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 |
|---|---|---|---|---|
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Optx sho dislc fx CPT 23670 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Orchiectomy partial CPT 54522 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $21.24 – $74.51 | 15 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Orthopantogram CPT 70355 | not published | not published | $10.47 – $127.70 | 12 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $58.35 – $72.93 | 6 |
| Osmolality blood CPT 83930 | not published | not published | $5.95 – $25.96 | 15 |
| Osmolality urine CPT 83935 | not published | not published | $6.14 – $25.96 | 15 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Ot evaluation high complexity patient/family CPT 97167 | not published | not published | $83.87 – $170.98 | 8 |
| Ot evaluation low complexity patient/family CPT 97165 | not published | not published | $83.87 – $170.98 | 8 |
| Ot evaluation moderate complexity patient/family CPT 97166 | not published | not published | $83.87 – $170.98 | 8 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $20.82 – $86.93 | 15 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | not published | not published | $45.64 – $104.56 | 8 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | not published | not published | $41.78 – $82.75 | 8 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | not published | not published | $23.62 – $65.46 | 8 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $51.28 – $64.10 | 6 |
| Otoplasty 69300 CPT 69300 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Ot re-evaluation patient/family CPT 97168 | not published | not published | $56.26 – $112.79 | 8 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | not published | not published | $32.89 – $75.90 | 8 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | not published | not published | $19.58 – $51.29 | 8 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | not published | not published | $20.21 – $53.68 | 8 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | not published | not published | $25.65 – $70.06 | 8 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | not published | not published | $29.74 – $73.03 | 8 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | not published | not published | $28.45 – $75.99 | 8 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $254.59 – $958.95 | 15 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $271.22 – $644.44 | 15 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $373.65 – $3,140.28 | 10 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Parathormone (pth) intact CPT 83970 | not published | not published | $37.15 – $160.29 | 15 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $387.46 – $931.13 | 12 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Parathyroid planar imaging CPT 78070 | not published | not published | $279.66 – $719.70 | 12 |
| Parathyroid planar img w/tomo spect CPT 78071 | not published | not published | $314.97 – $824.28 | 12 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | not published | not published | $45.00 – $2,225.50 | 3 |
| Parotid duct diversion CPT 42507 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Parotid duct diversion CPT 42509 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Parotid duct diversion CPT 42510 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $954.50 – $1,004.50 | 3 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Partial exc bone humerus CPT 24140 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Partial excision of lip CPT 40500 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Partial hip replacement CPT 27125 | not published | not published | $2,118.00 – $28,151.00 | 10 |
| Partial hysterectomy CPT 58180 | not published | not published | $2,118.00 – $4,813.00 | 5 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Partial removal foot fascia CPT 28060 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Partial removal of bladder CPT 51550 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Partial removal of fibula CPT 27641 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Partial removal of foot bone CPT 28288 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Partial removal of hand bone CPT 26230 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Partial removal of lip CPT 40530 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Partial removal of nose CPT 30150 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Partial removal of penis CPT 54120 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Partial removal of radius CPT 25151 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Partial removal of radius CPT 25230 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Partial removal of rib CPT 21600 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Partial removal of sternum CPT 21620 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Partial removal of thyroid CPT 60220 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Partial removal of thyroid CPT 60225 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Partial removal of tibia CPT 27640 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Partial removal of toe CPT 28160 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Partial removal of tongue CPT 41120 | not published | not published | $2,187.00 – $2,298.50 | 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.