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 |
|---|---|---|---|---|
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | not published | not published | $320.22 – $1,113.01 | 12 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | not published | not published | $432.58 – $1,460.67 | 12 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $358.93 – $1,198.59 | 12 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $70.15 – $82.69 | 4 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $124.30 – $146.52 | 4 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $190.19 – $224.19 | 4 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $16.92 – $19.94 | 4 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $295.31 – $348.11 | 4 |
| Mr spectroscopy CPT 76390 | not published | not published | $398.79 – $1,412.47 | 12 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $191.97 – $669.34 | 15 |
| Msh2 gene full seq CPT 81295 | not published | not published | $227.57 – $1,196.49 | 15 |
| Msh2 gene known variants CPT 81296 | not published | not published | $194.30 – $1,058.79 | 15 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $214.20 – $746.11 | 15 |
| Msh6 gene full seq CPT 81298 | not published | not published | $431.75 – $2,012.59 | 15 |
| Msh6 gene known variants CPT 81299 | not published | not published | $241.86 – $966.22 | 15 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $58.81 – $205.42 | 15 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $24.19 – $84.67 | 15 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.27 – $22.59 | 15 |
| Mucopolysaccharides CPT 83864 | not published | not published | $25.65 – $89.16 | 15 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $46.00 – $46.00 | 1 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $96.54 – $120.68 | 6 |
| Multiple sleep latency test CPT 95805 | not published | not published | $598.61 – $748.26 | 6 |
| Mumps antibody igg CPT 86735 | not published | not published | $11.75 – $50.81 | 15 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $100.02 – $125.03 | 6 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $113.75 – $142.19 | 6 |
| Muscle test larynx CPT 95865 | not published | not published | $106.57 – $133.22 | 6 |
| Muscle test one fiber CPT 95872 | not published | not published | $71.37 – $89.22 | 6 |
| Muscle transfers CPT 23397 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $43.42 – $151.24 | 15 |
| Mycoplasma antibody igm CPT 86738 | not published | not published | $11.92 – $50.81 | 15 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $157.86 – $550.29 | 15 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $135.87 – $1,089.31 | 12 |
| Myelography l-s spine CPT 72265 | not published | not published | $91.32 – $1,089.31 | 12 |
| Myelography neck spine CPT 72240 | not published | not published | $90.56 – $1,089.31 | 12 |
| Myelography thoracic spine CPT 72255 | not published | not published | $83.36 – $1,089.31 | 12 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Myelography via inj w/s&i cervical CPT 62302 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Myelography via inj w/s&i thoracic CPT 62303 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | not published | not published | $10.38 – $45.14 | 15 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $832.36 – $3,581.20 | 12 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $96.22 – $3,866.97 | 12 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $123.58 – $7,370.44 | 12 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $1,050.42 – $3,581.20 | 12 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $91.28 – $3,866.97 | 12 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Myomectomy abdom method CPT 58140 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Myomectomy vag method CPT 58145 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Myringoplasty CPT 69620 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | not published | not published | $45.00 – $2,225.50 | 3 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Nasal function studies CPT 92512 | not published | not published | $104.77 – $130.96 | 6 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $954.50 – $1,004.50 | 3 |
| Nasal sinus therapy CPT 30210 | not published | not published | $954.50 – $1,004.50 | 3 |
| Nasopharyngoscopy w/endoscope CPT 92511 | not published | not published | $231.84 – $289.80 | 6 |
| Natriuretic peptide CPT 83880 | not published | not published | $35.33 – $130.95 | 15 |
| Natural killer cells total count CPT 86357 | not published | not published | $33.96 – $145.60 | 15 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| N block inj common digit CPT 64632 | not published | not published | $45.00 – $2,225.50 | 3 |
| N block inj hypogas plxs CPT 64517 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $45.00 – $2,225.50 | 3 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | not published | not published | $126.87 – $158.59 | 6 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | not published | not published | $45.00 – $2,225.50 | 3 |
| Ndl insj without njx 3+ musc CPT 20561 | not published | not published | $45.00 – $2,225.50 | 3 |
| Ndl oculoelectromyography 1+ CPT 92265 | not published | not published | $57.76 – $72.20 | 6 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | not published | not published | $236.33 – $768.52 | 12 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | not published | not published | $190.02 – $619.72 | 12 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | not published | not published | $151.68 – $562.76 | 12 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | not published | not published | $297.44 – $989.22 | 12 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | not published | not published | $261.38 – $881.22 | 12 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | not published | not published | $179.77 – $559.14 | 12 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | not published | not published | $558.60 – $1,536.47 | 12 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | not published | not published | $391.21 – $1,059.01 | 12 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | not published | not published | $369.56 – $1,001.07 | 12 |
| Neck spine disk surgery CPT 63020 | not published | not published | $6,089.00 – $6,089.00 | 1 |
| Neck spine disk surgery 63075 CPT 63075 | not published | not published | $10,150.00 – $10,150.00 | 1 |
| Neck spine disk surgery 63076 CPT 63076 | not published | not published | $10,150.00 – $10,150.00 | 1 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | not published | not published | $93.10 – $116.38 | 6 |
| Neisseria meningitidis CPT 86741 | not published | not published | $11.87 – $50.81 | 15 |
| Nephrectomy open 50220 CPT 50220 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | not published | not published | $77.56 – $77.56 | 1 |
| Nerve conduction 7-8 studies CPT 95910 | not published | not published | $128.74 – $160.93 | 6 |
| Nerve conduction studies 11-12 CPT 95912 | not published | not published | $171.21 – $214.02 | 6 |
| Nerve conduction studies 1-2 CPT 95907 | not published | not published | $67.91 – $84.89 | 6 |
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.