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 |
|---|---|---|---|---|
| Assay of quinine CPT 84228 | not published | not published | $10.47 – $45.14 | 15 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $8.50 – $36.12 | 15 |
| Assay of salicylate CPT 80179 | not published | not published | $16.78 – $54.30 | 14 |
| Assay of semen fructose CPT 82757 | not published | not published | $15.61 – $66.61 | 15 |
| Assay of sialic acid CPT 84275 | not published | not published | $12.10 – $51.92 | 15 |
| Assay of silica CPT 84285 | not published | not published | $22.69 – $91.42 | 15 |
| Assay of somatostatin CPT 84307 | not published | not published | $16.45 – $71.10 | 15 |
| Assay of thiocyanate CPT 84430 | not published | not published | $10.47 – $45.14 | 15 |
| Assay of troponin qual CPT 84512 | not published | not published | $9.08 – $31.60 | 15 |
| Assay of tyrosine CPT 84510 | not published | not published | $9.57 – $40.65 | 15 |
| Assay of urine sulfate CPT 84392 | not published | not published | $4.94 – $18.06 | 15 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $8.60 – $31.60 | 15 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $5.45 – $19.17 | 15 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $14.87 – $64.35 | 15 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $9.66 – $39.50 | 15 |
| Assay rbc glutathione CPT 82979 | not published | not published | $8.50 – $36.12 | 15 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $17.77 – $76.77 | 15 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | not published | not published | $86.19 – $223.61 | 8 |
| Assess cyst contrast inject CPT 49424 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | not published | not published | $3.84 – $16.95 | 15 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $123.10 – $153.87 | 6 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $6,089.00 – $6,089.00 | 1 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $32.95 – $79.76 | 8 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $441.38 – $1,882.54 | 12 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $129.15 – $1,180.82 | 12 |
| Ast/sgot CPT 84450 | not published | not published | $4.66 – $20.32 | 15 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Atomic absorption CPT 82190 | not published | not published | $14.31 – $57.56 | 15 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Attach ocular implant CPT 65140 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $209.78 – $262.22 | 6 |
| Audiometry air + bone CPT 92553 | not published | not published | $60.72 – $75.90 | 6 |
| Auditory function 60 min CPT 92620 | not published | not published | $165.21 – $206.52 | 6 |
| Augmentation cheek bone CPT 21270 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Augmentation of facial bones CPT 21208 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $756.59 – $2,635.65 | 15 |
| Autologous blood op salvage CPT 86891 | not published | not published | $132.69 – $565.38 | 13 |
| Autologous blood process CPT 86890 | not published | not published | $94.10 – $329.59 | 13 |
| Automated diff wbc count CPT 85004 | not published | not published | $5.82 – $24.85 | 15 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $95.05 – $118.82 | 6 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $71.37 – $89.22 | 6 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $264.33 – $330.42 | 6 |
| Av fistula revision CPT 36833 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Av fusion direct any site CPT 36821 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Avul nail plate addl CPT 11732 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | not published | not published | $45.00 – $2,225.50 | 3 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Baclofen eval charges CPT 97750 | not published | not published | $29.01 – $72.40 | 8 |
| Bacterial meningitis antigen CPT 86403 | not published | not published | $10.39 – $39.50 | 15 |
| Bacterial vaginosis pcr CPT 87801 | not published | not published | $63.18 – $272.03 | 15 |
| Bactericidal level serum CPT 87197 | not published | not published | $13.52 – $58.71 | 15 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $31.58 – $135.44 | 15 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $31.58 – $135.44 | 15 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $35.86 – $44.83 | 6 |
| B cells total count CPT 86355 | not published | not published | $33.96 – $145.60 | 15 |
| Bckdhb gene CPT 81205 | not published | not published | $85.49 – $436.65 | 15 |
| Benign lesion paring 2-4 CPT 11056 | not published | not published | $45.00 – $2,225.50 | 3 |
| Benign lesion paring 4+ CPT 11057 | not published | not published | $45.00 – $2,225.50 | 3 |
| #_benzodiazconfur CPT 80346 | not published | not published | $0.02 – $0.02 | 2 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | not published | not published | $22.91 – $98.21 | 15 |
| Beta-2 microglobulin CPT 82232 | not published | not published | $14.56 – $62.08 | 15 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $69.09 – $159.68 | 3 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $27.52 – $65.35 | 3 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $12.00 – $65.46 | 15 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | not published | not published | $954.50 – $1,004.50 | 3 |
| Bilateral n block inj occipital 64405 CPT 64405 | not published | not published | $954.50 – $1,004.50 | 3 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | not published | not published | $954.50 – $1,004.50 | 3 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $23.92 – $102.73 | 15 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Biliary endoscopy thru skin CPT 47556 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Bilicheck CPT 88720 | not published | not published | $4.52 – $19.17 | 15 |
| Bilirubin direct CPT 82248 | not published | not published | $4.52 – $19.17 | 15 |
| Bilirubin total CPT 82247 | not published | not published | $4.52 – $19.17 | 15 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Biofeedback, pt CPT 90901 | not published | not published | $34.75 – $88.09 | 8 |
| Biopsy abdominal mass CPT 49180 | not published | not published | $954.50 – $1,004.50 | 3 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Biopsy bone trocar/needle superficial CPT 20220 | not published | not published | $954.50 – $1,004.50 | 3 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $954.50 – $1,004.50 | 3 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | 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.