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 |
|---|---|---|---|---|
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $9,720.00 – $16,047.00 | 8 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $5,646.00 – $16,047.00 | 8 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $10,199.00 – $16,047.00 | 8 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $10,199.00 – $16,047.00 | 8 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $5,646.00 – $16,047.00 | 9 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $45.00 – $2,225.50 | 3 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | not published | not published | $45.00 – $2,225.50 | 3 |
| Pr removal intrauterine device CPT 58301 | not published | not published | $954.50 – $1,004.50 | 3 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | not published | not published | $45.00 – $2,225.50 | 3 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | not published | not published | $45.00 – $2,225.50 | 3 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | not published | not published | $45.00 – $2,225.50 | 3 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | not published | not published | $45.00 – $2,225.50 | 3 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | not published | not published | $45.00 – $2,225.50 | 3 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | not published | 0 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $190.42 – $1,004.50 | 9 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | not published | not published | $954.50 – $1,004.50 | 3 |
| PSA (Prostate) Test CPT 84153 | not published | not published | $16.55 – $71.10 | 15 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $1.77 – $1.77 | 1 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $46.00 – $46.00 | 1 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | not published | not published | $48.00 – $48.00 | 1 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | not published | not published | $80.00 – $80.00 | 1 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | not published | not published | $92.00 – $92.00 | 1 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $105.89 – $105.89 | 1 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $80.73 – $80.73 | 1 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $34.11 – $34.11 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $23.72 – $23.72 | 1 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $18.77 – $18.77 | 1 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $34.11 – $34.11 | 1 |
| Psytx complex interactive CPT 90785 | not published | not published | $3.25 – $3.25 | 1 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $45.00 – $45.00 | 1 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $78.00 – $78.00 | 1 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $89.70 – $89.70 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | not published | not published | $12.77 – $41.75 | 8 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $10.21 – $12.77 | 6 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | not published | not published | $17.28 – $69.21 | 8 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | not published | not published | $12.35 – $28.08 | 8 |
| Pt application of modality traction mechanical CPT 97012 | not published | not published | $12.77 – $35.10 | 8 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $131.40 – $940.26 | 15 |
| Pten gene full sequence CPT 81321 | not published | not published | $540.00 – $1,881.64 | 15 |
| Pten gene known fam variant CPT 81322 | not published | not published | $41.94 – $165.93 | 15 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pt evaluation high complexity patient/family CPT 97163 | not published | not published | $86.39 – $176.18 | 8 |
| Pt evaluation low complexity patient/family CPT 97161 | not published | not published | $86.39 – $176.18 | 8 |
| Pt evaluation moderate complexity patient/family CPT 97162 | not published | not published | $86.39 – $176.18 | 8 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $21.68 – $56.60 | 8 |
| Pt re-evaluation patient/family CPT 97164 | not published | not published | $58.78 – $119.16 | 8 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | not published | not published | $37.90 – $95.77 | 8 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | not published | not published | $25.65 – $62.24 | 8 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $24.87 – $57.39 | 8 |
| Pt wheelchair management each 15 minutes CPT 97542 | not published | not published | $27.71 – $67.11 | 8 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $10,999.00 – $16,047.00 | 6 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $14,749.00 – $16,047.00 | 3 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $175.82 – $589.01 | 12 |
| Pulse ox continuous overnight monitoring CPT 94762 | not published | not published | $40.59 – $50.74 | 6 |
| Pulse ox multiple CPT 94761 | not published | not published | $8.04 – $10.05 | 6 |
| Pulse ox single CPT 94760 | not published | not published | $5.08 – $6.35 | 6 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $954.50 – $1,004.50 | 3 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | not published | not published | $45.00 – $2,225.50 | 3 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | not published | not published | $45.00 – $2,225.50 | 3 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $954.50 – $1,004.50 | 3 |
| Puncture spinal lumbar diagnostic CPT 62270 | not published | not published | $954.50 – $1,004.50 | 3 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $45.00 – $2,225.50 | 3 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $45.00 – $2,225.50 | 3 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pyruvate CPT 84210 | not published | not published | $13.03 – $45.14 | 15 |
| Pyruvate kinase CPT 84220 | not published | not published | $8.50 – $36.12 | 15 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $288.01 – $755.17 | 12 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $180.37 – $589.01 | 12 |
| Quest t3 uptake CPT 84479 | not published | not published | $5.82 – $24.85 | 15 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $400.38 – $780.60 | 10 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $265.35 – $615.01 | 10 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $293.13 – $578.19 | 10 |
| Rabies vaccine id CPT 90676 | not published | not published | $340.56 – $340.56 | 2 |
| Radiation handling CPT 77790 | not published | not published | $13.91 – $79.82 | 8 |
| Radiation physics consult CPT 77336 | not published | not published | $79.18 – $336.54 | 11 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $37.04 – $92.43 | 11 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $40.59 – $98.81 | 11 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $9.71 – $215.61 | 11 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $91.32 – $185.21 | 11 |
| Radiation treatment delivery CPT 77401 | not published | not published | $21.10 – $98.97 | 11 |
| Radiation treatment delivery CPT 77402 | not published | not published | $148.27 – $334.90 | 11 |
| Radiation treatment delivery CPT 77412 | not published | not published | $255.68 – $599.11 | 11 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,118.00 – $4,693.00 | 4 |
| Radical resection of elbow CPT 24149 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Radiology port images(s) CPT 77417 | not published | not published | $14.64 – $26.45 | 8 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $1,633.86 – $4,177.58 | 11 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | not published | not published | $303.20 – $2,035.50 | 12 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $557.21 – $2,035.50 | 12 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $680.75 – $2,035.50 | 12 |
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.