Ascension Saint Thomas Hickman
135 E Swan St, Centerville, TN · Ascension · · NPI 1245275254
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $26.35 – $112.89 | 15 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $20.53 – $88.04 | 15 |
| 17-ketosteroids CPT 83586 | not published | not published | $11.52 – $49.66 | 15 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | not published | 0 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $48.89 – $61.11 | 6 |
| 2nd order venous cath CPT 36012 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| 3d ech img cgen car anomal CPT 93319 | not published | not published | $91.89 – $114.86 | 5 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $277.23 – $728.28 | 11 |
| 3d recon without postprocess indpndt CPT 76376 | not published | not published | $19.97 – $562.76 | 8 |
| 5' nucleotidase - sendout CPT 83915 | not published | not published | $10.04 – $42.91 | 15 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | not published | not published | $11.44 – $50.81 | 13 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $10.81 – $46.28 | 15 |
| Abd aorta w/runoff s&i CPT 75630 | not published | not published | $101.20 – $4,434.05 | 12 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Abd/low ext cath 1st CPT 36245 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Abd/low ext cath 2nd CPT 36246 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Abd/low ext cath 3rd CPT 36247 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Abd/low ext cath addl CPT 36248 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Abdominal CT scan (with and without contrast) CPT 74170 | not published | not published | $221.14 – $714.52 | 12 |
| Abdominal CT scan (with contrast) CPT 74160 | not published | not published | $188.12 – $621.02 | 12 |
| Abdominal CT scan (without contrast) CPT 74150 | not published | not published | $100.82 – $562.76 | 12 |
| Abdominal MRI (with and without contrast) CPT 74183 | not published | not published | $434.48 – $1,180.16 | 12 |
| Abdominal MRI (with contrast) CPT 74182 | not published | not published | $403.35 – $1,102.45 | 12 |
| Abdominal MRI (without contrast) CPT 74181 | not published | not published | $281.88 – $779.03 | 12 |
| Abdominal paracentesis w/image guidance CPT 49083 | not published | not published | $954.50 – $1,004.50 | 3 |
| Abdominal Ultrasound (complete) CPT 76700 | not published | not published | $107.65 – $218.95 | 12 |
| Abdominal Ultrasound (limited) CPT 76705 | not published | not published | $84.87 – $179.33 | 12 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | not published | not published | $954.50 – $1,004.50 | 3 |
| Abl1 gene CPT 81170 | not published | not published | $270.00 – $940.26 | 15 |
| Ablate arrhythmia add on CPT 93655 | not published | not published | $9,720.00 – $12,715.00 | 2 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $2,118.00 – $14,312.00 | 4 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $6,190.50 – $14,894.00 | 4 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $6,190.50 – $14,312.00 | 4 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $2,118.00 – $14,894.00 | 4 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $9,720.00 – $14,250.00 | 5 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Abortion CPT 59850 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Abortion (mpr) CPT 59866 | not published | not published | $954.50 – $1,004.50 | 3 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Abrasion lesion single CPT 15786 | not published | not published | $45.00 – $2,225.50 | 3 |
| Abscess drain retroperitoneal surg code CPT 49406 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Acetaminophen level CPT 80143 | not published | not published | $16.78 – $54.30 | 14 |
| Acetone qualitative CPT 82009 | not published | not published | $4.07 – $18.06 | 15 |
| Acetylcholine receptor modulating antibody CPT 86043 | not published | not published | $10.85 – $25.43 | 10 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $11.06 – $42.91 | 15 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $148.32 – $185.40 | 6 |
| Acne surgery 10040 CPT 10040 | not published | not published | $45.00 – $2,225.50 | 3 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $259.61 – $324.51 | 6 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $14.45 – $35.08 | 8 |
| Acoustic immitance testing CPT 92570 | not published | not published | $56.82 – $71.02 | 6 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $27.75 – $34.68 | 6 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Actigraphy testing CPT 95803 | not published | not published | $176.73 – $220.92 | 6 |
| Actinotherapy uv light CPT 96900 | not published | not published | $33.49 – $41.86 | 6 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $68.48 – $85.61 | 6 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $63.42 – $79.28 | 6 |
| Acute hepatitis panel CPT 80074 | not published | not published | $42.87 – $183.99 | 15 |
| Acute venous thrombus image CPT 78456 | not published | not published | $293.71 – $2,035.50 | 12 |
| #acylcarnitineprfl CPT 82017 | not published | not published | $12.00 – $65.46 | 15 |
| Acylcarnitines qual CPT 82016 | not published | not published | $14.84 – $54.18 | 15 |
| Adding walker to prev cast CPT 29440 | not published | not published | $45.00 – $2,225.50 | 9 |
| Adenovirus ag ia CPT 87301 | not published | not published | $10.78 – $46.28 | 15 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $11.58 – $49.66 | 15 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $19.58 – $67.72 | 15 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Adh-sendout CPT 84588 | not published | not published | $30.55 – $130.95 | 15 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | not published | not published | $47.20 – $59.00 | 6 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | not published | not published | $103.08 – $128.85 | 6 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | not published | not published | $220.84 – $276.05 | 6 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | not published | not published | $180.32 – $225.40 | 6 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | not published | not published | $53.71 – $67.14 | 6 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | not published | not published | $122.36 – $152.95 | 6 |
| Administration immunization 1 vaccine CPT 90471 | not published | not published | $42.34 – $52.92 | 6 |
| Administration immunization each additional component CPT 90461 | not published | not published | $21.47 – $26.84 | 6 |
| Administration immunization each additional vaccine CPT 90472 | not published | not published | $21.47 – $26.84 | 6 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $42.34 – $52.92 | 6 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $42.34 – $52.92 | 6 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | not published | $21.47 – $26.84 | 6 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $38.00 – $47.49 | 5 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $32.70 – $40.87 | 5 |
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.