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 |
|---|---|---|---|---|
| Bedside drainage bag HCPCS A4357 | not published | not published | $8.47 – $17.29 | 20 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $4.75 – $10.31 | 3 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $67.12 – $151.47 | 3 |
| Below elbow myoelectronic CT HCPCS L6935 | not published | not published | $8,041.90 – $16,418.87 | 20 |
| Below elbow prosth tiss shap HCPCS L6400 | not published | not published | $2,045.33 – $4,175.89 | 20 |
| Below knee acrylic socket HCPCS L5629 | not published | not published | $280.12 – $571.92 | 20 |
| Below knee cuff suspension HCPCS L5666 | not published | not published | $61.70 – $125.96 | 20 |
| Below knee cushion socket HCPCS L5646 | not published | not published | $482.95 – $986.03 | 20 |
| Below knee flex cover system HCPCS L5962 | not published | not published | $559.24 – $1,141.78 | 20 |
| Below knee leather socket HCPCS L5638 | not published | not published | $443.58 – $905.64 | 20 |
| Below knee suction socket HCPCS L5647 | not published | not published | $701.16 – $1,431.54 | 20 |
| Below knee sus/seal sleeve HCPCS L5685 | not published | not published | $114.17 – $233.10 | 20 |
| Below knee total contact HCPCS L5637 | not published | not published | $254.64 – $519.89 | 20 |
| Below knee wood socket HCPCS L5639 | not published | not published | $988.27 – $2,017.72 | 20 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $6.42 – $13.11 | 20 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $1.51 – $6.65 | 3 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $4.45 – $36.17 | 3 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $16.60 – $34.00 | 3 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $33.31 – $84.77 | 3 |
| #_benzodiazconfur CPT 80346 | not published | not published | $0.01 – $86.44 | 2 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $1,477.47 | $1,477.47 | $20.20 – $36.62 | 3 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | not published | not published | $11.45 – $76.35 | 23 |
| Beta-2 microglobulin CPT 82232 | not published | not published | $7.28 – $48.54 | 23 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $92.82 – $386.76 | 21 |
| Beta-amyloid 1-42 CPT 82234 | not published | not published | $92.82 – $386.76 | 21 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $191.74 | $191.74 | $8.38 – $18.31 | 3 |
| Bethanechol chloride inject HCPCS J0520 | not published | not published | $5.57 – $5.57 | 1 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $88.92 – $195.12 | 3 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $32.99 – $63.18 | 3 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $26.00 – $68.37 | 3 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $2.23 – $4.88 | 3 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $48.66 – $99.35 | 20 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $19.58 – $39.97 | 20 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $7.59 – $50.61 | 23 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $11.96 – $79.74 | 23 |
| Bilicheck CPT 88720 | not published | not published | $2.26 – $15.06 | 23 |
| Bilirubin direct CPT 82248 | $613.00 | $613.00 | $2.26 – $15.06 | 23 |
| Bilirubin total CPT 82247 | not published | not published | $2.26 – $15.06 | 23 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | not published | not published | $30.82 – $62.92 | 20 |
| Bio-connekt per square cm HCPCS Q4161 | not published | not published | $336.92 – $3,162.00 | 2 |
| Biodfence dryflex, 1cm HCPCS Q4138 | not published | not published | $297.65 – $336.92 | 2 |
| Biofeedback, pt CPT 90901 | not published | not published | $24.37 – $49.77 | 20 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $149.16 – $1,047.56 | 3 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $149.16 – $832.79 | 3 |
| Biotinidase - quest CPT 82261 | not published | not published | $7.59 – $50.61 | 23 |
| Biovance 1 square cm HCPCS Q4154 | not published | not published | $184.72 – $336.92 | 2 |
| Biovance tri or 3l, sq cm HCPCS Q4283 | not published | not published | $336.92 – $1,313.42 | 2 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $153.77 – $153.77 | 1 |
| Bivalirudin HCPCS J0583 | not published | not published | $0.18 – $0.42 | 3 |
| Bk/ak locking mechanism HCPCS L5671 | not published | not published | $506.87 – $1,034.85 | 20 |
| Bk back check HCPCS L5686 | not published | not published | $45.04 – $91.95 | 20 |
| Bk flex inner socket ext fra HCPCS L5645 | not published | not published | $703.30 – $1,435.91 | 20 |
| Bk fork strap HCPCS L5684 | not published | not published | $42.43 – $86.63 | 20 |
| Bk joint covers pair HCPCS L5678 | not published | not published | $35.00 – $71.46 | 20 |
| Bk knee joints polycentric p HCPCS L5677 | not published | not published | $434.61 – $887.32 | 20 |
| Bk knee joints single axis p HCPCS L5676 | not published | not published | $319.41 – $652.14 | 20 |
| Bk molded distal cushion HCPCS L5668 | not published | not published | $99.53 – $203.20 | 20 |
| Bk molded supracondylar susp HCPCS L5670 | not published | not published | $239.18 – $488.33 | 20 |
| Bk mold socket sach ft endo HCPCS L5301 | not published | not published | $2,424.64 – $4,950.30 | 20 |
| Bk removable medial brim sus HCPCS L5672 | not published | not published | $262.84 – $536.64 | 20 |
| Bk thigh lacer glut/ischia m HCPCS L5682 | not published | not published | $551.25 – $1,125.48 | 20 |
| Bk thigh lacer non-molded HCPCS L5680 | not published | not published | $292.15 – $596.48 | 20 |
| Bk waist belt padded and lin HCPCS L5690 | not published | not published | $86.26 – $176.11 | 20 |
| Bk waist belt webbing HCPCS L5688 | not published | not published | $53.84 – $109.93 | 20 |
| Bladder calculi irrig sol HCPCS Q2004 | not published | not published | $38.05 – $118.46 | 2 |
| Bladder irrigation tubing HCPCS A4355 | not published | not published | $9.15 – $18.68 | 20 |
| Bld prd mix CPT 86965 | not published | not published | $20.59 – $149.16 | 5 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | not published | not published | $26.36 – $61.00 | 3 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $186.18 – $433.75 | 3 |
| Blink reflex test CPT 95933 | not published | not published | $41.47 – $41.47 | 1 |
| Blm gene CPT 81209 | not published | not published | $17.69 – $117.93 | 23 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | not published | not published | $11.08 – $22.62 | 20 |
| Blood clot lysis time CPT 85175 | not published | not published | $6.21 – $61.11 | 23 |
| Blood clot retraction CPT 85170 | not published | not published | $4.94 – $48.90 | 23 |
| Blood Clotting (PT/INR) Test CPT 85610 | not published | not published | $1.93 – $12.87 | 23 |
| Blood Clotting (PTT) Test CPT 85730 | not published | not published | $2.70 – $18.03 | 23 |
| Blood Count (CBC) Test CPT 85025 | not published | not published | $3.50 – $23.31 | 23 |
| Blood Count (CBC) Test (without differential) CPT 85027 | not published | not published | $2.91 – $19.41 | 23 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $3.15 – $21.00 | 23 |
| Blood Culture Test CPT 87040 | not published | not published | $4.64 – $30.96 | 23 |
| Blood draw capillary 36416 CPT 36416 | not published | not published | $0.36 – $3.14 | 2 |
| Blood gases o2 saturation direct measurement CPT 82805 | $315.08 | $315.08 | $35.45 – $236.31 | 23 |
| Blood gases ph venous CPT 82800 | not published | not published | $2.78 – $33.00 | 23 |
| Blood, l/r, irradiated HCPCS P9056 | not published | not published | $155.54 – $155.54 | 1 |
| Blood mucoprotein HCPCS P2038 | not published | not published | $2.23 – $14.85 | 22 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | not published | not published | $7.16 – $47.76 | 23 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | not published | not published | $1.90 – $12.69 | 23 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | not published | not published | $1.97 – $13.14 | 23 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | not published | not published | $2.39 – $15.96 | 23 |
| Blood smear interpretation CPT 85060 | not published | not published | $18.48 – $92.16 | 5 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | not published | not published | $1.71 – $11.40 | 23 |
| Blood split unit HCPCS P9011 | not published | not published | $45.28 – $45.28 | 1 |
| Blood thymol turbidity HCPCS P2033 | not published | not published | $2.23 – $14.85 | 21 |
| Blood typing abo CPT 86900 | not published | not published | $1.35 – $8.97 | 23 |
| Blood typing ag donor ea ag CPT 86902 | not published | not published | $2.86 – $19.05 | 23 |
| Blood typing antigen system CPT 86911 | not published | not published | $14.15 – $80.24 | 5 |
| Blood typing paternity test CPT 86910 | not published | not published | $13.02 – $92.60 | 5 |
| Blood typing patient serum CPT 86904 | not published | not published | $7.35 – $49.02 | 23 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | not published | not published | $1.72 – $11.49 | 23 |
| Blood typing rh (d) CPT 86901 | not published | not published | $1.35 – $8.97 | 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.