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 |
|---|---|---|---|---|
| Chlamydia type CPT 87140 | not published | not published | $5.01 – $21.44 | 15 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $21.55 – $38.53 | 8 |
| Chloride CPT 82435 | not published | not published | $4.14 – $18.06 | 15 |
| Chloride 24 hour urine CPT 82436 | not published | not published | $5.18 – $19.17 | 15 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $1,415.40 – $1,769.25 | 6 |
| Cholangiogram percutaneous compl CPT 47532 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | not published | not published | $27.77 – $51.39 | 8 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Cholesterol CPT 82465 | not published | not published | $3.92 – $16.95 | 15 |
| Cholesterol body fluid CPT 84999 | not published | not published | $33.83 – $50.00 | 5 |
| Cholesterol (Lipid) Test CPT 80061 | not published | not published | $12.05 – $51.92 | 15 |
| Cholinesterase CPT 82480 | not published | not published | $7.08 – $30.48 | 15 |
| Cholinesterase challenge CPT 95857 | not published | not published | $94.32 – $117.90 | 6 |
| Chorion biopsy CPT 59015 | not published | not published | $45.00 – $2,225.50 | 3 |
| Chrom analysis CPT 88273 | not published | not published | $31.33 – $124.17 | 15 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $11.81 – $121.90 | 15 |
| Chromatography CPT 83021 | not published | not published | $16.25 – $69.98 | 15 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $10.70 – $46.28 | 15 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $51.34 – $261.99 | 15 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $156.29 – $643.38 | 15 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $155.85 – $670.49 | 15 |
| Chromosome analysis 15-20 cell count CPT 88262 | not published | not published | $112.94 – $481.98 | 15 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $155.85 – $670.49 | 15 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $135.26 – $581.30 | 15 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $218.64 – $828.52 | 15 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $155.85 – $670.49 | 15 |
| Chromosome analys placenta CPT 88267 | not published | not published | $169.71 – $696.45 | 15 |
| Chromosome banding study CPT 88283 | not published | not published | $61.74 – $265.25 | 15 |
| Chromosome count additional CPT 88285 | not published | not published | $23.50 – $84.67 | 15 |
| Chromosome karyotype study CPT 88280 | not published | not published | $30.12 – $104.99 | 15 |
| Chromosome study additional CPT 88289 | not published | not published | $30.99 – $133.18 | 15 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $11.21 – $48.55 | 15 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $55.35 – $193.00 | 15 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Cine/video x-rays CPT 76120 | not published | not published | $78.42 – $197.39 | 12 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $33.75 – $60.35 | 8 |
| Circum 28 days or older CPT 54161 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Circumcision (newborn) CPT 54150 | not published | not published | $954.50 – $1,004.50 | 3 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $296.56 – $1,032.83 | 15 |
| Claviculectomy partial CPT 23120 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Claviculectomy total CPT 23125 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Clearance of airways CPT 31720 | not published | not published | $954.50 – $1,004.50 | 3 |
| Clearance of tear duct CPT 68530 | not published | not published | $45.00 – $2,225.50 | 3 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $168.91 – $211.14 | 3 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $124.57 – $155.71 | 3 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $156.29 – $195.36 | 3 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $128.86 – $161.07 | 3 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $45.00 – $2,225.50 | 3 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $954.50 – $1,004.50 | 3 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $45.00 – $2,225.50 | 3 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $954.50 – $1,004.50 | 3 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $954.50 – $1,004.50 | 3 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $45.00 – $2,225.50 | 3 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $45.00 – $2,225.50 | 3 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $45.00 – $2,225.50 | 3 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $45.00 – $2,225.50 | 3 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Close tear duct opening CPT 68760 | not published | not published | $45.00 – $2,225.50 | 3 |
| Close tear duct opening CPT 68761 | not published | not published | $45.00 – $2,225.50 | 3 |
| Close tear system fistula CPT 68770 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $14.40 – $49.66 | 15 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $954.50 – $1,004.50 | 3 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $954.50 – $1,004.50 | 3 |
| Closure of salivary fistula CPT 42600 | not published | not published | $954.50 – $1,004.50 | 3 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $954.50 – $1,004.50 | 3 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $17.04 – $73.36 | 15 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $18.38 – $79.00 | 15 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $17.04 – $73.36 | 15 |
| Clot factor xii hageman CPT 85280 | not published | not published | $17.42 – $74.51 | 15 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $8.20 – $35.01 | 15 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $14.71 – $63.20 | 15 |
| Clotting assay whole blood CPT 85396 | not published | not published | $18.81 – $48.06 | 13 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | not published | not published | $954.50 – $1,004.50 | 3 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $954.50 – $1,004.50 | 3 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | not published | not published | $45.00 – $2,225.50 | 3 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $954.50 – $1,004.50 | 3 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $954.50 – $1,004.50 | 3 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $954.50 – $1,004.50 | 3 |
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.