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 |
|---|---|---|---|---|
| Procalcitonin CPT 84145 | not published | not published | $12.25 – $81.66 | 23 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $163.50 – $163.50 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $502.96 | $502.96 | $3.56 – $6.68 | 3 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.45 – $2.07 | 2 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $134.75 – $336.92 | 2 |
| Progesterone CPT 84144 | not published | not published | $9.39 – $62.58 | 23 |
| Prolactin CPT 84146 | not published | not published | $8.72 – $58.14 | 23 |
| Prolong service without contact CPT 99358 | not published | not published | $161.23 – $161.23 | 1 |
| Prolong serv without contact add CPT 99359 | not published | not published | $77.54 – $77.54 | 1 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.11 – $0.77 | 2 |
| Promethazine hcl injection HCPCS J2550 | $72.28 | $72.28 | $4.06 – $10.52 | 3 |
| Propofol infusion 10 mg/ml HCPCS J2704 | not published | not published | $0.11 – $0.24 | 2 |
| _propoxygc/msur CPT 80367 | not published | not published | $0.01 – $86.44 | 2 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $264.03 | $264.03 | $11.69 – $29.12 | 3 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $67.03 – $136.86 | 20 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $99.48 – $203.11 | 20 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $21.79 – $44.50 | 20 |
| Pros sock single ply ak HCPCS L8480 | not published | not published | $8.11 – $16.57 | 20 |
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $9.81 – $20.02 | 20 |
| Prostate biopsy, any mthd HCPCS G0416 | not published | not published | $291.26 – $419.03 | 4 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | not published | not published | $97.36 – $198.77 | 20 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $37.34 – $76.23 | 20 |
| Prosthetic sock multi ply bk HCPCS L8420 | not published | not published | $22.08 – $45.08 | 20 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $737.22 – $1,505.16 | 20 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | not published | $5.88 – $12.01 | 20 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $197.13 | $197.13 | $1.10 – $4.16 | 3 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $50.23 – $102.56 | 20 |
| Protector nerve neurawrap 4cm HCPCS C9353 | not published | not published | $1,359.35 – $1,359.35 | 1 |
| Protein analysis w/probe CPT 88372 | not published | not published | $11.80 – $78.66 | 23 |
| Protein c activity CPT 85303 | $1,371.38 | $1,371.38 | $6.23 – $41.52 | 23 |
| Protein c concentrate HCPCS J2724 | not published | not published | $18.36 – $39.78 | 3 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | not published | not published | $4.83 – $32.22 | 23 |
| Protein s total CPT 85305 | not published | not published | $5.22 – $34.83 | 23 |
| Protein total 24 hour urine CPT 84156 | not published | not published | $1.65 – $11.01 | 23 |
| Protein total body fluid CPT 84157 | not published | not published | $1.80 – $12.00 | 23 |
| Protein total serum plasma whole blood CPT 84155 | not published | not published | $1.65 – $11.01 | 23 |
| Protein western blot tissue CPT 88371 | not published | not published | $10.00 – $66.69 | 23 |
| Prothrombin complex kcentra HCPCS J7168 | $36.34 | $36.34 | $3.58 – $5.54 | 3 |
| Prothrombin time substitution plasma fractions each CPT 85611 | not published | not published | $1.77 – $11.82 | 23 |
| Proton treatment complex CPT 77525 | not published | not published | $600.79 – $4,417.56 | 4 |
| Proton trmt intermediate CPT 77523 | not published | not published | $502.30 – $4,417.56 | 4 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $403.81 – $3,197.36 | 4 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $305.32 – $3,197.36 | 4 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $4.38 – $29.22 | 23 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $59.31 – $121.10 | 20 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $947.17 – $947.17 | 1 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $43.29 – $43.29 | 1 |
| PSA (Prostate) Test CPT 84153 | not published | not published | $8.28 – $55.17 | 23 |
| Psychoanalysis CPT 90845 | not published | not published | $125.42 – $125.42 | 1 |
| Psychophysiological therapy CPT 90875 | not published | not published | $92.59 – $92.59 | 1 |
| Psychophysiological therapy CPT 90876 | not published | not published | $156.35 – $156.35 | 1 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $38.99 – $38.99 | 1 |
| Psy evaluation of records CPT 90885 | not published | not published | $67.80 – $67.80 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | not published | not published | $8.86 – $18.10 | 20 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $12.82 – $12.82 | 1 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | not published | not published | $11.39 – $23.25 | 20 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | not published | not published | $8.60 – $17.55 | 20 |
| Pt application of modality traction mechanical CPT 97012 | not published | not published | $8.66 – $17.67 | 20 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $129.40 – $129.40 | 1 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $87.60 – $900.00 | 23 |
| Pten gene full sequence CPT 81321 | not published | not published | $171.88 – $1,800.00 | 23 |
| Pten gene known fam variant CPT 81322 | not published | not published | $20.97 – $139.80 | 23 |
| Pt evaluation high complexity patient/family CPT 97163 | $759.72 | $759.72 | $59.25 – $120.98 | 20 |
| Pt evaluation low complexity patient/family CPT 97161 | $717.62 | $717.62 | $59.25 – $120.98 | 20 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $738.37 | $738.37 | $59.25 – $120.98 | 20 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $58.26 – $58.26 | 1 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $1,006.80 – $2,055.55 | 20 |
| Pt re-evaluation patient/family CPT 97164 | $717.62 | $717.62 | $40.63 – $82.95 | 20 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | not published | not published | $24.72 – $50.46 | 20 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $7.58 – $15.47 | 20 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | not published | not published | $17.53 – $35.78 | 20 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $17.72 – $36.17 | 20 |
| Pt wheelchair management each 15 minutes CPT 97542 | not published | not published | $18.74 – $38.25 | 20 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $523.86 – $523.86 | 1 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $2,475.00 – $16,228.80 | 23 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $88.96 – $471.74 | 5 |
| Pulse ox continuous overnight monitoring CPT 94762 | not published | not published | $59.56 – $59.56 | 1 |
| Pulse ox multiple CPT 94761 | $488.82 | $488.82 | $35.76 – $35.76 | 1 |
| Pulse ox single CPT 94760 | not published | not published | $13.47 – $13.47 | 1 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $217.55 – $336.92 | 2 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $117.11 – $336.92 | 2 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $611.63 – $1,248.74 | 20 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $14,489.21 – $29,582.13 | 20 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $67.65 | $67.65 | $12.51 – $41.23 | 3 |
| Pyruvate CPT 84210 | not published | not published | $6.52 – $43.44 | 23 |
| Pyruvate kinase CPT 84220 | not published | not published | $4.25 – $28.32 | 23 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $330.39 – $674.54 | 20 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $153.72 – $736.37 | 5 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $132.36 – $472.29 | 5 |
| Quest t3 uptake CPT 84479 | not published | not published | $2.91 – $19.41 | 23 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $422.27 – $862.13 | 20 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $312.46 – $589.41 | 2 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $543.08 – $933.97 | 3 |
| Rabies ig ht&sol human im/sc CPT 90377 | $9,568.77 | $9,568.77 | $294.84 – $636.34 | 3 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $354.46 – $741.87 | 3 |
| Rabies vaccine id CPT 90676 | not published | not published | $627.68 – $627.68 | 1 |
| Radiation handling CPT 77790 | not published | not published | $22.93 – $57.48 | 3 |
| Radiation physics consult CPT 77336 | not published | not published | $65.76 – $467.91 | 4 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $30.76 – $117.96 | 4 |
| Radiation therapy management CPT 77431 | not published | not published | $129.38 – $405.64 | 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.