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 |
|---|---|---|---|---|
| Nudt15 gene common variants CPT 81306 | not published | not published | $262.22 – $913.06 | 15 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | not published | not published | $95.42 – $95.42 | 1 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | not published | not published | $66.25 – $66.25 | 1 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | not published | not published | $198.57 – $198.57 | 1 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | not published | not published | $122.36 – $122.36 | 1 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | not published | not published | $153.83 – $153.83 | 1 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Obstetrics panel CPT 80055 | not published | not published | $43.03 – $185.10 | 15 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $65.89 – $179.33 | 12 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $31.73 – $60.65 | 8 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $954.50 – $1,004.50 | 3 |
| Ocular reconst transplant CPT 65780 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Ocular reconst transplant CPT 65781 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Ocular reconst transplant CPT 65782 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,485.70 – $12,144.09 | 15 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,485.70 – $8,172.03 | 10 |
| Oncology colon mrna CPT 81525 | not published | not published | $2,804.40 – $9,770.55 | 15 |
| Oncology colorectal scr CPT 81528 | not published | not published | $457.98 – $1,596.07 | 15 |
| Oncology gynecologic CPT 81535 | not published | not published | $521.51 – $1,817.29 | 15 |
| Oncology gynecologic CPT 81536 | not published | not published | $159.80 – $556.49 | 15 |
| Oncology prostate prob score CPT 81539 | not published | not published | $684.00 – $1,719.12 | 15 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,375.00 – $11,758.29 | 15 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $807.30 – $2,812.88 | 15 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $234.45 – $554.87 | 12 |
| Oncoprotein dcp CPT 83951 | not published | not published | $57.97 – $249.45 | 15 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $57.97 – $249.45 | 15 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,240.00 – $10,564.61 | 14 |
| Oocyte identification CPT 89254 | not published | not published | $129.15 – $544.41 | 12 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ophthalmic biometry CPT 92136 | not published | not published | $96.82 – $121.03 | 6 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $32.48 – $40.60 | 6 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $66.91 – $174.45 | 12 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $63.61 – $179.33 | 12 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $43.82 – $179.33 | 12 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | not published | 0 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | not published | 0 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $954.50 – $1,004.50 | 3 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $954.50 – $1,004.50 | 3 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Optx lunate dislocation CPT 25695 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Optx medial ankle fx CPT 27766 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Optx post ankle fx CPT 27769 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | 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.