TRISTAR SOUTHERN HILLS MEDICAL CENTER

CCN 440197

45 CFR § 180 compliance
D · 65
This hospital published part of what § 180 requires.
●Machine-readable file published
●Gross / standard charges
●Discounted cash price
○Payer-specific negotiated rates
○Min / max negotiated charges
●Free, public, no login required
Procedures listed
8,860
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF

Most expensive procedures (gross)

MS-DRG 001, 002, 014, 016, 017; ICD 9/10 02HA0QZ, 02HA0RZ, 02HA3QZ, 02HA4QZ, 02PA0RZ, 02PA3RZ, 02PA4RZ, 02RK0JZ, 02RL0JZ, 02WA0QZ, 02WA0RZ, 02WA3QZ, 02WA3RZ, 02WA4QZ, 02WA4RZ,
—
$120,953.00
Gross
$490,175
MS-DRG 215, 222-227, 242-251, 258-262, 265, 280-293, 313
—
$9,277.00
Gross
$405,018
MS-DRG 216-221, 228, 229, 231-236, 266-274, 319, 320
—
$25,139.75
Gross
$197,316
STNT FEMPOP W/ATH/PLSTY
$180,894
STNT FEMPOP W/ATH/PLSTY
Gross
$180,894
TACT IMPL WRLS PA PSNSR
$161,447
TACT IMPL WRLS PA PSNSR
Gross
$161,447
RV/INS ICD GEN MLT LEAD
$152,054
RV/INS ICD GEN MLT LEAD
Gross
$152,054
ST TIBPER W/ATH/PLSTY IN
$150,896
ST TIBPER W/ATH/PLSTY IN
Gross
$150,896
ALGRF MACI FNL 1 MEMBRAN
$145,474
ALGRF MACI FNL 1 MEMBRAN
Gross
$145,474
INS ICD GEN EXS MULT LD
$139,238
INS ICD GEN EXS MULT LD
Gross
$139,238
ATHER FEMPOP W/PLASTY
$115,942
ATHER FEMPOP W/PLASTY
Gross
$115,942
STNT FEMPOP W/PLSTY
$115,942
STNT FEMPOP W/PLSTY
Gross
$115,942
ATHER TIB-PER W/PLSTY IN
$115,942
ATHER TIB-PER W/PLSTY IN
Gross
$115,942
ATHR TIB-PER W/PLASTY AD
$115,942
ATHR TIB-PER W/PLASTY AD
Gross
$115,942
MS-DRG 020-033, 037-042, 453-460, 471-473, 518-522
—
$4,764.75
Gross
$103,231
MS-DRG 034-036, 252-254, 263
—
$22,573.25
Gross
$95,283
THRMBC DIA CIR STENT PLC
$91,759
THRMBC DIA CIR STENT PLC
Gross
$91,759
IMPLATN CRNL 200-325SQCM
$90,480
IMPLATN CRNL 200-325SQCM
Gross
$90,480
CATH IMPELLA CP PUMP SET
$78,400
CATH IMPELLA CP PUMP SET
Gross
$78,400
CPT/HCPC 33200-33249, 33262-33264, 33270-33273, G0297-G0300, 0319T-0325T
—
$3,850.00
Gross
$77,142
MS-DRG 659-661, 693, 694, 707, 708; ICD 9/10 0TF3XZZ, 0TF4XZZ, 0TF6XZZ, 0TF7XZZ, 0TFBXZZ, 0TFCXZZ, 0WFRXZZ
—
$13,439.75
Gross
$76,306
MS-DRG 739-743, 748
—
$13,327.50
Gross
$74,187
PRC D-E COR REVSC AMI SL
$73,490
PRC D-E COR REVSC AMI SL
Gross
$73,490
CPT/HCPC 69433-69436, 69450, 69604, 69610, 69620, 69631-69646, 69660, 69930
—
$7,962.00
Gross
$72,674
0C2624
$67,285
SENSOR ARTERY IMPL SYSTM
Gross
$67,285
THRMBC DIA CIR ANGIOPLTY
$61,504
THRMBC DIA CIR ANGIOPLTY
Gross
$61,504
IMPL IPS CRNL PEEK 20.0
$55,992
IMPL IPS CRNL PEEK 20.0
Gross
$55,992
KIT IMPLANT CRNMXF XLG
$55,486
KIT IMPLANT CRNMXF XLG
Gross
$55,486
ANGPLSTY ILIAC INI
$54,614
ANGPLSTY ILIAC INI
Gross
$54,614
STNT ILIAC W/PLASTY INI
$54,614
STNT ILIAC W/PLASTY INI
Gross
$54,614
STNT ILIAC W/PLASTY ADDL
$54,614
STNT ILIAC W/PLASTY ADDL
Gross
$54,614
ANGPLSTY FEM/POP
$54,614
ANGPLSTY FEM/POP
Gross
$54,614
ANGPLSTY TIB-PER INI
$54,614
ANGPLSTY TIB-PER INI
Gross
$54,614
ANGPLSTY TIB-PER ADDL
$54,614
ANGPLSTY TIB-PER ADDL
Gross
$54,614
KIT IPG AND CHRG SYS
$54,253
KIT IPG AND CHRG SYS
Gross
$54,253
RF MAGNETIC-GDE AV FSTLA
$53,554
RF MAGNETIC-GDE AV FSTLA
Gross
$53,554
INS ICD LEAD/GENERATOR
$53,356
INS ICD LEAD/GENERATOR
Gross
$53,356
PERC DRUG EL COR STNT SL
$53,205
PERC DRUG EL COR STNT SL
Gross
$53,205
PRC D-EL COR RVSC CABG S
$53,205
PRC D-EL COR RVSC CABG S
Gross
$53,205
PRC D-E COR REVSC CHRN S
$53,205
PRC D-E COR REVSC CHRN S
Gross
$53,205
PRC D-EL COR STNT ATH SL
$53,104
PRC D-EL COR STNT ATH SL
Gross
$53,104
STRATTICE TM 30X20CM
$51,431
STRATTICE TM 30X20CM
Gross
$51,431
MS-DRG 461-470, 480-482, 485-489, 492-497, 503-505, 507, 508, 510-512, 515-517; CPT/HCPC 22510, 22511, 22513-22515, 22548, 22554, 22556, 22558, 22590, 22595, 22600, 22610, 22841-22849, 22857, 23470, 23472, 23473, 27130, 27132, 27134, 27137, 27138, 27437, 27438, 27440, 27446, 27447, 27486, 27487
—
$9,926.50
Gross
$48,499
IMPL IPS CRNL PEEK 19.0
$47,263
IMPL IPS CRNL PEEK 19.0
Gross
$47,263
MS-DRG MS-DRG, 054, 055, 146, 147, 180-182, 334, 339, 374-376, 435-437, 582, 583, 597, 598, 656-658, 687, 722, 723, 754, 755, 820, 822-830
—
$4,988.45
Gross
$46,125
MS-DRG 001-008, 010-014, 016, 017, 020-042, 113-117, 129-139, 163-168, 215-229, 231-236, 239-274, 319, 320, 326-358, 405-425, 453-489, 492-520, 570-585, 614-630, 652-675, 707-718, 734-750, 768-770, 783-788, 796-804, 817-830, 853-858, 876, 901-909, 927-929, 939-941, 955-970, 981-983, 987-989; ICD 9/10 0D16079, 0D1607A, 0D1607B, 0D1607L, 0D160J9, 0D160JA, 0D160JB, 0D160JL, 0D160K9, 0D160KA, 0D160KB, 0D160KL, 0D160Z9, 0D160ZA, 0D160ZB, 0D160ZL, 0D16479, 0D1647A, 0D1647B, 0D1647L, 0D164J9, 0D164JA, 0D164JB, 0D164JL, 0D164K9, 0D164KA, 0D164KB, 0D164KL, 0D164Z9, 0D164ZA, 0D164ZB, 0D164ZL, 0D16879, 0D1687A, 0D1687B, 0D1687L, 0D168J9, 0D168JA, 0D168JB, 0D168JL, 0D168K9, 0D168KA, 0D168KB, 0D168KL, 0D168Z9, 0D168ZA, 0D168ZB, 0D168ZL, 0D760DZ, 0D760ZZ, 0D763DZ, 0D763ZZ, 0D764DZ, 0D764ZZ, 0D767DZ, 0D767ZZ, 0D768DZ, 0D768ZZ, 0DB60Z3, 0DB60ZZ, 0DB63Z3, 0DB63ZZ, 0DB64Z3, 0DB67Z3, 0DB67ZZ, 0DB68Z3, 0DH60DZ, 0DH63DZ, 0DH64DZ, 0DH67DZ, 0DH68DZ, 0DL60CZ, 0DL60DZ, 0DL60ZZ, 0DL63CZ, 0DL63DZ, 0DL63ZZ, 0DL64CZ, 0DL64DZ, 0DL64ZZ, 0DL67DZ, 0DL67ZZ, 0DL68DZ, 0DL68ZZ, 0DL70CZ, 0DL70DZ, 0DL70ZZ, 0DL73CZ, 0DL73DZ, 0DL73ZZ, 0DL74CZ, 0DL74DZ, 0DL74ZZ, 0DL77DZ, 0DL77ZZ, 0DL78DZ, 0DL78ZZ, 0DP643Z, 0DP64CZ, 0DQ60ZZ, 0DQ63ZZ, 0DQ64ZZ, 0DQ67ZZ, 0DQ68ZZ, 0DV60CZ, 0DV60DZ, 0DV60ZZ, 0DV63CZ, 0DV63DZ, 0DV63ZZ, 0DV64CZ, 0DV64DZ, 0DV64ZZ, 0DV67ZZ, 0DV68ZZ, 0DW643Z, 0DW64CZ, 3E0G3GC, `
—
$7,113.00
Gross
$44,716
IMPLANT CUST CRANIAL LGE
$44,684
IMPLANT CUST CRANIAL LGE
Gross
$44,684
0C1882
$44,317
ICD 9.9MM 61.7X79.5 VNTR
Gross
$44,317
TRANS BAL ANGIO EACH IN
$43,686
TRANS BAL ANGIO EACH IN
Gross
$43,686
GRAFT EVAS 20X100X30MM
$42,117
GRAFT EVAS 20X100X30MM
Gross
$42,117
CAGE SPN 6D 12X14X20MM
$41,826
CAGE SPN 6D 12X14X20MM
Gross
$41,826
Showing top 50 of 8,860 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.