Tennessee / Tristar Northcrest Medical Center
CMS certification 440065 · Springfield, TN · 2 entries in CMS's price-transparency list
Tristar Northcrest Medical Center: charges and Medicare payments
Tristar Northcrest Medical Center reported 202 Medicare inpatient stays across 9 DRGs in 2024. Across them it charged 4.94 times what it was paid — mid-range in Tennessee, number 27 of 65 hospitals with at least 100 stays (state median 4.42×, national 4.15×). Its most frequent stay was DRG 193, Simple Pneumonia and Pleurisy with MCC: 39 stays at an average charge of $70,777, 18% above the national average. It also billed 539 outpatient services, charging 12.28 times what Medicare paid.
- 1Medicare inpatient stays 202
- 2Charge ÷ paid, inpatient 4.94×
- 3Rank in TN (highest ratio = 1) 27 of 65
- 4CMS price-transparency actions 2
Inpatient stays
For the 9 DRGs that can be compared with the national average, Tristar Northcrest Medical Center charged more than the national average in 3 (33%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 193 Simple Pneumonia and Pleurisy with MCC | 39 | $70,777 | +18% | $11,870 |
| 291 Heart Failure and Shock with MCC | 36 | $48,703 | -14% | $10,556 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 31 | $61,825 | -32% | $15,186 |
| 177 Respiratory Infections and Inflammations with MCC | 25 | $54,866 | -22% | $12,749 |
| 690 Kidney and Urinary Tract Infections without MCC | 18 | $34,008 | -10% | $6,964 |
| 312 Syncope and Collapse | 15 | $46,762 | +3% | $7,404 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $40,270 | +9% | $6,731 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $48,196 | -6% | $9,146 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $32,840 | -18% | $6,925 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 151 | $29,672 | $2,333 |
| Level 5 Urology and Related Services | 61 | $30,669 | $4,353 |
| Level 4 Urology and Related Services | 56 | $20,882 | $3,003 |
| Level 3 Urology and Related Services | 39 | $15,921 | $1,755 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 37 | $15,408 | $1,337 |
| Level 3 Vascular Procedures | 35 | $25,710 | $2,746 |
| Level 3 Musculoskeletal Procedures | 33 | $21,698 | $2,789 |
| Level 1 Endovascular Procedures | 29 | $52,677 | $2,742 |
| Level 1 Laparoscopy and Related Services | 26 | $39,433 | $4,819 |
| Level 5 Musculoskeletal Procedures | 18 | $99,554 | $10,787 |
| Level 2 Laparoscopy and Related Services | 16 | $81,278 | $8,593 |
| Level 2 Musculoskeletal Procedures | 14 | $11,434 | $1,385 |
| Level 4 Musculoskeletal Procedures | 13 | $51,291 | $5,786 |
| Level 2 Upper GI Procedures | 11 | $20,606 | $1,520 |
Against the Tennessee average
For Simple Pneumonia and Pleurisy with MCC (DRG 193), Tristar Northcrest Medical Center charged $70,777 on average, 47% more than the Tennessee average of $48,160, and was paid $11,870 against a state average of $10,379. For Heart Failure and Shock with MCC (DRG 291), Tristar Northcrest Medical Center charged $48,703 on average, 6% more than the Tennessee average of $46,128, and was paid $10,556 against a state average of $10,346. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Tristar Northcrest Medical Center charged $61,825 on average, 12% less than the Tennessee average of $70,379, and was paid $15,186 against a state average of $15,065. For Respiratory Infections and Inflammations with MCC (DRG 177), Tristar Northcrest Medical Center charged $54,866 on average, 2% more than the Tennessee average of $53,972, and was paid $12,749 against a state average of $12,921. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $29,672 was 49% above the state average of $19,917. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $30,669 was 17% above the state average of $26,306. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $20,882 was 0% below the state average of $20,897. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $15,921 was 13% above the state average of $14,067.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Tristar Northcrest Medical Center in Springfield, TN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-02-14 (CMS case 1993)
- Met Requirements — 2025-05-07 (CMS case 4368)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.