) $544.09 $544.09 6.4×
External Ecg Scanning Analysis Report (93226) $723 $723 12.8×
Flow volume loop (94375) $1,249.24 $1,249.24 6.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,467.36 $2,467.36 3.0×
Holter Monitor Recording (93225) $1,549.27 $1,549.27 12.1×
Immunization Admin (90471) $410 $410 5.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $497.60 $497.60 8.8×
IV infusion hydration each additional hour (96361) $250 $250 5.6×
IV infusion hydration initial 31 min-1 hour (96360) $1,285 $1,285 6.3×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $414.77 $414.77 6.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $1,157 $1,157 5.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $251 $251 5.6×
IV push initial (96374) $851 $851 4.2×
Manual therapy 15 min (97140) $367.98 $367.98 13.3×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $1,429.30 $1,429.30 15.6×
Multiple sleep latency test (95805) $6,777.01 $6,777.01 8.2×
Neg press wnd tx </=50 sq cm (97607) $1,185.26 $1,185.26 3.0×
Neg press wound tx >50 cm (97608) $1,185.26 $1,185.26 3.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $709.48 $709.48 3.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $695.53 $695.53 1.8×
Newborn resuscitation (99465) $2,621.49 $2,621.49 4.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $1,234.83 $1,234.83 9.7×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $2,153.36 $2,153.36 10.4×
Ot eval high complex 60 min (97167) $1,287.75 $1,287.75 12.8×
Ot eval low complex 30 min (97165) $823.81 $823.81 8.2×
Ot eval mod complex 45 min (97166) $1,026.79 $1,026.79 10.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $654.49 $654.49 5.3×
Phy/qhp op pulm rhb w/mntr (94626) $463.22 $463.22 8.2×
Phy/qhp op pulm rhb w/o mntr (94625) $463.22 $463.22 8.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $6,777 $6,777 8.2×
Polysom <6 yrs 4/> paramtrs (95782) $6,777.01 $6,777.01 8.2×
Pt eval high complex 45 min (97163) $1,567.46 $1,567.46 16.0×
Pt eval low complex 20 min (97161) $857.92 $857.92 8.8×
Pt Gait Training Therapy (97116) $284.84 $284.84 9.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $385.12 $385.12 11.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $1,183.70 $1,183.70 12.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $346.43 $346.43 10.7×
Pulm function test by gas (94727) $1,138.49 $1,138.49 5.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $1,012.79 $1,012.79 5.3×
Rt Chest Wall Manipulation,Subsequent (94668) $637.84 $637.84 5.0×
Sensory Integration Ea 15 Min (97533) $450.78 $450.78 7.4×
Sleep study unattended (95806) $1,278 $1,278 6.2×
Smoking cessation > 10 min (99407) $132.39 $132.39 3.7×
Speech sound lang comprehen (92523) $535.56 $535.56 2.4×
Standardized Cognitive Performance Testing (96125) $1,402.03 $1,402.03 13.6×
Stress echo (93350) $2,882.86 $2,882.86 5.5×
Surfactant Admin Thru Tube (94610) $1,553.06 $1,553.06 7.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $124.51 $124.51 5.6×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $124.51 $124.51 5.9×
Ther/Proph/Diag Inj Sc/Im (96372) $405 $405 5.9×
Therapeutic Activities (97530) $341.13 $341.13 9.7×
Therapeutic phlebotomy (99195) $494.43 $494.43 3.9×
Tilt Table Eval (93660) $3,889.82 $3,889.82 10.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $85.93 $85.93 2.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $5,142.59 $5,142.59 9.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $711.25 $711.25 9.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $936.38 $936.38 11.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $307 $307 6.8×
Vasc Duplex Extrem Venous,Bilat (93970) $1,384.40 $1,384.40 6.0×
Vasc Duplex Scan Extracranial,Limited (93882) $881.24 $881.24 8.8×
Ventilation assist & mgmt inpatient 1st day (94002) $2,483.84 $2,483.84 4.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,483.84 $2,483.84 4.2×
Vital capacity total (94150) $723.50 $723.50 5.9×