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 |
|---|---|---|---|---|
| Macroscopic exam arthropod CPT 87168 | not published | not published | $3.84 – $16.95 | 15 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $3.88 – $16.95 | 15 |
| Magnesium CPT 83735 | not published | not published | $6.03 – $25.96 | 15 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $334.26 – $1,149.87 | 12 |
| Malaria antibody CPT 86750 | not published | not published | $11.87 – $50.81 | 15 |
| Male sling procedure CPT 53440 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $954.50 – $1,004.50 | 3 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | not published | not published | $48.28 – $60.35 | 6 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | not published | not published | $41.79 – $52.23 | 6 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Manipulation of spine CPT 22505 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $954.50 – $1,004.50 | 3 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.56 – $15.80 | 15 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $134.71 – $168.38 | 6 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Map tachycard site(s) CPT 93609 | not published | not published | $170.53 – $12,715.00 | 8 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Mastectomy partial CPT 19301 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Mast mod rad CPT 19307 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Mastoidectomy CPT 69501 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Mastoids complete CPT 70130 | not published | not published | $44.25 – $179.33 | 12 |
| Mastoid surgery revision CPT 69603 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Mastopexy CPT 19316 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Mast simple complete CPT 19303 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $31.58 – $135.44 | 15 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $24.56 – $85.78 | 15 |
| Maxillofacial fixation CPT 21100 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | not published | not published | $13.01 – $56.45 | 15 |
| Mayo aathr protein s free CPT 85306 | not published | not published | $13.79 – $59.82 | 15 |
| Mayo activated protein c resistance assay CPT 85307 | not published | not published | $13.79 – $59.82 | 15 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $34.71 – $82.50 | 15 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $0.02 – $0.02 | 2 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $0.02 – $0.02 | 2 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | not published | not published | $13.30 – $57.56 | 15 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $0.02 – $0.02 | 2 |
| Mayo alpha 1 antitrypsin CPT 82103 | not published | not published | $12.10 – $51.92 | 15 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | not published | not published | $13.57 – $58.71 | 15 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $0.02 – $0.02 | 2 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $0.02 – $0.02 | 2 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $109.47 – $470.70 | 15 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | not published | not published | $82.49 – $354.44 | 15 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $123.30 – $429.41 | 15 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $1,044.00 – $6,177.00 | 15 |
| Mayo androstenedione CPT 82157 | not published | not published | $26.35 – $112.89 | 15 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | not published | not published | $13.14 – $56.45 | 15 |
| Mayo antithrombin iii antigen CPT 85301 | not published | not published | $9.73 – $41.76 | 15 |
| Mayo aspergillus fumigatus antibody CPT 86606 | not published | not published | $13.55 – $58.71 | 15 |
| Mayo avwpr vw factor activity CPT 85397 | not published | not published | $27.77 – $97.06 | 15 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $31.58 – $74.04 | 10 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $0.02 – $0.02 | 2 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | not published | not published | $9.16 – $39.50 | 15 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | not published | not published | $130.36 – $561.01 | 15 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $193.16 – $672.75 | 15 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | not published | not published | $11.61 – $49.66 | 15 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $0.02 – $0.02 | 2 |
| Mayo bordetella pertussis antibody igg CPT 86615 | not published | not published | $11.87 – $50.81 | 15 |
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $8.04 – $35.01 | 15 |
| Mayo c1 esterase inhibitor CPT 83883 | not published | not published | $12.24 – $53.04 | 15 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $0.02 – $0.02 | 2 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | not published | not published | $12.00 – $65.46 | 15 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $24.10 – $103.84 | 15 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $110.00 – $472.97 | 15 |
| Mayo ceruloplasmin CPT 82390 | not published | not published | $9.67 – $41.76 | 15 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | not published | not published | $12.71 – $54.18 | 15 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | not published | not published | $11.59 – $49.66 | 15 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | not published | not published | $10.64 – $46.28 | 15 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | not published | not published | $11.41 – $49.66 | 15 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | not published | not published | $104.84 – $451.50 | 15 |
| Mayo chromium CPT 82495 | not published | not published | $18.25 – $79.00 | 15 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | not published | not published | $0.02 – $0.02 | 2 |
| Mayo coccidioides antibody CPT 86635 | not published | not published | $10.32 – $44.02 | 15 |
| Mayo cocou cortisone urine CPT 82542 | not published | not published | $21.68 – $75.62 | 15 |
| Mayo cortisol free CPT 82530 | not published | not published | $15.04 – $64.35 | 15 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | not published | not published | $37.92 – $58.98 | 11 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | not published | not published | $10.91 – $47.40 | 15 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $0.02 – $0.02 | 2 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $0.02 – $0.02 | 2 |
| Mayo cyanide CPT 82600 | not published | not published | $17.46 – $75.62 | 15 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $129.15 – $1,845.72 | 13 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | not published | not published | $11.93 – $50.81 | 15 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | not published | not published | $22.74 – $98.21 | 15 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $26.35 – $101.70 | 15 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $8.68 – $32.75 | 15 |
| Mayo efpo chloride stool CPT 82438 | not published | not published | $4.50 – $19.17 | 15 |
| Mayo estriol CPT 82677 | not published | not published | $21.76 – $93.68 | 15 |
| Mayo estrone CPT 82679 | not published | not published | $22.46 – $97.06 | 15 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | not published | not published | $14.71 – $63.20 | 15 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $12.36 – $252.89 | 15 |
| Mayo factor ii CPT 85210 | not published | not published | $11.68 – $50.81 | 15 |
| Mayo factor v CPT 85220 | not published | not published | $15.89 – $68.87 | 15 |
| Mayo factor vii CPT 85230 | not published | not published | $16.11 – $68.87 | 15 |
| Mayo factor viii vw factor antigen CPT 85246 | not published | not published | $20.65 – $89.16 | 15 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | not published | not published | $20.65 – $89.16 | 15 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | not published | not published | $20.65 – $89.16 | 15 |
| Mayo factor x CPT 85260 | not published | not published | $16.11 – $68.87 | 15 |
| Mayo factor xi CPT 85270 | not published | not published | $16.11 – $68.87 | 15 |
| Mayo fat/lipids feces quantitative CPT 82710 | not published | not published | $15.12 – $65.46 | 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.