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 |
|---|---|---|---|---|
| Blood typing rh phenotype complete reference CPT 86906 | $31.00 | $31.00 | $3.49 – $23.25 | 23 |
| Blood volume CPT 78122 | not published | not published | $68.96 – $611.66 | 5 |
| Bls-emergency HCPCS A0429 | not published | not published | $506.58 – $506.58 | 1 |
| Body jacket mold to patient HCPCS L1300 | not published | not published | $1,382.06 – $2,821.71 | 20 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | not published | not published | $336.92 – $336.92 | 1 |
| Bone Density Scan (DEXA) CPT 77080 | $1,060.22 | $1,060.22 | $34.23 – $154.52 | 5 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $152.20 – $664.90 | 5 |
| Bone/joint imaging ltd area CPT 78300 | $3,169.01 | $3,169.01 | $112.22 – $554.43 | 5 |
| Bone marrow imaging body CPT 78104 | not published | not published | $145.56 – $602.01 | 5 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $91.89 – $471.74 | 5 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $120.56 – $471.74 | 5 |
| Bone marrow interpretation CPT 85097 | not published | not published | $37.15 – $656.15 | 5 |
| Bone mineral dual photon CPT 78351 | not published | not published | $14.49 – $57.72 | 5 |
| Bone mineral single photon CPT 78350 | not published | not published | $19.10 – $67.82 | 5 |
| Bone survey-lead poisoning CPT 77074 | not published | not published | $43.06 – $154.52 | 5 |
| Bone tendon board add on HCPCS C9356 | not published | not published | $134.88 – $134.88 | 1 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $8.71 – $17.79 | 20 |
| Boot j walker l HCPCS L4386 | not published | not published | $141.04 – $287.96 | 20 |
| Boot mlti podous univ xlg HCPCS L4396 | not published | not published | $149.34 – $304.89 | 20 |
| Boot softgait shrt m HCPCS L4387 | not published | not published | $141.04 – $287.96 | 20 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | not published | not published | $243.40 – $496.95 | 20 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | not published | not published | $243.40 – $496.95 | 20 |
| Borrelia antibody CPT 86619 | not published | not published | $6.02 – $40.14 | 23 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | not published | not published | $7.66 – $51.09 | 23 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $15.79 – $105.27 | 23 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $2.15 – $7.10 | 3 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $1.54 – $10.29 | 23 |
| Botulism ig IV CPT 90288 | not published | not published | $60,394.20 – $60,394.20 | 1 |
| Bowel imaging CPT 78290 | not published | not published | $124.00 – $841.54 | 5 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $151.42 – $309.16 | 20 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $390.14 – $796.53 | 20 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $195.72 – $399.60 | 20 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $458.60 – $936.32 | 20 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $747.15 – $1,525.43 | 20 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $113.70 – $232.14 | 20 |
| Brace ank air stirrup univ HCPCS L4350 | not published | not published | $87.00 – $177.62 | 20 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $63.82 – $130.30 | 20 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $67.96 – $138.75 | 20 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $229.92 – $469.42 | 20 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $664.38 – $1,356.44 | 20 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $556.17 – $1,135.52 | 20 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $365.71 – $746.66 | 20 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $1,322.38 – $2,699.86 | 20 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $1,559.95 – $3,184.90 | 20 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $574.19 – $1,172.31 | 20 |
| Brace cust back lso HCPCS L0631 | not published | not published | $913.30 – $1,864.65 | 20 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $814.97 – $1,663.89 | 20 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $250.29 – $511.02 | 20 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $80.79 – $164.95 | 20 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $1,535.03 – $3,134.03 | 20 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $504.35 – $1,029.72 | 20 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | not published | $670.69 – $1,369.32 | 20 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $107.27 – $219.02 | 20 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $400.54 – $817.78 | 20 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $833.28 – $1,701.29 | 20 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $107.70 – $219.90 | 20 |
| Brace m arm board HCPCS L3809 | not published | not published | $202.46 – $413.35 | 20 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $1,211.11 – $2,472.69 | 20 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $884.82 – $1,806.51 | 20 |
| Brace oths wrist hnd fngr without HCPCS L3807 | not published | not published | $202.46 – $413.35 | 20 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $104.47 – $213.30 | 20 |
| Brace wrist classic lft sm HCPCS L3908 | not published | not published | $48.51 – $99.03 | 20 |
| Brachytx isodose complex CPT 77318 | not published | not published | $177.44 – $989.63 | 4 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $130.68 – $731.69 | 4 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $100.29 – $555.05 | 4 |
| Braf gene CPT 81210 | not published | not published | $78.93 – $526.20 | 23 |
| Brain flow imaging only CPT 78610 | $4,677.32 | $4,677.32 | $54.56 – $611.66 | 5 |
| Brain image < 4 views CPT 78600 | not published | not published | $82.04 – $471.74 | 5 |
| Brain image 4+ views CPT 78605 | not published | not published | $98.20 – $611.66 | 5 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $92.96 – $551.85 | 5 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $117.24 – $846.88 | 5 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $6,980.43 | $6,980.43 | $275.76 – $1,003.51 | 4 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $6,529.38 | $6,529.38 | $222.72 – $624.61 | 4 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $6,415.71 | $6,415.71 | $223.96 – $593.65 | 4 |
| Brain MRI (with and without contrast) CPT 70553 | $10,547.33 | $10,547.33 | $425.72 – $1,120.82 | 4 |
| Brain MRI (with contrast) CPT 70552 | $9,349.34 | $9,349.34 | $331.56 – $750.33 | 4 |
| Brain MRI (without contrast) CPT 70551 | $5,921.36 | $5,921.36 | $275.76 – $540.88 | 4 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $38.77 – $79.16 | 20 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $210.60 – $1,404.00 | 23 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $262.90 – $1,752.69 | 23 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $69.87 – $1,125.75 | 23 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $135.61 – $904.05 | 23 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $127.30 – $848.64 | 23 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $83.30 – $555.36 | 23 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $69.87 – $1,125.75 | 23 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $127.30 – $848.64 | 23 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $176.70 – $1,320.00 | 23 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $821.20 – $5,474.64 | 23 |
| Breast prosthesis bra & form HCPCS L8001 | not published | not published | $111.80 – $228.26 | 20 |
| Breast prosthesis w adhesive HCPCS L8031 | not published | not published | $290.68 – $593.47 | 20 |
| Breast prosthes without adhesive HCPCS L8030 | not published | not published | $290.68 – $593.47 | 20 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $18.16 – $18.16 | 1 |
| Breathing response hypoxia CPT 94450 | not published | not published | $19.97 – $19.97 | 1 |
| Breath recording infant CPT 94772 | not published | not published | $185.36 – $185.36 | 1 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $42.48 – $311.44 | 22 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $4.98 – $36.25 | 22 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $297.11 – $711.39 | 3 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $598,359.73 – $1,297,043.03 | 2 |
| Brief chkin, 5-10, non-e/m HCPCS G2251 | not published | not published | $9.64 – $19.68 | 20 |
| Brompheniramine maleate inj HCPCS J0945 | not published | not published | $0.87 – $0.99 | 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.