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 |
|---|---|---|---|---|
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $23.13 – $23.13 | 1 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $19.97 – $19.97 | 1 |
| Allergy Skin Testing CPT 95004 | not published | not published | $4.90 – $4.90 | 1 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $10.13 – $10.13 | 1 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | not published | $21.14 – $21.14 | 1 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $97.96 – $336.92 | 2 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $129.79 – $336.92 | 2 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | not published | not published | $336.92 – $336.92 | 1 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $38.28 – $336.92 | 2 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $191.79 – $336.92 | 2 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $106.59 – $336.92 | 2 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $161.11 – $336.92 | 2 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $303.17 – $336.92 | 2 |
| Alloskin HCPCS Q4115 | not published | not published | $19.27 – $336.92 | 2 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $52.99 – $336.92 | 2 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $29.84 – $29.84 | 1 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $12.07 – $12.07 | 1 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.99 – $14.23 | 3 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $28.98 – $193.23 | 23 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $7.65 – $51.00 | 23 |
| Alpha-fetoprotein tumor marker CPT 82105 | not published | not published | $7.55 – $50.31 | 23 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $1.27 – $13.00 | 2 |
| Alprostadil urethral suppos HCPCS J0275 | not published | not published | $31.90 – $31.90 | 1 |
| Als 1 HCPCS A0426 | not published | not published | $379.93 – $379.93 | 1 |
| Als1-emergency HCPCS A0427 | not published | not published | $601.56 – $601.56 | 1 |
| Als 2 HCPCS A0433 | not published | not published | $870.68 – $870.68 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | not published | not published | $111.82 – $248.65 | 3 |
| Alt/sgpt CPT 84460 | not published | not published | $2.38 – $15.90 | 23 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $5.63 – $12.22 | 3 |
| Aluminum - quest CPT 82108 | not published | not published | $11.47 – $76.44 | 23 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $108.67 – $108.67 | 1 |
| Amantadine (symmetrel)-sendout CPT 80375 | $47.24 | $47.24 | $0.01 – $86.44 | 2 |
| Ambl bp mntr w/software CPT 93784 | not published | not published | $89.23 – $89.23 | 1 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $232.72 – $232.72 | 1 |
| Ambl bp mntr w/sw i&r CPT 93790 | not published | not published | $78.55 – $78.55 | 1 |
| Amifostine HCPCS J0207 | not published | not published | $1,160.41 – $1,355.12 | 2 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $70.20 | $70.20 | $0.74 – $1.64 | 3 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $2.70 – $17.97 | 23 |
| Amino acid screen, urine CPT 82128 | not published | not published | $6.24 – $41.61 | 23 |
| Amino acid single qual CPT 82127 | not published | not published | $6.38 – $42.54 | 23 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $8.00 – $58.83 | 23 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $68.04 | $68.04 | $1.60 – $4.21 | 2 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $2.15 – $4.74 | 3 |
| Aminolevulinic acid delta CPT 82135 | not published | not published | $7.40 – $49.35 | 23 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $482.23 – $1,033.05 | 3 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $110.61 | $110.61 | $13.50 – $27.59 | 3 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $3.00 – $6.70 | 2 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | not published | not published | $0.40 – $1.09 | 3 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $0.01 – $86.44 | 2 |
| Amitriptyline injection HCPCS J1320 | not published | not published | $2.78 – $2.78 | 1 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $25.50 – $59.78 | 3 |
| Ammonia CPT 82140 | not published | not published | $6.56 – $43.71 | 23 |
| Amnioarmor 1 sq cm HCPCS Q4188 | not published | not published | $336.92 – $673.57 | 2 |
| Amniocore per sq cm HCPCS Q4227 | not published | not published | $336.92 – $1,288.11 | 2 |
| Amnio-maxx or lite per sq cm HCPCS Q4239 | not published | not published | $336.92 – $2,957.40 | 2 |
| Amniotic fluid scan CPT 82143 | not published | not published | $4.21 – $28.05 | 23 |
| Amniowrap2 per sq cm HCPCS Q4221 | not published | not published | $336.92 – $2,300.20 | 2 |
| Amobarbital 125 mg inj HCPCS J0300 | not published | not published | $30.98 – $231.79 | 3 |
| Amphetamine confirm urine -sendout CPT 80324 | not published | not published | $0.01 – $86.44 | 2 |
| Amphetamines 5 or more CPT 80326 | not published | not published | $0.01 – $36.92 | 2 |
| Ampho b cholesteryl sulfate HCPCS J0288 | not published | not published | $17.36 – $17.36 | 1 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $490.68 | $490.68 | $58.16 – $114.72 | 3 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $12.60 – $27.43 | 3 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $5,296.95 | $5,296.95 | $26.82 – $54.91 | 3 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | not published | not published | $0.72 – $1.56 | 3 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | not published | not published | $1.92 – $3.52 | 3 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $189.35 – $788.97 | 22 |
| Amylase CPT 82150 | not published | not published | $2.92 – $19.44 | 23 |
| Anabolic steroid 1 or 2 CPT 80327 | not published | not published | $0.01 – $86.44 | 2 |
| Anabolic steroid 3 or more CPT 80328 | not published | not published | $0.01 – $99.48 | 2 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $68.72 – $151.50 | 3 |
| Ana ds-dna CPT 86226 | not published | not published | $5.45 – $36.33 | 23 |
| Analgesics non-opioid 3-5 CPT 80330 | not published | not published | $0.01 – $20.40 | 2 |
| Analgesics non-opioid 6/more CPT 80331 | not published | not published | $0.01 – $32.60 | 2 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | not published | not published | $0.01 – $86.44 | 2 |
| Anal pressure record CPT 91122 | not published | not published | $38.01 – $38.01 | 1 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | not published | not published | $78.29 – $78.29 | 1 |
| Analysis gene f2 20210g>a variant CPT 81240 | not published | not published | $29.56 – $197.07 | 23 |
| Analysis gene f5 leiden variant CPT 81241 | not published | not published | $33.02 – $220.11 | 23 |
| Analysis nerve CPT 88356 | not published | not published | $49.76 – $426.24 | 5 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | not published | not published | $58.94 – $58.94 | 1 |
| Analysis tumor CPT 88358 | not published | not published | $33.97 – $189.68 | 5 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | not published | not published | $57.98 – $57.98 | 1 |
| Anaplsma phgcytophlm amp prb CPT 87468 | not published | not published | $15.79 – $105.27 | 23 |
| Anastrozole 1 mg HCPCS S0170 | $230.03 | $230.03 | $0.61 – $0.61 | 1 |
| Anca screen with reflex to titer -quest CPT 86021 | not published | not published | $6.77 – $45.15 | 23 |
| Androstanediol CPT 82154 | not published | not published | $12.97 – $86.49 | 23 |
| An fluoro guide for cvp CPT 77001 | $1,683.26 | $1,683.26 | $53.15 – $137.17 | 3 |
| Angioscopy CPT 35400 | not published | not published | $153.70 – $153.70 | 1 |
| Angiotensin ii CPT 82163 | not published | not published | $9.23 – $61.56 | 23 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $0.59 – $1.35 | 3 |
| Ank-foot sys dors-plant flex HCPCS L5973 | not published | not published | $15,335.93 – $31,310.85 | 20 |
| Ankle X-ray CPT 73610 | not published | not published | $22.26 – $89.17 | 5 |
| Ank symes mold sckt sach ft HCPCS L5050 | not published | not published | $2,116.49 – $4,321.17 | 20 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | not published | not published | $72.14 – $72.14 | 1 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | not published | not published | $101.22 – $101.22 | 1 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | not published | not published | $78.81 – $78.81 | 1 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | not published | $96.18 – $96.18 | 1 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $4.41 – $9.01 | 20 |
| Anora (draw only) CPT 99001 | not published | not published | $6.63 – $6.98 | 2 |
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.