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 |
|---|---|---|---|---|
| Revision of leg vein 37780 CPT 37780 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Revision of neck muscle CPT 21700 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Revision of neck muscle CPT 21720 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Revision of neck muscle CPT 21725 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Revision of nose CPT 30120 | not published | not published | $954.50 – $1,004.50 | 3 |
| Revision of nose CPT 30430 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Revision of nose CPT 30435 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Revision of nose CPT 30450 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Revision of nose CPT 30460 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Revision of nose CPT 30462 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Revision of penis CPT 54300 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Revision of penis CPT 54304 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Revision of penis CPT 54420 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Revision of penis CPT 54430 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Revision of penis CPT 54435 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Revision of radius CPT 25350 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Revision of radius CPT 25355 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Revision of scrotum CPT 55175 | not published | not published | $954.50 – $1,004.50 | 3 |
| Revision of scrotum CPT 55180 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Revision of spinal shunt CPT 63744 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Revision of testis CPT 54660 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Revision of thigh muscles CPT 27430 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Revision of toe CPT 28312 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Revision of ulna CPT 25360 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Revision of urethra CPT 53450 | not published | not published | $954.50 – $1,004.50 | 3 |
| Revision of urethra CPT 53460 | not published | not published | $954.50 – $1,004.50 | 3 |
| Revision of urethra CPT 57220 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Revision tips CPT 37183 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $2,118.00 – $23,491.00 | 5 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $2,118.00 – $23,491.00 | 4 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $954.50 – $1,004.50 | 3 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $954.50 – $1,004.50 | 3 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $954.50 – $1,004.50 | 3 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $5.53 – $21.44 | 15 |
| Rheumatoid factor quantitative CPT 86431 | not published | not published | $5.10 – $21.44 | 15 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $142.87 – $146.16 | 5 |
| Rib cartilage graft CPT 21230 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Right ventric recording CPT 93603 | not published | not published | $108.17 – $12,715.00 | 8 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $954.50 – $1,004.50 | 3 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $954.50 – $1,004.50 | 3 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $954.50 – $1,004.50 | 3 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $954.50 – $1,004.50 | 3 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $6,190.50 – $14,894.00 | 5 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $6,190.50 – $22,196.00 | 7 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $6,190.50 – $6,935.50 | 3 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $6,190.50 – $6,935.50 | 3 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $6,190.50 – $6,935.50 | 3 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $45.00 – $2,225.50 | 3 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $6,190.50 – $6,935.50 | 3 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | not published | 0 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $6,190.50 – $6,935.50 | 3 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $6,190.50 – $6,935.50 | 3 |
| Rmvl pq iabp CPT 33968 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $6,190.50 – $14,894.00 | 5 |
| Rmvl subq card rhythm mntr CPT 33286 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $954.50 – $1,004.50 | 3 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $45.00 – $2,225.50 | 3 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $6,190.50 – $6,935.50 | 3 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $6,190.50 – $6,935.50 | 3 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $2,789.50 – $2,932.00 | 3 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $2,789.50 – $2,932.00 | 3 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rotavirus antibody CPT 86759 | not published | not published | $16.41 – $57.56 | 15 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | not published | not published | $954.50 – $1,004.50 | 3 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | not published | not published | $228.42 – $607.19 | 12 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | not published | not published | $458.71 – $2,035.50 | 12 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | not published | not published | $899.25 – $2,308.94 | 12 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | not published | not published | $954.50 – $1,004.50 | 3 |
| Rpl tun-cvad w subq port CPT 36582 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Rpl tun cvc wo subq port CPT 36581 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $3,006.00 – $3,160.00 | 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.