Tristar Southern Hills Medical Center
TN 37211
Prices last published by the hospital: —
What these numbers mean.
Cash price is what the hospital lists for patients paying out of pocket.
Negotiated median is the middle of what insurance companies actually agreed to pay.
Gross charge is the sticker price — almost nobody pays it.
What you will actually pay is usually different from both numbers:
with insurance, your deductible, copay, or coinsurance decides what you owe —
the negotiated rate is what the insurer pays, not your bill.
A single line item may not be the whole cost: physician, anesthesia, pathology,
and facility fees can be billed separately.
Prices vary by hospital and change over time; always confirm with the hospital before you go.
Can't afford a bill from Tristar Southern Hills Medical Center?
This hospital has a financial assistance program that may reduce or erase it.
Financial assistance: see income limits & how to applyPrices at this hospital (245 procedures)
| Procedure | Cash price | Where it sits | Insurance pays (typical) | Gross charge |
|---|---|---|---|---|
| Ablation for supraventricular tachycardia | —Insurance typically pays $8,820Sticker price — | — | $8,820 | — |
| Achilles tendon repair, primary | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Ankle-brachial index (ABI), complete | —Insurance typically pays $1,325Sticker price — | — | $1,325 | — |
| Ankle-brachial index (ABI), limited | —Insurance typically pays $1,325Sticker price — | — | $1,325 | — |
| Ankle fracture repair, open | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Appendix removal, laparoscopic | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Application of long leg cast | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Application of short arm cast | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Application of short leg cast | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Application of short leg splint | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Arterial line placement | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Arterial puncture for blood draw | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Arteriovenous fistula creation for dialysis | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Arthroscopic ACL reconstruction | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Arthroscopic rotator cuff repair | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Aspiration of fluid from chest cavity | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Aspiration or injection of ganglion cyst | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Benign skin growth removal | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Biceps tenodesis (tendon repair) | —Insurance typically pays $2,890Sticker price — | — | $2,890 | — |
| Bladder catheter placement | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Blood draw | —Insurance typically pays $1,405Sticker price — | — | $1,405 | — |
| Bone biopsy, deep | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Bone biopsy, superficial | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Bowel adhesion removal, laparoscopic | —Insurance typically pays $3,178Sticker price — | — | $3,178 | — |
| Breast biopsy, open | —Insurance typically pays $3,178Sticker price — | — | $3,178 | — |
| Breast biopsy with stereotactic guidance | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Bunionectomy | —Insurance typically pays $2,890Sticker price — | — | $2,890 | — |
| Capillary blood draw (finger stick) | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Cardiac stress test | —Insurance typically pays $2,375Sticker price — | — | $2,375 | — |
| Carotid endarterectomy | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Carpal tunnel release | —Insurance typically pays $2,890Sticker price — | — | $2,890 | — |
| Cataract surgery, complex | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Cataract surgery with lens implant | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Cervical spinal fusion, anterior | —Insurance typically pays $3,383Sticker price — | — | $3,383 | — |
| Cesarean delivery only | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Cesarean delivery with routine obstetric care | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Closed treatment of broken middle or upper end of outside lower leg bone | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation | —Insurance typically pays $2,890Sticker price — | — | $2,890 | — |
| Cold knife conization of cervix | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Colectomy with colostomy | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Colonoscopy | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Colonoscopy with ablation of lesion | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Colonoscopy with biopsy | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Colonoscopy with polyp removal | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Colonoscopy with submucosal injection | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Coronary angiography | —Insurance typically pays $6,273Sticker price — | — | $6,273 | — |
| Coronary angioplasty (balloon), single vessel | —Insurance typically pays $8,820Sticker price — | — | $8,820 | — |
| Debridement of skin, muscle or fascia | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Diagnostic exam of bladder and urethra using an endoscope | —Insurance typically pays $3,383Sticker price — | — | $3,383 | — |
| Diagnostic exam of lower portion of large bowel using a flexible endoscope | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Dialysis circuit angiogram | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Dilation and curettage (D&C), diagnostic | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Distal radius fracture repair, open | —Insurance typically pays $2,890Sticker price — | — | $2,890 | — |
| Duplex ultrasound of aorta and iliac arteries | —Insurance typically pays $1,325Sticker price — | — | $1,325 | — |
| Duplex ultrasound of dialysis access | —Insurance typically pays $1,325Sticker price — | — | $1,325 | — |
| Duplex ultrasound of lower extremity arteries, bilateral | —Insurance typically pays $1,325Sticker price — | — | $1,325 | — |
| Ear wax removal | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| ECG reading | —Insurance typically pays $2,375Sticker price — | — | $2,375 | — |
| EKG | —Insurance typically pays $2,375Sticker price — | — | $2,375 | — |
| Electrophysiology study, comprehensive | —Insurance typically pays $6,400Sticker price — | — | $6,400 | — |
| Endoscopic lumbar decompression | —Insurance typically pays $2,890Sticker price — | — | $2,890 | — |
| Epidural injection, cervical or thoracic | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Epidural steroid shot, lower back | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Esophagus stretching | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Excision of breast lesion with radiologic marker | —Insurance typically pays $3,178Sticker price — | — | $3,178 | — |
| Eye injection | —Insurance typically pays $2,890Sticker price — | — | $2,890 | — |
| Eyelid bump removal | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Facet joint injection, cervical or thoracic | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Facet joint injection, lumbar or sacral | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Femoral/popliteal artery stent placement | —Insurance typically pays $3,178Sticker price — | — | $3,178 | — |
| Femoral-popliteal bypass graft | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Femur shaft fracture repair with plate or screws | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Fetal non-stress test | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Gallbladder removal (laparoscopic) | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Gastric bypass (Roux-en-Y), open | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Glaucoma laser treatment | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Glaucoma laser treatment | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Hammertoe correction | —Insurance typically pays $2,890Sticker price — | — | $2,890 | — |
| HCHG ARTHROCENT/ASPIR/INJ SMALL JOINT/BURSA WO US | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| HCHG BLOOD/BLOOD PRODUCT ADMIN PER UNIT | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| HCHG CT CHEST TUBE PLACEMENT AND PLEURAL DRAINAGE | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| HCHG CT THORACENTESIS PLEURAL ASPIRATION | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| HCHG DEBRIDE SQ TISSUE FIRST 20 SQ CM | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| HCHG ECHO 2D F-U OR LTD STUDY W BUBBLE | —Insurance typically pays $2,375Sticker price — | — | $2,375 | — |
| HCHG I D ABSCESS/CARB/CYST SINGLE SIMPLE | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| HCHG I D HEMATOMA/SEROMA FLUID COLL | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| HCHG INJ EPIDURAL BLOOD/CLOT PATCH TX | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| HCHG INSERT PICC WO SUBQ PORT/PUMP WO GUIDANCE >5 | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| HCHG INTUBATION ENDOTRACHEAL EMERGENCY | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| HCHG IR INJ CHOLANGIOGRAPHY PERC W GUIDE EXISTING | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| HCHG MEAS POST VOID RES US NON-IMAGING | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| HCHG OT APPLICATION LONG ARM CAST | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| HCHG OT EVAL HIGH COMPLEXITY | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG OT EVAL LOW COMPLEXITY | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG OT EVAL MOD COMPLEXITY | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG OT RE-EVALUATION | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG OT THER INTERVENT COGNITIVE FUNCT 1 1 EA ADDL | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG OT THER INTERVENT COGNITIVE FUNCT 1 1 INIT 15 | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG PARACENTESIS ABD WO IMAGING | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| HCHG PLCMT NEPHROSTOMY CATHETER WWO NEPHRO/URETERO | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| HCHG PT APPLICATION LONG ARM SPLINT | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| HCHG PT E-STIM-ATTENDED 15MIN | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG PT EVAL HIGH COMPLEXITY | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG PT EVAL LOW COMPLEXITY | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG PT EVAL MOD COMPLEXITY | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG PT FLUIDOTHERAPY | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG PT GAIT TRAINING 15MIN | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG PT GROUP THERAPY | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG PT IONTOPHORESIS 15MIN | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG PT MANUAL THERAPY 15MIN | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG PT MASSAGE 15 MIN | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG PT MECHANICAL TRACTION | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG PT NEUROMUSCULAR RE-ED 15MIN | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG PT ORTHO/PROSTHETIC TRAIN UPR/LWR EXT TRUNK S | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG PT PHONOPHORESIS 15MIN | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG PT RE-EVALUATION | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG PT SELFCARE/HOME MNGMNT 15MIN | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG PT STRAPPING ANKLE | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| HCHG PT THERAPEUTIC ACTIVITY 15MIN | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG PT THERAPEUTIC EXERCISE 15MIN | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG RAD ECHO STRESS TRANSTHORACIC 2D EXERCISE OR | —Insurance typically pays $3,477Sticker price — | — | $3,477 | — |
| HCHG RAD US ARTERIAL UPPER EXTREMITY BILATERAL COM | —Insurance typically pays $1,325Sticker price — | — | $1,325 | — |
| HCHG REPLACE CATH ONLY CVAD W SQ PORT/PUMP | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| HCHG REPOSITIONING PREV PLC CV CATH FLUOR GUID | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| HCHG RN APPL MULTLAY COMPRS LWR LEG UNILATERAL | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| HCHG SLP EVAL SPEECH SOUND W LANGUAGE COMP | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG SLP INDIV TX COMMUNICATION | —Insurance typically pays $287Sticker price — | — | $287 | — |
| HCHG THER APHERESIS PLASMA PHERESIS | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| HCHG VENOUS MECH THROMBECTOMY | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Heart catheterization | —Insurance typically pays $7,323Sticker price — | — | $7,323 | — |
| Heart catheterization with bypass graft angiography | —Insurance typically pays $7,323Sticker price — | — | $7,323 | — |
| Heart stent placement | —Insurance typically pays $9,690Sticker price — | — | $9,690 | — |
| Heart ultrasound | —Insurance typically pays $3,477Sticker price — | — | $3,477 | — |
| Hemorrhoid banding | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Hemorrhoid removal | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Hernia repair (inguinal) | —Insurance typically pays $2,890Sticker price — | — | $2,890 | — |
| Hernia repair, laparoscopic | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Hernia repair, open | —Insurance typically pays $2,890Sticker price — | — | $2,890 | — |
| Hip fracture repair with pins or screws | —Insurance typically pays $3,178Sticker price — | — | $3,178 | — |
| Hip fracture repair with plate and screws | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Hip replacement (total) | —Insurance typically pays $3,895Sticker price — | — | $3,895 | — |
| Hysterectomy (laparoscopic) | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Hysteroscopy with biopsy | —Insurance typically pays $3,178Sticker price — | — | $3,178 | — |
| Hysteroscopy with endometrial ablation | —Insurance typically pays $3,178Sticker price — | — | $3,178 | — |
| Iliac artery stent placement | —Insurance typically pays $3,178Sticker price — | — | $3,178 | — |
| Inguinal hernia repair, incarcerated, open | —Insurance typically pays $2,890Sticker price — | — | $2,890 | — |
| Insertion of tube in bypass graft for diagnosis with review by radiologist | —Insurance typically pays $6,273Sticker price — | — | $6,273 | — |
| Insertion of tube in right heart chambers for measurement | —Insurance typically pays $7,323Sticker price — | — | $7,323 | — |
| IV placement (needle into vein) | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Joint injection, large joint | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Joint injection, medium joint | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Joint injection with ultrasound | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Knee arthroscopy | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Knee arthroscopy, meniscectomy medial and lateral | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Knee arthroscopy with debridement | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Knee arthroscopy with meniscus repair | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Knee replacement (total) | —Insurance typically pays $3,895Sticker price — | — | $3,895 | — |
| Kyphoplasty (vertebral augmentation) | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Laparoscopic colectomy with anastomosis | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Laparoscopic gastric bypass | —Insurance typically pays $3,646Sticker price — | — | $3,646 | — |
| Laparoscopic incisional hernia repair | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Laparoscopic inguinal hernia repair, incarcerated | —Insurance typically pays $2,890Sticker price — | — | $2,890 | — |
| Laparoscopic partial colectomy | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Laparoscopic removal of ovary | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Laparoscopic sleeve gastrectomy | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Laparoscopic ventral hernia repair | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Laser treatment after cataract surgery | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| LEEP conization of cervix | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Left heart catheterization with coronary angiography | —Insurance typically pays $7,323Sticker price — | — | $7,323 | — |
| Leg vein ultrasound | —Insurance typically pays $1,325Sticker price — | — | $1,325 | — |
| Liver biopsy | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Lumbar laminectomy with discectomy | —Insurance typically pays $3,383Sticker price — | — | $3,383 | — |
| Lumbar laminectomy with facetectomy | —Insurance typically pays $3,383Sticker price — | — | $3,383 | — |
| Lumbar spinal fusion, posterior | —Insurance typically pays $3,383Sticker price — | — | $3,383 | — |
| Lumpectomy (partial mastectomy) | —Insurance typically pays $2,890Sticker price — | — | $2,890 | — |
| Lysis of bowel adhesions, open | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Manipulation of knee under anesthesia | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Mastectomy, modified radical | —Insurance typically pays $2,890Sticker price — | — | $2,890 | — |
| Mastectomy, simple | —Insurance typically pays $2,890Sticker price — | — | $2,890 | — |
| Mohs skin cancer surgery | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Nail avulsion, additional nail | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Nail avulsion (ingrown nail removal) | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Nail bed removal | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Nail trimming, 6 or more nails | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Neck artery ultrasound | —Insurance typically pays $1,325Sticker price — | — | $1,325 | — |
| Occipital nerve block | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Occlusion of growths or obstructed vessels with review by radiologist | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Osteotomy of foot bone | —Insurance typically pays $2,890Sticker price — | — | $2,890 | — |
| Pacemaker insertion, single chamber | —Insurance typically pays $3,704Sticker price — | — | $3,704 | — |
| Panniculectomy (excess abdominal skin removal) | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Parathyroidectomy | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Partial colectomy | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Partial excision of foot bone | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Peripheral nerve block | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Posterior spinal instrumentation | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Precancerous skin spot removal | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Precancerous skin spots removal, 15+ | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Precancerous skin spots removal, 2-14 | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Radiofrequency ablation, lumbar/sacral facet nerve | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Radiofrequency ablation of facet joint nerve | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Removal of abdominal cavity tube | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Rhythm ECG interpretation | —Insurance typically pays $2,375Sticker price — | — | $2,375 | — |
| Sacroiliac joint injection | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Salpingo-oophorectomy (tube and ovary removal) | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Shoulder arthroscopy with distal clavicle excision | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Shoulder arthroscopy with subacromial decompression | —Insurance typically pays $3,588Sticker price — | — | $3,588 | — |
| Sigmoidoscopy | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Sigmoidoscopy with biopsy | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Simple drainage of abscess of finger | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Skin biopsy | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Skin biopsy, shave | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Skin cancer removal | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Skin substitute graft | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Sleep study (polysomnography) | —Insurance typically pays $1,514Sticker price — | — | $1,514 | — |
| Sleep study with CPAP initiation | —Insurance typically pays $1,514Sticker price — | — | $1,514 | — |
| Small bowel resection | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Spinal nerve injection, lower back | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Tendon insertion injection | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Tendon sheath injection | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Thyroid biopsy, open | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Tilt table test | —Insurance typically pays $7,095Sticker price — | — | $7,095 | — |
| Tonsillectomy | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Total abdominal hysterectomy | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Total shoulder replacement (arthroplasty) | —Insurance typically pays $3,895Sticker price — | — | $3,895 | — |
| Total thyroidectomy | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Total thyroidectomy with neck dissection | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Transforaminal epidural, additional level | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Trigger finger release | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Trigger point injection | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Trigger point injections, multiple | —Insurance typically pays $2,601Sticker price — | — | $2,601 | — |
| Unattended home sleep study | —Insurance typically pays $1,514Sticker price — | — | $1,514 | — |
| Upper endoscopy | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Upper endoscopy (EGD) | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Upper endoscopy with ablation | —Insurance typically pays $2,890Sticker price — | — | $2,890 | — |
| Upper endoscopy with control of bleeding | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Upper endoscopy with fine needle biopsy | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Upper endoscopy with guide wire placement | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Upper endoscopy with limited ultrasound | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Upper endoscopy with submucosal injection | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Upper endoscopy with ultrasound | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Vaginal delivery only | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Vaginal delivery with routine obstetric care | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Vertebroplasty | —Insurance typically pays $3,383Sticker price — | — | $3,383 | — |
| Voice box scope | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
| Wound repair, layered stitches | —Insurance typically pays $2,576Sticker price — | — | $2,576 | — |
Source: this hospital's own published price file. Original file · Methodology