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 |
|---|---|---|---|---|
| Polycentric hinge pair HCPCS L6600 | not published | not published | $165.34 – $337.57 | 20 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $1,309.56 – $1,309.56 | 1 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $269.09 – $269.09 | 1 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $10,702.61 | $10,702.61 | $361.13 – $361.13 | 1 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $4.73 – $31.53 | 23 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $27,987.60 – $64,205.31 | 3 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $44.54 – $90.93 | 20 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $44.54 – $90.93 | 20 |
| Positional nystagmus test CPT 92532 | not published | not published | $27.93 – $27.93 | 1 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $11.25 – $75.00 | 22 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $387.51 – $791.17 | 20 |
| Postop app non-wgt bear dsg HCPCS L5450 | not published | not published | $360.86 – $736.75 | 20 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $480.78 – $981.59 | 20 |
| Postop dress & 1 cast chg bk HCPCS L5400 | not published | not published | $1,200.40 – $2,450.81 | 20 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $1,471.05 – $3,003.39 | 20 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $443.57 – $905.62 | 20 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $368.29 – $751.92 | 20 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $1,619.78 – $3,307.04 | 20 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $1,076.65 – $2,198.16 | 20 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $353.98 – $722.71 | 20 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $1,422.14 – $2,903.53 | 20 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $1,228.31 – $2,507.81 | 20 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $1,156.71 – $1,156.71 | 1 |
| Potassium 24 hour urine CPT 84133 | not published | not published | $2.13 – $14.19 | 23 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | not published | $0.14 – $0.32 | 3 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $2.62 – $17.49 | 22 |
| Potassium serum/plasma/whole blood CPT 84132 | not published | not published | $2.14 – $14.28 | 23 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $2.12 – $4.32 | 20 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $3.63 – $7.41 | 20 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $5.65 – $11.54 | 20 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $4.47 – $9.13 | 20 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $2.25 – $4.59 | 20 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $3.68 – $7.51 | 20 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $3.74 – $7.64 | 20 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $61.65 – $411.00 | 23 |
| Pq biliary strict dil s&i CPT 74363 | not published | not published | $72.20 – $162.80 | 3 |
| Pq dr cath chg w cont s&i CPT 75984 | not published | not published | $67.34 – $147.24 | 3 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $370.92 – $1,040.71 | 3 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $2,017.60 | $2,017.60 | $104.04 – $275.71 | 3 |
| Pr application of long arm splint CPT 29105 | not published | not published | $164.26 – $164.26 | 1 |
| Pr application splint static short arm CPT 29125 | not published | not published | $133.09 – $133.09 | 1 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $141.28 | $141.28 | $20.19 – $20.19 | 1 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | not published | not published | $67.65 – $138.12 | 20 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $91.49 – $91.49 | 1 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $126.42 – $126.42 | 1 |
| Prealbumin CPT 84134 | not published | not published | $6.57 – $43.77 | 23 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $18.13 – $3,807.00 | 2 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $78.11 – $3,807.00 | 2 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $0.64 – $0.64 | 1 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $50.28 | $50.28 | $0.30 – $2.44 | 2 |
| Prednisone 1 mg tablet HCPCS J7512 | not published | not published | $0.01 – $0.03 | 2 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $149.93 – $306.10 | 20 |
| Pregabalin - sendout CPT 80366 | not published | not published | $0.01 – $86.44 | 2 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $6.77 – $45.15 | 23 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | not published | not published | $85.94 – $277.55 | 5 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | not published | not published | $47.30 – $222.49 | 5 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $79.12 – $79.12 | 1 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $678.85 – $678.85 | 1 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $1,156.71 – $1,156.71 | 1 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $1,156.71 – $1,156.71 | 1 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $1,781.11 – $3,636.43 | 20 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $2,118.97 – $4,326.22 | 20 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $1,713.19 – $3,497.76 | 20 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $2,079.32 – $4,245.27 | 20 |
| Prepare donor heart CPT 33944 | not published | not published | $428.28 – $428.28 | 1 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $49.76 – $325.87 | 3 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $1,595.40 – $3,257.27 | 20 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $1,494.78 – $3,051.85 | 20 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $1,283.28 – $2,620.04 | 20 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $1,522.48 – $3,108.40 | 20 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $760.34 – $760.34 | 1 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $657.62 – $657.62 | 1 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $131.80 – $131.80 | 1 |
| Pressure velocity wire add ves CPT 93572 | not published | not published | $250.40 – $250.40 | 1 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $450.98 – $920.75 | 20 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $22.20 – $149.16 | 5 |
| Pretreat rbc absorption reference CPT 86978 | not published | not published | $22.20 – $125.96 | 5 |
| Pretreat rbc density gradient separation reference CPT 86972 | $825.38 | $825.38 | $25.74 – $149.16 | 5 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $1.55 – $104.96 | 5 |
| Pretreat rbc w enzyme reference CPT 86971 | $825.38 | $825.38 | $14.80 – $291.26 | 5 |
| Preventive counseling group CPT 99411 | not published | not published | $65.55 – $65.55 | 1 |
| Preventive counseling group CPT 99412 | not published | not published | $54.76 – $54.76 | 1 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $23.27 – $23.27 | 1 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $70.52 – $70.52 | 1 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $114.16 – $114.16 | 1 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $152.89 – $152.89 | 1 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $30.10 – $3,807.00 | 2 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $25.82 – $3,807.00 | 2 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $24.39 – $3,807.00 | 2 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $31.60 – $3,807.00 | 2 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $35.91 – $3,807.00 | 2 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $40.71 – $3,807.00 | 2 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $456.13 – $456.13 | 1 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $212.08 – $212.08 | 1 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $164.69 – $164.69 | 1 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $99.73 – $99.73 | 1 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $106.55 – $106.55 | 1 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $77.71 – $77.71 | 1 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $52.49 – $52.49 | 1 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $347.64 – $913.00 | 3 |
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.