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 |
|---|---|---|---|---|
| Ultrasound joint complete left CPT 76881 | not published | not published | $70.97 – $186.15 | 12 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | not published | not published | $11.61 – $179.33 | 12 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $15.58 – $171.01 | 8 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | not published | not published | $51.08 – $91.34 | 8 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | not published | not published | $27.18 – $48.59 | 8 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $95.88 – $372.86 | 12 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | not published | not published | $78.80 – $191.78 | 12 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | not published | not published | $62.09 – $179.33 | 12 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | not published | not published | $68.17 – $179.33 | 12 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $62.47 – $216.48 | 12 |
| Ultrasound retroperitoneal limited CPT 76775 | not published | not published | $38.94 – $179.33 | 12 |
| Ultrasound scrotum and contents CPT 76870 | not published | not published | $44.64 – $179.33 | 12 |
| Ultrasound spinal canal and contents CPT 76800 | not published | not published | $87.91 – $229.27 | 12 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $128.53 – $229.82 | 8 |
| Ultrasound transvaginal non obstetric CPT 76830 | not published | not published | $98.15 – $233.01 | 12 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $263.46 – $645.25 | 12 |
| Ultraviolet therapy CPT 97028 | not published | not published | $6.87 – $15.89 | 8 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $954.50 – $1,004.50 | 3 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted CT procedure CPT 76497 | not published | not published | $127.70 – $562.76 | 6 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $589.01 – $938.21 | 4 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $11.44 – $155.56 | 5 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $11.44 – $155.56 | 5 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $589.01 – $938.21 | 4 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $127.70 – $166.77 | 6 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $589.01 – $938.21 | 4 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $589.01 – $938.21 | 4 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted laps px renal CPT 50549 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted laps px testis CPT 54699 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted misc path test CPT 89240 | not published | not published | $44.52 – $155.56 | 5 |
| Unlisted mr procedure CPT 76498 | not published | not published | $127.70 – $296.80 | 6 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $589.01 – $938.21 | 4 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $589.01 – $938.21 | 4 |
| Unlisted procedure colon CPT 45399 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted procedure liver CPT 47399 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | $33.83 – $50.00 | 5 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted procedure spine CPT 22899 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $45.00 – $2,225.50 | 3 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px external ear CPT 69399 | not published | not published | $45.00 – $2,225.50 | 3 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px inner ear CPT 69949 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $287.63 – $336.54 | 3 |
| Unlisted px middle ear CPT 69799 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px small intestine CPT 44799 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $287.63 – $336.54 | 3 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $11.44 – $44.52 | 2 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $589.01 – $938.21 | 4 |
| Unlisted surgical path px CPT 88399 | not published | not published | $11.44 – $155.56 | 5 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $15.45 – $60.80 | 5 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $127.70 – $166.77 | 4 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $2,118.00 – $2,225.50 | 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.