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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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$161.26–$499.16 $161.26–$499.16 varies
Appl modality 1+ areas lllt po pain reduction (97037) $191.52 $191.52 5.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $204.04 $204.04 14.2×
Behavral qualit analys voice (92524) $928.13 $928.13 8.5×
Bfb traing w/EMG &/manometry 1st 15 min cntct (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 proc (95992) $489.76 $489.76 12.0×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines
$3,947.10–$3,953.88 $3,947.10–$3,953.88 varies
Cardioversion (92960) $3,273.38 $3,273.38 5.2×
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×
Chest Wall Manipulation (94668) $161.26 $161.26 1.3×
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×
Community/Work Reintegration Trainj Ea 15 Min (97537) $458.33 $458.33 14.3×
Continuous Pulse Ox (94762) $1,316.28 $1,316.28 10.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,279.68 $1,279.68 6.1×
Cpt initial (94667) $296.70 $296.70 2.3×
Critical care first hour (99291) $9,107.34 $9,107.34 11.5×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$912.70–$1,305.87 $912.70–$1,305.87 varies
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $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 Xtr Veins Complete Bilateral Study (93970) $1,810.10 $1,810.10 7.9×
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 up extrem art bilat (93930) $1,960.69 $1,960.69 8.6×
Duplex up extrem art unilat/ltd (93931) $1,214.06 $1,214.06 12.1×
Echo Heart Xthoracic,Limited (93308) $4,079.72 $4,079.72 17.8×
Echo transesophageal (93312)
range across 2 matching MRF lines
$5,219.63–$7,738.37 $5,219.63–$7,738.37 varies
EEG awake and 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×
Electrical Stimulation Ea 15 Min (97032) $272.04 $272.04 18.5×
Electrocardiogram Tracing (93005) $664.25 $664.25 11.7×
Emergency Dept Visit Level 2 (99282) $1,435.27 $1,435.27 9.7×
Emergency Dept Visit Level 3 (99283) $2,557.36 $2,557.36 9.8×
Emergency Dept Visit Level 4 (99284) $4,377.53 $4,377.53 10.9×
Er level 1 (99281) $952.49 $952.49 11.8×
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×
Evaluate pt use of inhaler (94664) $647.91 $647.91 3.1×
Evaluate Speech Production (92522) $395.51 $395.51 3.5×
Evaluate Swallowing Function (92610) $675.53 $675.53 8.0×
Evaluation of speech fluency (92521) $127.96 $127.96 1.0×
External Ecg Scanning Analysis Report (93226) $2,313.82 $2,313.82 40.9×
Extracranial Bilat Study (93880) $1,587.01 $1,587.01 6.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,504.89 $2,504.89 3.0×
Gi tract capsule endoscopy (91110) $11,862.80 $11,862.80 13.6×
Group Therapeutic Procedures (97150) $308.03 $308.03 17.1×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 3 matching MRF lines
$2,244.81–$5,359.26 $2,244.81–$5,359.26 varies
Holter monitor recording (93225) $830.19 $830.19 6.5×
Immunization administration (90471)
range across 2 matching MRF lines
$308.44–$499.08 $308.44–$499.08 varies
Iontophoresis 15 min (97033) $338.33 $338.33 17.8×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$280.13–$303 $280.13–$303 varies
IV infusion hydration initial 31 min-1 hour (96360) $1,649 $1,649 8.1×
IV infusion ther proph addl sequential to 1 hr (96367)
range across 4 matching MRF lines
$326–$1,653.52 $326–$1,653.52 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 4 matching MRF lines
$261.41–$1,652 $261.41–$1,652 varies
IV push initial (96374)
range across 4 matching MRF lines
$392–$1,093 $392–$1,093 varies
Mechanical chest wall oscillation per session (94669) $1,006.74 $1,006.74 4.8×
Motility study esophagus (91010) $4,313.23 $4,313.23 12.0×
Motion Fluoroscopy/Swallow (92611) $734.94 $734.94 8.0×
Multiple Sleep Latency Test (95805) $7,166.40 $7,166.40 8.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$834.83–$1,142.63 $834.83–$1,142.63 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $834.83 $834.83 2.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$827.76–$912.70 $827.76–$912.70 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$1,042.65–$1,173.30 $1,042.65–$1,173.30 varies
Neuromuscular Reeducation (97112) $489.76 $489.76 15.0×
Newborn resuscitation (99465) $2,011.40 $2,011.40 3.2×
Oral Function Therapy (92526) $489.76 $489.76 5.8×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 3 matching MRF lines
$316.52–$369.18 $316.52–$369.18 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 3 matching MRF lines
$441.33–$476.64 $441.33–$476.64 varies
Ot Contrast Bath Ea 15 Min (97034)
range across 3 matching MRF lines
$207.74–$242.32 $207.74–$242.32 varies
Ot eval high complexity (97167) $1,557.91 $1,557.91 15.5×
Ot Eval Low Complex (97165) $1,042.41 $1,042.41 10.4×
Ot Eval Moderate Complexity (97166) $1,303.04 $1,303.04 13.0×
Ot manual therapy 15 min (97140) $453.78 $453.78 16.4×
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×
Penile Vascular Study,Ltd or F/U (93981) $1,257.80 $1,257.80 12.5×
Physical Performance Test (97750) $489.76 $489.76 14.5×
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 Eval High Complex (97163) $1,356.18 $1,356.18 13.9×
Pt eval low complex 20 min (97161) $904.10 $904.10 9.2×
Pt Eval Mod Complex (97162) $1,130.17 $1,130.17 11.5×
Pt gait training 15 min (97116) $421.78 $421.78 14.5×
Pt mechanical traction (97012) $252.60 $252.60 17.6×
Pt Re-Eval Est Plan Care (97164) $550.35 $550.35 8.2×
Pulm function test by gas (94727) $1,035.39 $1,035.39 5.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $302.22 $302.22 5.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines
$584.65–$646.67 $584.65–$646.67 varies
Self Care Mngment Training (97535) $512.06 $512.06 15.8×
Sensory Integration Ea 15 Min (97533) $162.68 $162.68 2.7×
Sleep study unattended (95806) $2,237.66 $2,237.66 10.8×
Slp caregiver training 1st 30 min (97550) $1,557.91 $1,557.91 29.5×
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 Tte Only (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 Ea Addl 15 Min (97130) $592.67 $592.67 28.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $374.92 $374.92 12.6×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 5 matching MRF lines
$303–$502.78 $303–$502.78 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$303–$1,652 $303–$1,652 varies
Therapeutic Activities (97530) $476.64 $476.64 13.6×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $3,670.61 $3,670.61 10.3×
Tobacco Use Cessation Intensive >10 Minutes (99407) $90.80 $90.80 2.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $60.53 $60.53 1.7×
Tte w/doppler, complete (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/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$590.92–$1,093 $590.92–$1,093 varies
Unlisted cardiovascular service/procedure (93799) $5,341.01 $5,341.01 43.3×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$1,221.39–$2,976.64 $1,221.39–$2,976.64 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$2,611.39–$2,833.51 $2,611.39–$2,833.51 varies
Veeg 2-12 hr unmonitored (95711) $2,391.62 $2,391.62 11.5×
Vent Mgmt Inpat Init 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×
Whirlpool Therapy (97022) $248.59 $248.59 15.8×

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.