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 |
|---|---|---|---|---|
| Endoscopy of ureter CPT 50951 | not published | not published | $954.50 – $1,004.50 | 3 |
| Endoscopy of ureter CPT 50953 | not published | not published | $954.50 – $1,004.50 | 3 |
| Endoscopy swallow (fees) vid CPT 92612 | not published | not published | $165.18 – $378.47 | 8 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | not published | not published | $954.50 – $1,004.50 | 3 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $45.00 – $2,225.50 | 3 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $10.78 – $46.28 | 15 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $36.95 – $137.70 | 15 |
| Enzyme histochemistry CPT 88319 | not published | not published | $21.09 – $565.38 | 13 |
| Ep & ablate supravent arrhyt CPT 93653 | not published | not published | $9,720.00 – $14,250.00 | 3 |
| Ep & ablate ventric tachy CPT 93654 | not published | not published | $9,720.00 – $14,250.00 | 5 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $954.50 – $1,004.50 | 3 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $954.50 – $1,004.50 | 3 |
| Epiglottidectomy CPT 31420 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,203.70 – $7,185.42 | 13 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $254.45 – $12,715.00 | 8 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Epstein barr early antigen antibody CPT 86663 | not published | not published | $11.81 – $50.81 | 15 |
| Epstein barr nuclear antigen antibody CPT 86664 | not published | not published | $13.76 – $58.71 | 15 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | not published | not published | $16.33 – $69.98 | 15 |
| Ercp biliary & pancreas CPT 74330 | not published | not published | $134.86 – $241.15 | 8 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| ER Visit (level 1, minor) CPT 99281 | not published | not published | $19.26 – $1,243.00 | 11 |
| ER Visit (level 2) CPT 99282 | not published | not published | $37.71 – $1,686.00 | 9 |
| ER Visit (level 3) CPT 99283 | not published | not published | $56.40 – $2,166.00 | 11 |
| ER Visit (level 4) CPT 99284 | not published | not published | $107.34 – $3,788.00 | 10 |
| ER Visit (level 5, high severity) CPT 99285 | not published | not published | $158.13 – $4,025.00 | 10 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $134.45 – $240.41 | 8 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Esophageal motility CPT 78258 | not published | not published | $199.95 – $589.01 | 12 |
| Esophageal recording CPT 93615 | not published | not published | $17.57 – $12,715.00 | 8 |
| Esophageal recording CPT 93616 | not published | not published | $35.95 – $12,715.00 | 8 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $954.50 – $1,004.50 | 3 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $954.50 – $1,004.50 | 3 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $954.50 – $1,004.50 | 3 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $954.50 – $1,004.50 | 3 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $954.50 – $1,004.50 | 3 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $954.50 – $1,004.50 | 3 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $954.50 – $1,004.50 | 3 |
| Esophagus motility study CPT 91010 | not published | not published | $179.69 – $224.62 | 6 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $582.78 – $728.48 | 6 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $954.50 – $1,004.50 | 3 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $23.42 – $29.28 | 6 |
| Esoph imped function test CPT 91037 | not published | not published | $182.07 – $227.59 | 6 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $655.59 – $819.49 | 6 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $954.50 – $1,004.50 | 3 |
| Esoph scope w/submucous inj CPT 43201 | 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.