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 |
|---|---|---|---|---|
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | not published | not published | $52.50 – $52.50 | 1 |
| Critical care 30-74 minutes CPT 99291 | not published | not published | $326.00 – $1,446.00 | 4 |
| Critical care each additional 30 minutes CPT 99292 | not published | not published | $363.00 – $363.00 | 1 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Cross-over vein graft CPT 34520 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Cryoablate prostate CPT 55873 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $954.50 – $1,004.50 | 3 |
| Cryofibrinogen qualitative - sendout CPT 82585 | not published | not published | $12.73 – $44.02 | 15 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $441.38 – $1,882.54 | 12 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $129.15 – $782.16 | 12 |
| Cryopreservation sperm CPT 89259 | not published | not published | $129.15 – $449.55 | 12 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $954.50 – $1,004.50 | 3 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $44.52 – $200.91 | 12 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $45.00 – $2,225.50 | 3 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $45.00 – $2,225.50 | 3 |
| Cryptococcus abs qn - sendout CPT 86641 | not published | not published | $12.97 – $55.30 | 15 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $10.78 – $46.28 | 15 |
| Crystal identification light microscopy CPT 89060 | not published | not published | $6.60 – $28.22 | 15 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Csf leakage imaging CPT 78650 | not published | not published | $330.53 – $2,035.50 | 12 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $954.50 – $1,004.50 | 3 |
| Csf ventriculography CPT 78635 | not published | not published | $333.95 – $847.73 | 12 |
| CT 3d report other modality w/workstation CPT 76377 | not published | not published | $46.53 – $562.76 | 8 |
| Cta abdomen without & /or w/contrast CPT 74175 | not published | not published | $291.55 – $804.85 | 12 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | not published | not published | $291.55 – $1,198.02 | 12 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | not published | not published | $291.55 – $968.92 | 12 |
| Cta neck without &/or w/contrast CPT 70498 | not published | not published | $291.55 – $760.07 | 12 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | not published | not published | $462.56 – $1,036.60 | 12 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | not published | not published | $291.55 – $775.87 | 12 |
| CT Angiogram of the Head CPT 70496 | not published | not published | $291.55 – $762.71 | 12 |
| CT angio hrt w/3d image CPT 75574 | not published | not published | $291.55 – $1,137.45 | 12 |
| CT angio pelvis CPT 72191 | not published | not published | $291.55 – $800.88 | 12 |
| Cta upper extremity w &/or without contrast left CPT 73206 | not published | not published | $262.14 – $885.16 | 12 |
| CT bone density axial CPT 77078 | not published | not published | $107.65 – $562.76 | 12 |
| CT colonography dx CPT 74261 | not published | not published | $179.33 – $1,360.55 | 12 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $291.55 – $1,559.41 | 12 |
| CT colonography screening CPT 74263 | not published | not published | $551.54 – $2,414.08 | 12 |
| CT guidance for needle placement CPT 77012 | not published | not published | $75.76 – $562.76 | 8 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | not published | not published | $71.59 – $562.76 | 8 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| CT guid parench tis ablat CPT 77013 | not published | not published | $427.84 – $765.04 | 8 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | not published | not published | $82.59 – $562.76 | 12 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $288.71 – $978.66 | 12 |
| CT hrt w/3d image CPT 75572 | not published | not published | $215.83 – $737.66 | 12 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $109.54 – $562.76 | 12 |
| CT lower extremity w/contrast (both sides) CPT 73701 | not published | not published | $190.02 – $622.36 | 12 |
| CT lower extremity without contrast (both sides) CPT 73700 | not published | not published | $149.78 – $562.76 | 12 |
| CT lwr extremity w/o&w/dye CPT 73702 | not published | not published | $250.37 – $793.53 | 12 |
| CT neck soft tissue w/contrast CPT 70491 | not published | not published | $188.12 – $562.76 | 12 |
| CT neck soft tissue without contrast CPT 70490 | not published | not published | $149.78 – $562.76 | 12 |
| CT neck soft tissue without & w/contrast CPT 70492 | not published | not published | $233.68 – $607.86 | 12 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | not published | not published | $267.84 – $847.00 | 12 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | not published | not published | $238.23 – $767.18 | 12 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | not published | not published | $179.33 – $627.59 | 12 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $954.50 – $1,004.50 | 3 |
| CT scan for therapy guide CPT 77014 | not published | not published | $84.49 – $562.76 | 8 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | not published | not published | $295.17 – $939.16 | 12 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | not published | not published | $248.47 – $818.54 | 12 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | not published | not published | $137.64 – $562.76 | 12 |
| CT thoracic spine w/contrast CPT 72129 | not published | not published | $190.02 – $623.66 | 12 |
| CT thoracic spine without contrast CPT 72128 | not published | not published | $150.92 – $562.76 | 12 |
| CT thorax low dose for lung screening without contrast CPT 71271 | not published | not published | $102.67 – $562.76 | 11 |
| CT t-spine w /wo contrast CPT 72130 | not published | not published | $239.74 – $773.80 | 12 |
| CT upper extremity w/contrast (both sides) CPT 73201 | not published | not published | $186.98 – $610.96 | 12 |
| CT upper extremity without contrast (both sides) CPT 73200 | not published | not published | $149.78 – $562.76 | 12 |
| CT uppr extremity w/o&w/dye CPT 73202 | not published | not published | $253.03 – $805.38 | 12 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $129.15 – $3,008.15 | 13 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $129.15 – $3,128.94 | 13 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Culture aerobic additional method definitive id each CPT 87077 | not published | not published | $7.27 – $31.60 | 15 |
| Culture afb any source CPT 87116 | not published | not published | $9.72 – $41.76 | 15 |
| Culture anaerobic additional method definitive id each CPT 87076 | not published | not published | $7.27 – $31.60 | 15 |
| Culture anaerobic except blood CPT 87075 | not published | not published | $8.52 – $36.12 | 15 |
| Culture bact stool aero addl path ea CPT 87046 | not published | not published | $8.50 – $36.12 | 15 |
| Culture body fluid CPT 87070 | not published | not published | $7.76 – $33.86 | 15 |
| Culture fungi definitive id mold CPT 87107 | not published | not published | $9.29 – $39.50 | 15 |
| Culture fungi definitive id yeast CPT 87106 | not published | not published | $9.29 – $39.50 | 15 |
| Culture fungi other (except blood) CPT 87102 | not published | not published | $7.57 – $32.75 | 15 |
| Culture fungi skin/hair/nail CPT 87101 | not published | not published | $6.94 – $29.34 | 15 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $13.15 – $46.28 | 15 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $13.85 – $59.82 | 15 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $8.90 – $36.12 | 15 |
| Culture screening strep group a CPT 87081 | not published | not published | $5.97 – $25.96 | 15 |
| Culture typing added method CPT 87158 | not published | not published | $6.97 – $24.85 | 15 |
| Culture typing immunologic CPT 87147 | not published | not published | $4.66 – $20.32 | 15 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $196.25 – $460.11 | 10 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $31.58 – $135.44 | 15 |
| Culture urine each isolate CPT 87088 | not published | not published | $7.28 – $31.60 | 15 |
| Culture virus isolation CPT 87250 | not published | not published | $17.60 – $75.62 | 15 |
| Curette/treat cornea CPT 65435 | not published | not published | $954.50 – $1,004.50 | 3 |
| Curette/treat cornea CPT 65436 | not published | not published | $45.00 – $2,225.50 | 3 |
| Cv line/pic reposition CPT 36597 | not published | not published | $954.50 – $1,004.50 | 3 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $26.04 – $32.55 | 6 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $39.49 – $49.36 | 6 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $12.89 – $55.30 | 15 |
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.