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 |
|---|---|---|---|---|
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Surgical opening of stomach CPT 43510 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Surgical pathology level 1 gross examination only CPT 88300 | not published | not published | $11.44 – $37.90 | 13 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | not published | not published | $20.69 – $75.17 | 13 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | not published | not published | $21.09 – $92.08 | 13 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | not published | not published | $34.29 – $94.34 | 13 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | not published | not published | $54.41 – $570.20 | 13 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | not published | not published | $141.35 – $795.49 | 13 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $954.50 – $1,004.50 | 3 |
| Susceptibility agar dilution per agent CPT 87181 | not published | not published | $4.28 – $18.06 | 15 |
| Susceptibility enzyme detection per enzyme CPT 87185 | not published | not published | $4.28 – $18.06 | 15 |
| Susceptibility mic per plate CPT 87186 | not published | not published | $7.79 – $33.86 | 15 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $5.98 – $25.96 | 15 |
| Suspension of testis CPT 54620 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Svc venogram s&i CPT 75827 | not published | not published | $99.30 – $1,008.82 | 12 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $2.89 – $45.88 | 13 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Synthetic sentence id test CPT 92576 | not published | not published | $57.17 – $71.46 | 6 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | not published | not published | $3.96 – $16.95 | 15 |
| T3 (triiodothyronine) free CPT 84481 | not published | not published | $15.25 – $65.46 | 15 |
| T3 (triiodothyronine) total CPT 84480 | not published | not published | $12.76 – $55.30 | 15 |
| T4 (thyroxine) free CPT 84439 | not published | not published | $8.12 – $35.01 | 15 |
| T4 (thyroxine) total CPT 84436 | not published | not published | $6.18 – $27.07 | 15 |
| Tacrolimus therapeutic drug level CPT 80197 | not published | not published | $12.36 – $53.04 | 15 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $2,118.00 – $4,813.00 | 4 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $683.58 – $2,381.68 | 15 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,627.64 – $9,154.24 | 15 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $538.12 – $1,874.88 | 15 |
| Tas congenital car anomal CPT 33741 | not published | not published | $14,312.00 – $14,312.00 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $45.00 – $2,225.50 | 3 |
| Tavr perq femoral CPT 33361 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Tbs techl calculation only CPT 77091 | not published | not published | $30.07 – $132.18 | 8 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.38 – $132.18 | 8 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $90.00 – $313.79 | 15 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | not published | not published | $55.78 – $240.43 | 15 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $45.00 – $2,225.50 | 3 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $479.19 – $598.99 | 6 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $461.44 – $576.79 | 6 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $954.50 – $1,004.50 | 3 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | not published | not published | $42.28 – $181.73 | 15 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $24.10 – $103.84 | 15 |
| T cells total count CPT 86359 | not published | not published | $33.96 – $145.60 | 15 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $141.98 – $376.60 | 11 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $77.51 – $208.26 | 11 |
| Temperature gradient studies CPT 93740 | not published | not published | $15.12 – $18.91 | 6 |
| Tendon lengthening CPT 26476 | not published | not published | $954.50 – $1,004.50 | 3 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Tendon shortening CPT 26477 | not published | not published | $954.50 – $1,004.50 | 3 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Tenolysis triceps CPT 24332 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $166.68 – $580.81 | 15 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $5.41 – $23.70 | 15 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.24 – $18.06 | 15 |
| Test for urine cystines CPT 82615 | not published | not published | $8.60 – $31.60 | 15 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $188.94 – $589.01 | 12 |
| Test stress cardiovascular tracing only CPT 93017 | not published | not published | $64.27 – $80.34 | 6 |
| Test urine for lactose CPT 83633 | not published | not published | $10.13 – $35.01 | 15 |
| Test urine for porphyrins CPT 84119 | not published | not published | $12.02 – $41.76 | 15 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.02 – $13.54 | 15 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $683.58 – $1,602.61 | 10 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,627.64 – $6,160.36 | 10 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $538.12 – $1,261.59 | 10 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $15.99 – $449.55 | 12 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $15.99 – $449.55 | 12 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $11.40 – $449.55 | 12 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $15.99 – $387.59 | 12 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $954.50 – $1,004.50 | 3 |
| Theophylline therapeutic drug level CPT 80198 | not published | not published | $12.73 – $55.30 | 15 |
| Therapy activation ipnss CPT 93150 | not published | not published | $165.47 – $206.84 | 5 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | not published | not published | $31.80 – $76.31 | 8 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | not published | not published | $27.33 – $66.03 | 8 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $218.17 – $272.71 | 6 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $1,889.50 – $1,985.50 | 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.