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 |
|---|---|---|---|---|
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $45.00 – $2,225.50 | 3 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Destruction ciliary body CPT 66700 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Destruction ciliary body CPT 66720 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Destruction ciliary body CPT 66740 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $45.00 – $2,225.50 | 3 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $954.50 – $1,004.50 | 3 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $954.50 – $1,004.50 | 3 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $45.00 – $2,225.50 | 3 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $954.50 – $1,004.50 | 3 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $45.00 – $2,225.50 | 3 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $954.50 – $1,004.50 | 3 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $45.00 – $2,225.50 | 3 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $954.50 – $1,004.50 | 3 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $954.50 – $1,004.50 | 3 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $954.50 – $1,004.50 | 3 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $27.03 – $93.68 | 15 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $39.30 – $155.76 | 15 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $17.69 – $127.70 | 12 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | not published | not published | $20.01 – $85.78 | 15 |
| Diabetes (HbA1c) Test CPT 83036 | not published | not published | $8.74 – $37.24 | 15 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $954.50 – $1,004.50 | 3 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $45.00 – $2,225.50 | 3 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $99.49 – $313.06 | 12 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $126.77 – $244.53 | 12 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $45.00 – $2,225.50 | 3 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $45.00 – $2,225.50 | 3 |
| Diagnostic Mammogram (both breasts) CPT 77066 | not published | not published | $93.72 – $319.26 | 14 |
| Diagnostic Mammogram (one breast) CPT 77065 | not published | not published | $73.27 – $249.90 | 14 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $127.70 – $166.77 | 4 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Dialysis one evaluation CPT 90945 | not published | not published | $276.00 – $276.00 | 1 |
| Diathermy eg microwave CPT 97024 | not published | not published | $5.96 – $13.52 | 8 |
| Diffusing capacity CPT 94729 | not published | not published | $74.34 – $92.92 | 6 |
| Digital analysis of eeg CPT 95957 | not published | not published | $554.37 – $692.97 | 6 |
| Digoxin total therapeutic drug level CPT 80162 | not published | not published | $11.95 – $51.92 | 15 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Dilate esophagus CPT 43453 | not published | not published | $954.50 – $1,004.50 | 3 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $954.50 – $1,004.50 | 3 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Dilate tear duct opening CPT 68801 | not published | not published | $45.00 – $2,225.50 | 3 |
| Dilate urethra stricture CPT 53600 | not published | not published | $954.50 – $1,004.50 | 3 |
| Dilate urethra stricture CPT 53601 | not published | not published | $954.50 – $1,004.50 | 3 |
| Dilate urethra stricture CPT 53605 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Dilate urethra stricture CPT 53621 | not published | not published | $954.50 – $1,004.50 | 3 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $45.00 – $2,225.50 | 3 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $954.50 – $1,004.50 | 3 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $954.50 – $1,004.50 | 3 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $954.50 – $1,004.50 | 3 |
| Dilation of salivary duct CPT 42660 | not published | not published | $45.00 – $2,225.50 | 3 |
| Dilation of urethra CPT 53661 | not published | not published | $45.00 – $2,225.50 | 3 |
| Dilation of urethra CPT 53665 | not published | not published | $954.50 – $1,004.50 | 3 |
| Dilation of vagina CPT 57400 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $954.50 – $1,004.50 | 3 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $21.12 – $113.99 | 5 |
| Disability dlco CPT 94727 | not published | not published | $48.89 – $61.11 | 6 |
| Disaccharidases CPT 82657 | not published | not published | $19.95 – $69.98 | 15 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $57.91 – $2,750.96 | 12 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $45.00 – $2,225.50 | 3 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $7,684.00 – $7,684.00 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.02 – $0.02 | 2 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $251.10 – $874.80 | 15 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $123.30 – $429.41 | 15 |
| Dna antibody native/double stranded CPT 86225 | not published | not published | $12.37 – $53.04 | 15 |
| Dna gardnerella CPT 87510 | not published | not published | $18.05 – $77.88 | 15 |
| Dna probe chlamydia CPT 87490 | not published | not published | $20.48 – $77.88 | 15 |
| Dna probe gc CPT 87590 | not published | not published | $24.19 – $84.67 | 15 |
| Dna trichomonas CPT 87660 | not published | not published | $18.05 – $77.88 | 15 |
| Doppler echo complete CPT 93320 | not published | not published | $59.54 – $74.43 | 6 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | not published | not published | $193.90 – $304.81 | 9 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | not published | not published | $127.02 – $201.15 | 9 |
| Dpyd gene common variants CPT 81232 | not published | not published | $157.33 – $548.59 | 15 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $45.00 – $2,225.50 | 3 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $45.00 – $2,225.50 | 3 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $45.00 – $2,225.50 | 3 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $954.50 – $1,004.50 | 3 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $1,185.00 – $1,246.50 | 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.