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 |
|---|---|---|---|---|
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $31.58 – $135.44 | 15 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $20.67 – $72.24 | 15 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $13.94 – $59.82 | 15 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $5.90 – $32.75 | 15 |
| Ghs histoplasma antigen CPT 87385 | not published | not published | $11.93 – $46.28 | 15 |
| Ghs HIV antibody CPT 86703 | not published | not published | $12.34 – $53.04 | 15 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $95.53 – $333.00 | 15 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $45.00 – $2,225.50 | 3 |
| Ghs i and d pilonidal cyst simple CPT 10080 | not published | not published | $45.00 – $2,225.50 | 3 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $26.93 – $93.68 | 15 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ghs inf midline insertion CPT 36140 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ghs inhibitor screen CPT 85335 | not published | not published | $11.58 – $49.66 | 15 |
| Ghs init tx 1st degree burn CPT 16000 | not published | not published | $45.00 – $2,225.50 | 3 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ghs inj tendon origin/insertion CPT 20551 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ghs insertion of needle - bone CPT 36680 | not published | not published | $45.00 – $2,225.50 | 3 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $35.22 – $44.02 | 6 |
| Ghs IV thrombolytics - cerebral CPT 37195 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | not published | not published | $45.00 – $2,225.50 | 3 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | not published | not published | $45.00 – $2,225.50 | 3 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | not published | not published | $45.00 – $2,225.50 | 3 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | not published | not published | $45.00 – $2,225.50 | 3 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $45.00 – $2,225.50 | 3 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $45.00 – $2,225.50 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $7.74 – $33.86 | 15 |
| Ghs mbp CPT 83873 | not published | not published | $15.48 – $66.61 | 15 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $74.34 – $92.92 | 6 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $65.45 – $81.81 | 6 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $79.65 – $99.57 | 6 |
| Ghs myocardial strain img spckl track CPT 93356 | not published | not published | $68.21 – $85.26 | 6 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $45.00 – $2,225.50 | 3 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ghs ng placement w fluoro guidance CPT 43752 | not published | not published | $45.00 – $2,225.50 | 3 |
| Ghs o2 saturation CPT 82810 | not published | not published | $8.79 – $33.86 | 15 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $74.34 – $92.92 | 6 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $74.34 – $92.92 | 6 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ghs optokenetic CPT 92544 | not published | not published | $16.32 – $20.40 | 6 |
| Ghs oscillating trac CPT 92545 | not published | not published | $13.97 – $17.46 | 6 |
| Ghs ot dds rom CPT 95851 | not published | not published | $18.91 – $38.04 | 8 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $28.45 – $46.74 | 6 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $35.62 – $72.40 | 8 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $50.12 – $78.93 | 8 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $90.40 – $113.00 | 6 |
| Ghs pacing - transcutaneous CPT 92953 | not published | not published | $19.65 – $24.56 | 6 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $23.72 – $74.92 | 13 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $4.95 – $21.44 | 15 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $45.00 – $2,225.50 | 3 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $3.88 – $16.95 | 15 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $1,472.37 – $1,840.46 | 6 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $14.55 – $18.19 | 6 |
| Ghs ppd (tb intradermal) CPT 86580 | not published | not published | $10.41 – $25.51 | 13 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $8.69 – $37.24 | 15 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.05 – $20.32 | 15 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $12.92 – $55.30 | 15 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $109.68 – $137.10 | 5 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $11.03 – $47.40 | 15 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $226.32 – $282.90 | 6 |
| Ghs quinidine CPT 80194 | not published | not published | $13.14 – $56.45 | 15 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $152.57 – $190.72 | 6 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $45.00 – $2,225.50 | 3 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $1,889.50 – $1,985.50 | 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.