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 |
|---|---|---|---|---|
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $47.64 – $59.55 | 6 |
| Pregabalin - sendout CPT 80366 | not published | not published | $0.02 – $0.02 | 2 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $13.55 – $58.71 | 15 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | not published | not published | $103.47 – $245.22 | 12 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | not published | not published | $82.59 – $196.47 | 12 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Preparation palate mold CPT 42280 | not published | not published | $45.00 – $2,225.50 | 3 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $44.52 – $429.80 | 12 |
| Prepare penis study CPT 54230 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $687.42 – $1,246.50 | 9 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $588.73 – $1,246.50 | 9 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $128.34 – $2,225.50 | 9 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $33.30 – $130.26 | 13 |
| Pretreat rbc absorption reference CPT 86978 | not published | not published | $28.91 – $116.27 | 13 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $38.61 – $135.44 | 13 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $27.51 – $97.06 | 13 |
| Pretreat rbc w enzyme reference CPT 86971 | not published | not published | $22.20 – $255.07 | 13 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $135.00 – $135.00 | 1 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $954.50 – $1,004.50 | 3 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $954.50 – $1,004.50 | 3 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | not published | not published | $954.50 – $1,004.50 | 3 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $36.76 – $45.95 | 6 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $28.17 – $35.21 | 6 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $25.80 – $32.25 | 6 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $32.90 – $41.12 | 6 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $38.82 – $48.53 | 6 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $44.14 – $55.18 | 6 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $446.79 – $12,715.00 | 8 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $184.51 – $184.51 | 1 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $124.98 – $124.98 | 1 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $91.84 – $91.84 | 1 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $94.72 – $94.72 | 1 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $65.71 – $65.71 | 1 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $35.71 – $35.71 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | not published | not published | $954.50 – $1,004.50 | 3 |
| Pr incision & drainage abscess simple/single CPT 10060 | not published | not published | $45.00 – $2,225.50 | 3 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | not published | not published | $45.00 – $2,225.50 | 3 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $954.50 – $1,004.50 | 3 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Procalcitonin CPT 84145 | not published | not published | $24.50 – $103.84 | 15 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $954.50 – $1,004.50 | 3 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $954.50 – $1,004.50 | 3 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $954.50 – $1,004.50 | 3 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $954.50 – $1,004.50 | 3 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $954.50 – $1,004.50 | 3 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $954.50 – $1,004.50 | 3 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $954.50 – $1,004.50 | 3 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $954.50 – $1,004.50 | 3 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $954.50 – $1,004.50 | 3 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $954.50 – $1,004.50 | 3 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $954.50 – $1,004.50 | 3 |
| Progesterone CPT 84144 | not published | not published | $18.77 – $81.26 | 15 |
| Prolactin CPT 84146 | not published | not published | $17.44 – $74.51 | 15 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $954.50 – $1,004.50 | 3 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Prophylactic tx radius CPT 25490 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| _propoxygc/msur CPT 80367 | not published | not published | $0.02 – $0.02 | 2 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Prostate laser enucleation CPT 52649 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Protein c activity CPT 85303 | not published | not published | $12.46 – $53.04 | 15 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | not published | not published | $9.67 – $41.76 | 15 |
| Protein s total CPT 85305 | not published | not published | $10.45 – $45.14 | 15 |
| Protein total 24 hour urine CPT 84156 | not published | not published | $3.30 – $14.69 | 15 |
| Protein total body fluid CPT 84157 | not published | not published | $3.60 – $14.69 | 15 |
| Protein total serum plasma whole blood CPT 84155 | not published | not published | $3.30 – $14.69 | 15 |
| Prothrombin time substitution plasma fractions each CPT 85611 | not published | not published | $3.55 – $15.80 | 15 |
| Proton treatment complex CPT 77525 | not published | not published | $723.40 – $2,828.55 | 11 |
| Proton trmt intermediate CPT 77523 | not published | not published | $604.81 – $2,828.55 | 11 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $486.22 – $2,828.55 | 11 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $367.63 – $2,010.20 | 11 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $8.77 – $33.86 | 15 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $10,199.00 – $16,047.00 | 6 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $9,720.00 – $16,047.00 | 6 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $5,646.00 – $16,047.00 | 9 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $9,720.00 – $16,047.00 | 6 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $5,646.00 – $16,047.00 | 8 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $9,720.00 – $16,047.00 | 6 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $1,185.00 – $1,246.50 | 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.