SOUTHERN HILLS MEDICAL CENTER
2127 CENTURY FARMS PKWY, ANTIOCH, TN · Tristarhealth · · NPI 1720032345
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $506.87 – $1,034.85 | 20 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.52 – $1.40 | 2 |
| Adenovirus ag ia CPT 87301 | not published | not published | $5.39 – $35.94 | 23 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $5.79 – $38.61 | 23 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $9.79 – $65.28 | 23 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $2.69 – $5.48 | 20 |
| Adh-sendout CPT 84588 | not published | not published | $15.27 – $101.82 | 23 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | not published | not published | $0.26 – $1.40 | 3 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $51.94 – $3,807.00 | 2 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | not published | not published | $51.72 – $51.72 | 1 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | not published | not published | $111.78 – $111.78 | 1 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | not published | not published | $228.43 – $228.43 | 1 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | not published | not published | $162.04 – $162.04 | 1 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | not published | not published | $61.56 – $61.56 | 1 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | not published | not published | $70.67 – $70.67 | 1 |
| Administration immunization 1 vaccine CPT 90471 | not published | not published | $7.69 – $7.69 | 1 |
| Administration immunization each additional component CPT 90461 | not published | not published | $16.58 – $16.58 | 1 |
| Administration immunization each additional vaccine CPT 90472 | not published | not published | $7.86 – $7.86 | 1 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $32.99 – $32.99 | 1 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $5.38 – $5.38 | 1 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | not published | $5.38 – $5.38 | 1 |
| Administration vaccine influenza virus HCPCS G0008 | $104.83 | $104.83 | $21.00 – $21.00 | 1 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $49.65 – $111.80 | 3 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $138.48 – $1,623.62 | 5 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $1.00 – $1.00 | 1 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $53.41 – $109.04 | 20 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $126.82 – $126.82 | 1 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $121.95 – $121.95 | 1 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $166.56 – $166.56 | 1 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $3,759.29 – $7,800.06 | 3 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $872,400.00 – $2,042,143.00 | 2 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $9.02 – $60.15 | 23 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $1.02 – $21.93 | 23 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $461.44 | $461.44 | $51.91 – $346.08 | 23 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $61.65 – $411.00 | 23 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $123.67 – $824.49 | 23 |
| Aflibercept injection HCPCS J0178 | not published | not published | $973.04 – $2,024.34 | 3 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $14.74 – $68.21 | 2 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $389.06 – $794.33 | 20 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $812.27 – $1,658.38 | 20 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $442.32 – $903.07 | 20 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | not published | not published | $793.89 – $1,620.85 | 20 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $221.26 – $451.73 | 20 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $303.65 – $619.94 | 20 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $289.25 – $590.54 | 20 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $616.26 – $1,258.20 | 20 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $250.25 – $510.93 | 20 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $500.59 – $1,022.05 | 20 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $884.00 – $1,804.84 | 20 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $562.54 – $1,148.53 | 20 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $480.23 – $980.48 | 20 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $632.71 – $1,291.78 | 20 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $419.75 – $856.98 | 20 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $1,327.64 – $2,710.59 | 20 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $417.00 – $851.38 | 20 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $272.46 – $610.35 | 3 |
| Ag detect nos ia single CPT 87450 | not published | not published | $38.36 – $38.36 | 1 |
| Air conduction bilat CPT 92552 | not published | not published | $23.31 – $23.31 | 1 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $40.11 – $40.11 | 1 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $2,220.42 – $4,533.35 | 20 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $1,420.18 – $2,899.53 | 20 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $498.74 – $1,018.25 | 20 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,058.56 – $2,161.22 | 20 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $387.30 – $790.73 | 20 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $70.76 – $144.47 | 20 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $163.09 – $332.97 | 20 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $115.70 – $236.23 | 20 |
| Ak open end sach HCPCS L5321 | not published | not published | $3,514.56 – $7,175.57 | 20 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $117.12 – $239.12 | 20 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $159.91 – $326.49 | 20 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $147.61 – $301.36 | 20 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $1,199.89 – $2,449.78 | 20 |
| Albumin body fluid quantitative each specimen CPT 82042 | not published | not published | $3.20 – $23.34 | 23 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $55.21 – $140.66 | 3 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $33.00 – $56.26 | 3 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $2,791.51 | $2,791.51 | $55.21 – $140.66 | 3 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $28.14 – $41.47 | 3 |
| Albumin ischemia modified CPT 82045 | not published | not published | $15.27 – $101.82 | 23 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | not published | not published | $2.60 – $17.34 | 23 |
| Albumin serum plasma or whole blood CPT 82040 | not published | not published | $2.23 – $14.85 | 23 |
| Albuterol comp con HCPCS J7610 | not published | not published | $1.52 – $1.52 | 1 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.63 – $0.63 | 1 |
| Albuterol ipratrop non-comp HCPCS J7620 | $50.28 | $50.28 | $0.24 – $0.53 | 2 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.21 – $0.69 | 2 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.06 – $0.19 | 2 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $7.77 – $51.81 | 23 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $0.01 – $45.60 | 2 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $7,021.50 – $8,848.01 | 3 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $56.48 – $376.50 | 23 |
| Alefacept HCPCS J0215 | not published | not published | $51.63 – $51.63 | 1 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,912.56 – $6,484.82 | 3 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $7.55 – $15.42 | 20 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $16.88 – $34.46 | 20 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $5.41 – $11.05 | 20 |
| Alglucerase injection HCPCS J0205 | not published | not published | $52.12 – $52.12 | 1 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $256.31 – $256.31 | 1 |
| Alkaline phosphatase CPT 84075 | not published | not published | $2.33 – $15.54 | 23 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $8.07 – $53.79 | 23 |
| Allergen egg white ige CPT 86003 | not published | not published | $2.35 – $15.66 | 23 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $3.59 – $23.91 | 23 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.