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 |
|---|---|---|---|---|
| Partial removal of ulna CPT 25119 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Partial removal of ulna CPT 25150 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Partial removal of ulna CPT 25240 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Partial removal tear gland CPT 68505 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Partial thyroid excision CPT 60210 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Part removal of metatarsal CPT 28110 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Part removal of metatarsal CPT 28113 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $121.73 – $192.28 | 9 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $64.68 – $137.09 | 9 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $30.32 – $52.96 | 9 |
| Patient recorded spirometry CPT 94014 | not published | not published | $89.42 – $111.78 | 6 |
| Patient recorded spirometry CPT 94015 | not published | not published | $44.14 – $55.18 | 6 |
| Pdgfra gene CPT 81314 | not published | not published | $296.56 – $1,032.83 | 15 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $322.13 – $402.66 | 6 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $76.58 – $95.73 | 5 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $361.91 – $452.39 | 5 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Pelvic CT scan (with and without contrast) CPT 72194 | not published | not published | $229.12 – $739.53 | 12 |
| Pelvic CT scan (with contrast) CPT 72193 | not published | not published | $188.88 – $622.36 | 12 |
| Pelvic CT scan (without contrast) CPT 72192 | not published | not published | $103.10 – $562.76 | 12 |
| Pelvic MRI (with and without contrast) CPT 72197 | not published | not published | $432.58 – $1,176.18 | 12 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $360.08 – $970.79 | 12 |
| Pelvic MRI (without contrast) CPT 72195 | not published | not published | $324.77 – $906.80 | 12 |
| Pelvic Ultrasound (complete) CPT 76856 | not published | not published | $96.26 – $202.10 | 12 |
| Pelvic Ultrasound (limited) CPT 76857 | not published | not published | $37.04 – $179.33 | 12 |
| Penile injection CPT 54235 | not published | not published | $45.00 – $2,225.50 | 3 |
| Penile vascular study CPT 93980 | not published | not published | $99.78 – $171.14 | 9 |
| Penile vascular study CPT 93981 | not published | not published | $86.76 – $146.79 | 9 |
| Penile venous occlusion CPT 37790 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Penis study CPT 54240 | not published | not published | $45.00 – $2,225.50 | 3 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $954.50 – $1,004.50 | 3 |
| Percut ablate liver rf CPT 47382 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $31.13 – $38.92 | 6 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $21.07 – $26.34 | 6 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $19.28 – $24.10 | 6 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $954.50 – $1,004.50 | 3 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $55.88 – $958.33 | 12 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $225.38 – $589.38 | 12 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $954.50 – $1,004.50 | 3 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $954.50 – $1,004.50 | 3 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $954.50 – $1,004.50 | 3 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $954.50 – $1,004.50 | 3 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Perq transcath closure each CPT 93592 | not published | not published | $760.71 – $16,047.00 | 9 |
| Perq transcath closure pda CPT 93582 | not published | not published | $14,749.00 – $16,047.00 | 3 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $1,726.55 – $16,047.00 | 9 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $2,080.52 – $16,047.00 | 9 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $14,749.00 – $16,047.00 | 3 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | not published | 0 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Perq tx malar fracture CPT 21355 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Pertussis ag if CPT 87265 | not published | not published | $10.78 – $46.28 | 15 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $1,944.73 – $4,303.60 | 12 |
| Pet CT whole body initial CPT 78816 | not published | not published | $1,967.62 – $4,303.60 | 12 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $1,173.52 – $3,581.20 | 12 |
| Pet image full body CPT 78813 | not published | not published | $1,576.18 – $3,581.20 | 12 |
| Pet image ltd area CPT 78811 | not published | not published | $1,203.36 – $3,581.20 | 12 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,524.31 – $3,581.20 | 12 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $1,203.36 – $3,581.20 | 12 |
| Pet scan brain perf study CPT 78609 | not published | not published | $50.00 – $3,581.20 | 9 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Ph body fluid CPT 83986 | not published | not published | $3.22 – $13.54 | 15 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $0.02 – $135.44 | 13 |
| Phenobarbital therapeutic drug level CPT 80184 | not published | not published | $13.77 – $48.55 | 15 |
| Phenytoin total therapeutic drug level CPT 80185 | not published | not published | $11.93 – $50.81 | 15 |
| Phlebotomy therapeutic CPT 99195 | not published | not published | $162.14 – $202.68 | 6 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Phosphorus CPT 84100 | not published | not published | $4.27 – $18.06 | 15 |
| Phosphorus 24 hour urine CPT 84105 | not published | not published | $5.20 – $20.32 | 15 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $114.58 – $143.22 | 6 |
| Photochemotherapy puva CPT 96912 | not published | not published | $147.73 – $184.67 | 6 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $208.10 – $260.13 | 6 |
| Photopheresis CPT 36522 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $44.52 – $120.51 | 7 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $68.00 – $130.26 | 7 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $20.69 – $121.35 | 13 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $2,118.00 – $2,225.50 | 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.