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 |
|---|---|---|---|---|
| Leg vein fusion 34530 CPT 34530 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | not published | not published | $252.50 – $433.25 | 9 |
| Leishmania antibody CPT 86717 | not published | not published | $11.03 – $47.40 | 15 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $954.50 – $1,004.50 | 3 |
| Lengthening of palate CPT 42227 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Leukacyte transfusion CPT 86950 | not published | not published | $71.90 – $251.71 | 13 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $9.35 – $32.75 | 15 |
| Levetiracetam therapeutic drug level CPT 80177 | not published | not published | $11.93 – $50.81 | 15 |
| Lidocaine therapeutic drug level CPT 80176 | not published | not published | $13.22 – $56.45 | 15 |
| Ligate leg veins open CPT 37761 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ligation major artery neck CPT 37615 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ligation of femoral vein CPT 37650 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ligation of neck artery CPT 37606 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ligation of salivary duct CPT 42665 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Limb exercise test CPT 95875 | not published | not published | $120.30 – $150.37 | 6 |
| Limited visual field xm CPT 92081 | not published | not published | $28.76 – $35.95 | 6 |
| Lipase CPT 83690 | not published | not published | $6.20 – $27.07 | 15 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $30.47 – $106.11 | 15 |
| Lipoprotein blood quant CPT 83704 | not published | not published | $30.77 – $121.90 | 15 |
| Lipoprotein direct measurement hdl CPT 83718 | not published | not published | $7.37 – $31.60 | 15 |
| Lipoprotein direct measurement ldl CPT 83721 | not published | not published | $9.45 – $37.24 | 15 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $30.77 – $109.63 | 15 |
| Lip surgery procedure CPT 40799 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Listeria monocytogenes CPT 86723 | not published | not published | $11.87 – $50.81 | 15 |
| Lithium therapeutic drug level CPT 80178 | not published | not published | $5.95 – $25.96 | 15 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | not published | not published | $10,471.00 – $16,047.00 | 5 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $158.57 – $371.76 | 10 |
| Liver elastography 91200 CPT 91200 | not published | not published | $22.57 – $40.36 | 6 |
| Liver Function Test CPT 80076 | not published | not published | $7.35 – $31.60 | 15 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Liver imaging CPT 78201 | not published | not published | $178.70 – $2,035.50 | 12 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $193.50 – $2,035.50 | 12 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $184.01 – $589.01 | 12 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $103.16 – $589.01 | 12 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $127.82 – $159.78 | 6 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Loudness balance test CPT 92562 | not published | not published | $76.10 – $95.13 | 6 |
| Low back disk surgery CPT 63030 | not published | not published | $6,089.00 – $6,089.00 | 1 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | not published | not published | $236.71 – $764.58 | 12 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | not published | not published | $189.26 – $619.72 | 12 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | not published | not published | $150.16 – $562.76 | 12 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | not published | not published | $295.54 – $985.24 | 12 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | not published | not published | $256.45 – $865.43 | 12 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | not published | not published | $179.77 – $559.14 | 12 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | not published | not published | $26.03 – $179.33 | 12 |
| Lower jaw bone graft CPT 21215 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $203.26 – $254.08 | 6 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $19.79 – $84.67 | 15 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $60.19 – $2,750.96 | 12 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $31.13 – $38.92 | 6 |
| Lung Function Test (Spirometry) CPT 94010 | not published | not published | $45.34 – $56.67 | 6 |
| Lung perfusion imaging CPT 78580 | not published | not published | $219.31 – $589.01 | 12 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $45.00 – $2,225.50 | 3 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lymphatics/lymph node imaging CPT 78195 | not published | not published | $322.18 – $820.53 | 12 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $32.90 – $164.07 | 15 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $44.13 – $189.63 | 15 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $107.01 – $593.72 | 15 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $232.06 – $1,074.72 | 12 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $232.48 – $2,791.14 | 12 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $261.61 – $5,680.24 | 12 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $424.09 – $5,680.24 | 12 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $954.50 – $1,004.50 | 3 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $5.81 – $18.72 | 13 |
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.