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 |
|---|---|---|---|---|
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $43.41 – $179.33 | 12 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $135.13 – $168.91 | 5 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $954.50 – $1,004.50 | 3 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $79.65 – $99.57 | 6 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $954.50 – $1,004.50 | 3 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $954.50 – $1,004.50 | 3 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $954.50 – $1,004.50 | 3 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $954.50 – $1,004.50 | 3 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $45.00 – $2,225.50 | 3 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Dynamic surface emg CPT 96002 | not published | not published | $39.54 – $49.43 | 6 |
| Ear and throat examination CPT 92502 | not published | not published | $171.19 – $213.99 | 6 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ear cartilage graft CPT 21235 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $45.00 – $2,225.50 | 3 |
| Ear protector evaluation CPT 92596 | not published | not published | $70.20 – $87.75 | 6 |
| Ecg 12 lead tracing only CPT 93005 | not published | not published | $13.36 – $16.70 | 6 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $12.60 – $15.76 | 6 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $9.22 – $11.52 | 6 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $281.50 – $351.88 | 6 |
| Ecg external < 48 hours recording CPT 93225 | not published | not published | $44.14 – $55.18 | 6 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | not published | not published | $62.50 – $78.13 | 6 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $24.95 – $31.19 | 5 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $24.95 – $31.19 | 5 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | not published | not published | $272.03 – $340.03 | 6 |
| Echocardiography doppler color flow mapping CPT 93325 | not published | not published | $37.04 – $46.30 | 6 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | not published | not published | $161.35 – $201.69 | 6 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | not published | not published | $38.82 – $48.53 | 6 |
| Echo exam of eye CPT 76516 | not published | not published | $47.88 – $179.33 | 12 |
| Echo exam of eye CPT 76519 | not published | not published | $56.03 – $179.33 | 12 |
| Echo exam of eye CPT 76529 | not published | not published | $49.57 – $127.70 | 12 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $5.53 – $36.78 | 12 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $204.45 – $770.53 | 12 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $131.18 – $372.86 | 12 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $49.95 – $179.33 | 12 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $26.41 – $179.33 | 12 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $93.60 – $372.86 | 12 |
| Echograp trans r pros study CPT 76873 | not published | not published | $99.67 – $253.66 | 12 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $24.90 – $52.34 | 8 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $13.89 – $28.09 | 8 |
| Echo guide for artery repair CPT 76936 | not published | not published | $186.61 – $464.16 | 12 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $59.47 – $115.65 | 8 |
| Echo guide for transfusion CPT 76941 | not published | not published | $62.88 – $112.44 | 8 |
| Echo guide villus sampling CPT 76945 | not published | not published | $64.85 – $115.97 | 8 |
| Echo stress CPT 93350 | not published | not published | $280.32 – $350.41 | 6 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $76.29 – $95.36 | 6 |
| Echo tee guidance CPT 93355 | not published | not published | $403.27 – $504.09 | 6 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | not published | not published | $375.12 – $468.90 | 6 |
| Echo transesophageal CPT 93313 | not published | not published | $75.09 – $93.86 | 6 |
| Echo transesophageal CPT 93314 | not published | not published | $410.04 – $512.56 | 6 |
| Echo transesophageal CPT 93315 | not published | not published | $245.46 – $306.82 | 6 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $903.13 – $1,128.91 | 6 |
| Echo transthoracic CPT 93303 | not published | not published | $288.60 – $360.76 | 6 |
| Echo transthoracic CPT 93304 | not published | not published | $200.41 – $250.52 | 6 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | not published | not published | $142.99 – $178.73 | 6 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $192.65 – $240.81 | 6 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $11.39 – $46.28 | 15 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | not published | not published | $46.24 – $57.80 | 6 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | not published | not published | $620.17 – $775.22 | 6 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | not published | not published | $28.58 – $35.72 | 6 |
| Eeg during surgery CPT 95955 | not published | not published | $289.19 – $361.49 | 6 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $561.33 – $701.66 | 6 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $521.68 – $652.10 | 6 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | not published | not published | $488.76 – $610.95 | 6 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | not published | not published | $683.85 – $854.82 | 6 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | not published | not published | $499.43 – $624.29 | 6 |
| Eeg recording awake and asleep CPT 95819 | not published | not published | $572.22 – $715.28 | 6 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $465.70 – $582.13 | 6 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $465.70 – $582.13 | 6 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $893.52 – $1,116.90 | 6 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $893.52 – $1,116.90 | 6 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $465.70 – $582.13 | 6 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $893.52 – $1,116.90 | 6 |
| E equine encephalitis igg CPT 86652 | not published | not published | $11.87 – $50.81 | 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.