Visits & medical services prices at TriStar StoneCrest Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $330.21 $330.21 1.6×
Appl modality 1+lllt po pain (97037) $191.52 $191.52 5.3×
Behavioral and qualitative analysis of voice and resonance (92524) $928.13 $928.13 8.5×
Bfb training 1st 15 min (90912) $758.39 $758.39 9.2×
Bfb training ea addl 15 min (90913) $758.39 $758.39 23.2×
Biofeedback training any modality (90901) $758.39 $758.39 18.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $2,612.85 $2,612.85 7.3×
Canalith Repositioning (95992) $489.76 $489.76 12.0×
Capsule endoscopy (91110) $11,862.80 $11,862.80 13.6×
Cardiac Stress Tst,Tracing Only (93017) $3,950.49 $3,950.49 19.1×
Cardioversion (92960) $3,273.38 $3,273.38 5.2×
Caregiver training 1st 30 min (97550) $1,557.91 $1,557.91 29.5×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $1,557.91 $1,557.91 59.8×
Cbt 1st hour (94644) $963.45 $963.45 7.5×
Color/duplex Doppler, complete (93975) $1,587.01 $1,587.01 6.9×
Color/duplex Doppler, limited (93976) $1,307.87 $1,307.87 13.0×
Cpap initiation and management (94660) $1,279.68 $1,279.68 6.1×
Cpt initial (94667) $296.70 $296.70 2.3×
Critical care (99291) $9,107.34 $9,107.34 11.5×
Debridement Open Wound 20 Sq Cm< (97597) $912.70 $912.70 4.7×
Demo &/or eval,pt use,aerosol device (94664) $647.91 $647.91 3.1×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $1,257.80 $1,257.80 12.5×
Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) $1,257.80 $1,257.80 12.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $2,520.07 $2,520.07 11.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,214.06 $1,214.06 12.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,960.69 $1,960.69 8.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,214.06 $1,214.06 12.1×
Dup-scan xtr veins unilateral/limited study (93971) $1,195.01 $1,195.01 11.9×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $1,587.01 $1,587.01 6.9×
Duplex scan extracranial art compl bi study (93880) $1,587.01 $1,587.01 6.9×
Echo Heart Xthoracic,Limited (93308) $4,079.72 $4,079.72 17.8×
Echo transesophageal (93312) $6,479 $6,479 12.4×
EEG awake asleep (95819) $2,391.59 $2,391.59 11.5×
EEG cont rec w/video by tech min 8 channels (95700) $2,391.59 $2,391.59 11.5×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $2,391.61 $2,391.61 11.5×
EKG (93005) $664.25 $664.25 11.7×
EKG rhythm strip (93041) $302.22 $302.22 5.3×
Er level 1 (99281) $952.49 $952.49 11.8×
Er level ii (99282) $1,435.27 $1,435.27 9.7×
Er level iii (99283) $2,557.36 $2,557.36 9.8×
Er level IV (99284) $4,377.53 $4,377.53 10.9×
Er level v (99285) $5,310.42 $5,310.42 9.3×
Esophgl balo distension dx std w/provocation (91040) $2,758.18 $2,758.18 7.7×
Evaluation of speech fluency (92521) $127.96 $127.96 1.0×
Evaluation of speech sound production (92522) $395.51 $395.51 3.5×
Evaluation of swallowing function (92610) $675.53 $675.53 8.0×
External Ecg Scanning Analysis Report (93226) $2,313.82 $2,313.82 40.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,504.89 $2,504.89 3.0×
Group Therapeutic Procedures (97150) $308.03 $308.03 17.1×
Hemodialysis (90935) $2,693.77 $2,693.77 4.1×
Holter Monitor Recording (93225) $830.19 $830.19 6.5×
Immunization Admin (90471) $403.76 $403.76 5.8×
IV infusion hydration each additional hour (96361) $291.56 $291.56 6.5×
IV infusion hydration initial 31 min-1 hour (96360) $1,649 $1,649 8.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $1,460.58 $1,460.58 21.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $1,464.94 $1,464.94 7.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $918.38 $918.38 20.4×
IV push initial (96374) $615.45 $615.45 3.0×
Manual therapy 15 min (97140) $453.78 $453.78 16.4×
Massage 15 min (97124) $374.92 $374.92 12.6×
Mechanical chest wall oscillation (94669) $1,006.74 $1,006.74 4.8×
Mechanical traction (97012) $252.60 $252.60 17.6×
Motility study esophagus (91010) $4,313.23 $4,313.23 12.0×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $734.94 $734.94 8.0×
Multiple sleep latency test (95805) $7,166.40 $7,166.40 8.7×
Neg press wnd tx </=50 sq cm (97607) $988.73 $988.73 2.5×
Neg press wound tx >50 cm (97608) $834.83 $834.83 2.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $912.70 $912.70 4.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,173.30 $1,173.30 3.0×
Newborn resuscitation (99465) $2,011.40 $2,011.40 3.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $2,372.31 $2,372.31 18.6×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $2,722.45 $2,722.45 13.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $1,316.28 $1,316.28 10.7×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $476.64 $476.64 10.3×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $458.33 $458.33 14.3×
Ot Contrast Bath Ea 15 Min (97034) $242.32 $242.32 17.3×
Ot eval high complex 60 min (97167) $1,557.91 $1,557.91 15.5×
Ot eval low complex 30 min (97165) $1,042.41 $1,042.41 10.4×
Ot eval mod complex 45 min (97166) $1,303.04 $1,303.04 13.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $369.18 $369.18 7.4×
Ot Prosthetic Training, Each 15 Min (97761) $471.49 $471.49 11.7×
Ot re-eval est plan care (97168) $550.35 $550.35 8.0×
Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) $606.71 $606.71 1.4×
Plethysmography (94726) $549.42 $549.42 1.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $10,740.61 $10,740.61 13.0×
Polysom <6 yrs 4/> paramtrs (95782) $8,973.28 $8,973.28 10.9×
Pt Electric Current Therapy (97033) $338.33 $338.33 17.8×
Pt Electrical Stimulation (97032) $272.04 $272.04 18.5×
Pt eval high complex 45 min (97163) $1,356.18 $1,356.18 13.9×
Pt eval low complex 20 min (97161) $904.10 $904.10 9.2×
Pt Gait Training Therapy (97116) $421.78 $421.78 14.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $489.76 $489.76 15.0×
Pt Physical Performance Test (97750) $489.76 $489.76 14.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $1,130.17 $1,130.17 11.5×
Pt re-evaluation (97164) $550.35 $550.35 8.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $512.06 $512.06 15.8×
Pt Ultrasound Therapy (97035) $204.04 $204.04 14.2×
Pt Whirlpool Therapy (97022) $248.59 $248.59 15.8×
Pulm function test by gas (94727) $1,035.39 $1,035.39 5.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $584.65 $584.65 3.0×
Rt Chest Wall Manipulation,Subsequent (94668) $161.26 $161.26 1.3×
Sensory Integration Ea 15 Min (97533) $162.68 $162.68 2.7×
Sleep study unattended (95806) $2,237.66 $2,237.66 10.8×
Smoking cessation > 10 min (99407) $90.80 $90.80 2.5×
Speech sound lang comprehen (92523) $928.13 $928.13 4.1×
Spirometry (94010) $1,325.51 $1,325.51 6.4×
Standardized Cognitive Performance Testing (96125) $584.01 $584.01 5.7×
Stress echo (93350) $5,543.28 $5,543.28 10.6×
Surfactant Admin Thru Tube (94610) $1,559.26 $1,559.26 7.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $592.67 $592.67 26.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $592.67 $592.67 28.2×
Ther/Proph/Diag Inj Sc/Im (96372) $322.71 $322.71 4.7×
Therapeutic Activities (97530) $476.64 $476.64 13.6×
Tilt Table Eval (93660) $3,670.61 $3,670.61 10.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $60.53 $60.53 1.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $5,439.58 $5,439.58 10.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $731.51 $731.51 9.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $489.76 $489.76 5.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $841.96 $841.96 18.7×
Unlisted Cardiovascular Service/Procedure (93799) $5,341.01 $5,341.01 43.3×
Vasc Duplex Extrem Venous,Bilat (93970) $1,810.10 $1,810.10 7.9×
Veeg by tech 2-12 hours unmonitored (95711) $2,391.62 $2,391.62 11.5×
Ventilation assist & mgmt inpatient 1st day (94002) $7,069.38 $7,069.38 11.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $6,045.92 $6,045.92 10.2×
Vital capacity total (94150) $633.81 $633.81 5.1×
Wheelchair Mgmt Ea 15 Min (97542) $471.49 $471.49 15.2×