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 |
|---|---|---|---|---|
| Imatinib 100 mg tab HCPCS S0088 | $998.68 | $998.68 | $3.76 – $3.76 | 1 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $64.98 – $154.50 | 2 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $83.40 – $209.36 | 2 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $34.92 – $34.92 | 1 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $34.92 – $34.92 | 1 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $46.54 – $46.54 | 1 |
| Immob elbow child sm HCPCS L3762 | not published | not published | $87.07 – $177.77 | 20 |
| Immobilizer shldr cntor adlt HCPCS L3670 | not published | not published | $115.98 – $236.79 | 20 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | not published | not published | $55.61 – $113.53 | 20 |
| Immobilizer shldr sling med HCPCS L3660 | not published | not published | $83.21 – $169.89 | 20 |
| Immune complex assay CPT 86332 | not published | not published | $10.97 – $73.11 | 23 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $55.18 – $125.32 | 3 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $99.05 – $209.06 | 3 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $58.75 – $125.58 | 3 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $132.05 – $316.60 | 2 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | not published | not published | $9.36 – $62.43 | 23 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | not published | not published | $9.36 – $62.43 | 23 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $11.51 – $76.71 | 23 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | not published | not published | $5.39 – $35.94 | 23 |
| Immunodiffusion nes CPT 86329 | not published | not published | $6.32 – $42.15 | 23 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $13.46 – $83.52 | 3 |
| Immunofixation electrophoresis serum CPT 86334 | not published | not published | $10.05 – $67.02 | 23 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | not published | $39.23 – $142.23 | 5 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | not published | not published | $13.54 – $291.26 | 5 |
| Immunoglobulin assay CPT 86023 | not published | not published | $5.61 – $37.38 | 23 |
| Immunology procedure CPT 86849 | not published | not published | $45.75 – $45.75 | 1 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $34.92 – $34.92 | 1 |
| Impedence cardiogram CPT 93701 | not published | not published | $35.00 – $35.00 | 1 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | not published | not published | $595.48 – $1,215.78 | 20 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | not published | not published | $761.36 – $1,554.44 | 20 |
| Implant cochlear osia osi300 HCPCS L8690 | not published | not published | $4,240.45 – $8,657.58 | 20 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | not published | not published | $691.59 – $1,411.99 | 20 |
| Implant ureth bulk agent HCPCS L8606 | $3,695.00 | $3,695.00 | $202.92 – $414.30 | 20 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,351.63 – $2,759.59 | 20 |
| Impl eye bio-eye 16mm HCPCS L8042 | not published | not published | $2,917.94 – $5,957.47 | 20 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $415.27 – $415.27 | 1 |
| Imp neurosti pls gn any type HCPCS L8679 | not published | not published | $7,437.74 – $15,185.39 | 20 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $630.46 – $791.66 | 2 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | not published | not published | $1.96 – $4.00 | 20 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $52.75 – $114.56 | 3 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $5,051.95 – $12,713.03 | 3 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $2,923.45 – $5,324.76 | 3 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $4,585.27 – $5,560.07 | 2 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $4,247.43 – $10,893.22 | 2 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $1,951.21 | $1,951.21 | $2,203.37 – $2,662.38 | 3 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | not published | not published | $1,062.60 – $1,975.89 | 3 |
| In-111 pentetreotide HCPCS A9572 | not published | not published | $4,644.00 – $5,302.49 | 2 |
| In-111 satumomab pend HCPCS A4642 | not published | not published | $1,732.18 – $4,442.43 | 2 |
| Inactivated je vacc im CPT 90738 | not published | not published | $399.42 – $810.13 | 2 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $6.46 – $13.91 | 3 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | not published | not published | $12.00 – $24.65 | 2 |
| Induction of vomiting CPT 99175 | not published | not published | $56.61 – $56.61 | 1 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $50.54 – $210.60 | 22 |
| Infec agen detec ampli probe HCPCS U0005 | not published | not published | $25.00 – $25.00 | 1 |
| Infect ag drug suscept pheno predict CPT 87900 | not published | not published | $58.66 – $391.05 | 23 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $6.75 – $45.00 | 23 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $6.36 – $42.39 | 23 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $115.85 – $772.35 | 23 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $115.85 – $772.35 | 23 |
| Infect ag genotype na hiv-1 other region CPT 87906 | not published | not published | $57.93 – $386.19 | 23 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $1,029.80 | $1,029.80 | $115.85 – $772.35 | 23 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $14.75 – $98.31 | 23 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $15.62 – $105.87 | 23 |
| Infect ag ia optc obs influenza CPT 87804 | not published | not published | $7.45 – $49.65 | 23 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $5.39 – $35.94 | 23 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $8.26 – $55.08 | 23 |
| Infect ag if influenza a CPT 87276 | not published | not published | $7.23 – $48.21 | 23 |
| Infect ag if influenza b CPT 87275 | not published | not published | $5.51 – $36.75 | 23 |
| Infect ag if legionella pneumophila CPT 87278 | not published | not published | $7.02 – $46.80 | 23 |
| Infect ag if nos ea CPT 87299 | not published | not published | $7.25 – $48.30 | 23 |
| Infect ag if pneumocystis carinii CPT 87281 | $47.92 | $47.92 | $5.39 – $35.94 | 23 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $6.04 – $40.26 | 23 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $24.06 – $160.41 | 23 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $15.79 – $105.27 | 23 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $19.28 – $128.52 | 23 |
| Infect ag na hpv high-risk types CPT 87624 | not published | not published | $15.79 – $105.27 | 23 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | not published | not published | $43.11 – $287.40 | 23 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $23.09 – $153.93 | 23 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $36.94 – $153.93 | 23 |
| Infect ag na resp virus 12-25 targets CPT 87633 | not published | not published | $187.55 – $1,250.34 | 23 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $219.90 – $1,465.98 | 23 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $11.73 – $78.21 | 23 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $18.62 – $124.14 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | not published | not published | $5.39 – $35.94 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $6.04 – $40.26 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | not published | not published | $6.22 – $41.46 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | not published | not published | $5.39 – $35.94 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | not published | not published | $6.47 – $43.14 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | not published | not published | $4.65 – $30.99 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | not published | not published | $4.65 – $30.99 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $923.00 | $923.00 | $10.84 – $72.24 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | not published | not published | $5.39 – $35.94 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $801.49 | $801.49 | $5.39 – $35.94 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $5.39 – $35.94 | 23 |
| Infectious agent nucleic acid amplified probe CPT 87798 | not published | not published | $15.79 – $105.27 | 23 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | not published | not published | $15.79 – $105.27 | 23 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | not published | not published | $16.77 – $111.81 | 23 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $235.00 | $235.00 | $187.55 – $1,250.34 | 23 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | not published | not published | $15.79 – $105.27 | 23 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $140.36 | $140.36 | $15.79 – $105.27 | 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.