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 |
|---|---|---|---|---|
| Ins pq tunnld ip cath w/img CPT 49418 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | not published | not published | $6,190.50 – $6,935.50 | 3 |
| Ins/rpl pm gen exist dual lead CPT 33213 | not published | not published | $6,190.50 – $6,935.50 | 3 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | not published | not published | $6,190.50 – $6,935.50 | 3 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | not published | not published | $6,190.50 – $6,935.50 | 3 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inst fibrinolysis agent ini day CPT 32561 | not published | not published | $954.50 – $1,004.50 | 3 |
| Inst fibrinolysis agent sbsq d CPT 32562 | not published | not published | $954.50 – $1,004.50 | 3 |
| Instillation anticarcinogenic agent bladder CPT 51720 | not published | not published | $954.50 – $1,004.50 | 3 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ins tun intraperit dia cath CPT 49421 | not published | not published | $954.50 – $1,004.50 | 3 |
| Inst via cath agent pleurds CPT 32560 | not published | not published | $954.50 – $1,004.50 | 3 |
| Insulin total CPT 83525 | not published | not published | $10.29 – $44.02 | 15 |
| Ins vag brachytx device CPT 57156 | not published | not published | $954.50 – $1,004.50 | 3 |
| Interdental fixation CPT 21110 | not published | not published | $954.50 – $1,004.50 | 3 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Interdiscal perq aspir dx CPT 62267 | not published | not published | $954.50 – $1,004.50 | 3 |
| Intermediate visual field xm CPT 92082 | not published | not published | $43.55 – $54.44 | 6 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Interrogate subq defib CPT 93261 | not published | not published | $36.16 – $45.20 | 6 |
| Interrogation vad in person CPT 93750 | not published | not published | $95.51 – $119.39 | 6 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $15.14 – $18.93 | 6 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $24.03 – $30.04 | 6 |
| Interrog device eval heart CPT 93289 | not published | not published | $31.72 – $39.65 | 6 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $25.80 – $32.25 | 6 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $144.64 – $180.80 | 5 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $85.52 – $106.90 | 5 |
| Interstitial brachy inter CPT 77799 | not published | not published | $286.22 – $334.90 | 3 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $954.50 – $1,004.50 | 3 |
| Intra-atrial pacing CPT 93610 | not published | not published | $85.30 – $12,715.00 | 8 |
| Intra-atrial recording CPT 93602 | not published | not published | $69.83 – $12,715.00 | 8 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Intracranial angioplasty CPT 61630 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Intracranial complete study CPT 93886 | not published | not published | $515.29 – $644.87 | 9 |
| Intracranial limited study CPT 93888 | not published | not published | $294.50 – $370.37 | 9 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $954.50 – $1,004.50 | 3 |
| Intranasal reconstruction CPT 30620 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $417.79 – $12,715.00 | 8 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $954.50 – $1,004.50 | 3 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $106.11 – $132.64 | 6 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $634.49 – $1,004.50 | 9 |
| Intraventricular pacing CPT 93612 | not published | not published | $103.06 – $12,715.00 | 8 |
| Intrinsic factor antibody CPT 86340 | not published | not published | $13.57 – $58.71 | 15 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $148.29 – $185.36 | 6 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $45.00 – $2,225.50 | 3 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Intro catheter aorta CPT 36200 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Intro cath svc/ivc CPT 36010 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Intro long gi tube CPT 44500 | not published | not published | $954.50 – $1,004.50 | 3 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | not published | $112.19 – $200.62 | 8 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $954.50 – $1,004.50 | 3 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Intubation endotracheal emergency procedure CPT 31500 | not published | not published | $954.50 – $1,004.50 | 3 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $57.67 – $72.08 | 6 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $93.34 – $116.68 | 6 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $57.15 – $71.44 | 6 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $521.48 – $20,312.88 | 10 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $738.99 – $20,312.88 | 10 |
| Iron CPT 83540 | not published | not published | $5.82 – $24.85 | 15 |
| Iron binding capacity CPT 83550 | not published | not published | $7.87 – $33.86 | 15 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.19 – $24.85 | 15 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $27.51 – $97.06 | 13 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | not published | not published | $40.87 – $51.08 | 6 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $954.50 – $1,004.50 | 3 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $45.00 – $2,225.50 | 3 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ivc venogram s&i CPT 75825 | not published | not published | $96.64 – $4,434.05 | 12 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | not published | not published | $87.00 – $87.00 | 1 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | not published | not published | $87.00 – $87.00 | 1 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | not published | not published | $87.00 – $87.00 | 1 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | not published | not published | $87.00 – $87.00 | 1 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $50.41 – $938.21 | 12 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $45.00 – $2,225.50 | 3 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $122.83 – $294.89 | 12 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $95.88 – $291.55 | 12 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $166.68 – $543.74 | 14 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| John cunningham antibody CPT 86711 | not published | not published | $15.20 – $55.30 | 15 |
| J-tube placement CPT 44015 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Keratoprosthesis CPT 65770 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $0.02 – $0.02 | 2 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $13.92 – $55.30 | 15 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | not published | not published | $7.35 – $31.60 | 15 |
| Kidney endoscopy CPT 50551 | not published | not published | $954.50 – $1,004.50 | 3 |
| Kidney endoscopy CPT 50553 | not published | not published | $954.50 – $1,004.50 | 3 |
| Kidney endoscopy CPT 50570 | 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.