Supplies, drugs & other prices at TriStar StoneCrest Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $5,954.33 $5,954.33 7.9×
2d tte w or w/o fol w/con,co (C8923) $6,178.16 $6,178.16 8.2×
2d tte w or w/o fol w/con,fu (C8924) $4,029.39 $4,029.39 12.0×
Adm tocilizu covid-19 1st (M0249) $668.25 $668.25 1.6×
Admin hepatitis b vaccine (G0010) $360.70 $360.70 8.0×
Admin influenza virus vac (G0008) $168.72 $168.72 3.8×
Admin pneumococcal vaccine (G0009) $168.72 $168.72 3.8×
Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg, low-ejection fraction,… (0764T) $385.88 $385.88 3.0×
Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg, low-ejection fraction,… (0765T) $385.88 $385.88 3.0×
Catheterize for urine spec (P9612) $131.73 $131.73 14.1×
Direct refer hospital observ (G0379) $3,555.08 $3,555.08 6.2×
Drug test def 1-7 classes (G0480) $995.02 $995.02 8.7×
Elec stim other than wound (G0283) $242.32 $242.32 19.1×
Elec stim unattend for press (G0281) $217.75 $217.75 18.6×
Hbot, full body chamber, 30m (G0277) $1,553.72 $1,553.72 11.8×
In-person interrogation device evaluation of permanent implantable synchronized diaphragmatic stimulation system for… (0685T) $248.28 $248.28 6.9×
Lev 1 hosp type b ed visit (G0380) $1,321.88 $1,321.88 18.5×
Lev 2 hosp type b ed visit (G0381) $2,339.60 $2,339.60 26.3×
Lev 3 hosp type b ed visit (G0382) $2,848.46 $2,848.46 17.3×
Lev 4 hosp type b ed visit (G0383) $3,863.78 $3,863.78 15.2×
Lev 5 hosp type b ed visit (G0384) $4,372.64 $4,372.64 11.1×
Mra w/cont, chest (C8909) $3,468.13 $3,468.13 10.4×
Mra w/cont, lwr ext (C8912) $3,572.42 $3,572.42 10.7×
Mra w/o cont, chest (C8910) $3,166.39 $3,166.39 13.8×
Mra w/o fol w/cont, abd (C8902) $4,977.09 $4,977.09 14.9×
Mra w/o fol w/cont, chest (C8911) $3,619.60 $3,619.60 10.8×
Mra w/o fol w/cont, pelvis (C8920) $7,137.67 $7,137.67 21.3×
Mri w/o fol w/cont, breast, (C8908) $6,060.35 $6,060.35 18.1×
Mri w/o fol w/cont, brst, un (C8905) $5,481.37 $5,481.37 16.4×
Pathogen test for platelets (P9100) $2,354 $2,354 41.6×
Pre 3d mdl w/ccta and/or mri (C9793) $4,830.33 $4,830.33 5.9×
Psa screening (G0103) $598.65 $598.65 31.0×
Qmrcp w/dx MRI same anatomy (0724T) $4,742.15 $4,742.15 5.3×
Qmrcp w/o dx MRI sm anat ses (0723T) $4,742.15 $4,742.15 5.3×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $1,678.14 $1,678.14 2.7×
Quan CT tiss charac w/o CT (0721T) $3,245.42 $3,245.42 5.3×
Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) $19,883.76 $19,883.76 22.3×
Quan mr alys tiss composition w/MRI mlt organs (0698T) $19,883.76 $19,883.76 22.3×
Quan us tiss charac i&r w/o dx us same anat (0689T) $20,168.23 $20,168.23 241.6×
Sbrt w/positron emission del (G0563) $18,078.91 $18,078.91 5.9×
Tee w or w/o fol w/cont, mon (C8927) $5,058.04 $5,058.04 6.7×
Tomosynthesis, mammo (G0279) $216.90 $216.90 17.1×
Trauma respons w/hosp criti (G0390) $16,891.29 $16,891.29 13.2×
Tte w or w/o contr, cont ecg (C8930) $5,954.33 $5,954.33 7.9×
Tte w or w/o fol w/con,stres (C8928) $5,954.33 $5,954.33 7.9×
Tte w or wo fol wcon,doppler (C8929) $4,500.46 $4,500.46 6.0×
Unsched dialysis esrd pt hos (G0257) $3,939.75 $3,939.75 6.0×