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 |
|---|---|---|---|---|
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| X-ray abdomen 1 view CPT 74018 | not published | not published | $19.36 – $127.70 | 12 |
| X-ray abdomen 2 views CPT 74019 | not published | not published | $23.19 – $179.33 | 12 |
| X-ray abdomen >=3 views CPT 74021 | not published | not published | $27.01 – $179.33 | 12 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | not published | not published | $35.91 – $179.33 | 12 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | not published | not published | $30.96 – $127.70 | 12 |
| X-ray ankle 2 views (both sides) CPT 73600 | not published | not published | $21.85 – $127.70 | 12 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | not published | not published | $83.73 – $610.96 | 12 |
| X-ray bone age studies CPT 77072 | not published | not published | $15.02 – $179.33 | 12 |
| X-ray bone length studies CPT 77073 | not published | not published | $24.52 – $179.33 | 12 |
| X-ray bone survey complete CPT 77075 | not published | not published | $85.25 – $179.33 | 12 |
| X-ray bone survey infant CPT 77076 | not published | not published | $77.28 – $179.33 | 12 |
| X-ray cervical spine 2-3 views CPT 72040 | not published | not published | $26.03 – $127.70 | 12 |
| X-ray cervical spine 4-5 views CPT 72050 | not published | not published | $35.14 – $179.33 | 12 |
| X-ray cervical spine >= 6 views CPT 72052 | not published | not published | $47.29 – $179.33 | 12 |
| X-ray clavicle complete (both sides) CPT 73000 | not published | not published | $22.24 – $127.70 | 12 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | not published | not published | $133.84 – $305.21 | 12 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | not published | not published | $185.84 – $431.74 | 12 |
| X-ray elbow 2 views (both sides) CPT 73070 | not published | not published | $21.85 – $127.70 | 12 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | not published | not published | $26.80 – $127.70 | 12 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | not published | not published | $74.25 – $291.55 | 12 |
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $52.96 – $179.33 | 12 |
| X-ray exam entire spi 6/> vw CPT 72084 | not published | not published | $63.96 – $179.33 | 12 |
| X-ray exam of arm infant CPT 73092 | not published | not published | $21.85 – $179.33 | 12 |
| X-ray exam of eye sockets CPT 70200 | not published | not published | $32.11 – $179.33 | 12 |
| X-ray exam of femur 1 CPT 73551 | not published | not published | $20.33 – $127.70 | 12 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $24.13 – $127.70 | 12 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $56.40 – $372.86 | 12 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $29.08 – $179.33 | 12 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $40.46 – $770.53 | 12 |
| X-ray exam of penis CPT 74445 | not published | not published | $47.39 – $215.79 | 12 |
| X-ray exam of perineum CPT 74775 | not published | not published | $62.74 – $456.86 | 12 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $31.35 – $127.70 | 12 |
| X-ray exam of sinuses CPT 70210 | not published | not published | $23.75 – $127.70 | 12 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $40.80 – $456.86 | 12 |
| X-ray exam of teeth CPT 70300 | not published | not published | $9.71 – $127.70 | 12 |
| X-ray exam of teeth CPT 70310 | not published | not published | $32.49 – $372.86 | 12 |
| X-ray exam si joints CPT 72200 | not published | not published | $22.62 – $179.33 | 12 |
| X-ray exam thorac spine4/>vw CPT 72074 | not published | not published | $36.28 – $179.33 | 12 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $22.62 – $127.70 | 12 |
| X-ray facial bones complete > 3 views CPT 70150 | not published | not published | $32.11 – $179.33 | 12 |
| X-ray fallopian tube CPT 74742 | not published | not published | $61.37 – $109.74 | 8 |
| X-ray femur >=2 views (both sides) CPT 73552 | not published | not published | $24.12 – $127.70 | 12 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | not published | not published | $28.31 – $127.70 | 12 |
| X-ray foot 2 views (both sides) CPT 73620 | not published | not published | $21.10 – $127.70 | 12 |
| X-ray forearm 2 views (both sides) CPT 73090 | not published | not published | $21.10 – $127.70 | 12 |
| X-ray hand 2 views (both sides) CPT 73120 | not published | not published | $20.72 – $179.33 | 12 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $12.37 – $127.70 | 12 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | not published | not published | $21.85 – $127.70 | 12 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | not published | not published | $39.29 – $179.33 | 12 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | not published | not published | $29.43 – $179.33 | 12 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | not published | not published | $35.51 – $179.33 | 12 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | not published | not published | $42.72 – $179.33 | 12 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | not published | not published | $21.09 – $127.70 | 12 |
| X-ray humerus >= 2 views left CPT 73060 | not published | not published | $21.85 – $127.70 | 12 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $24.90 – $179.33 | 12 |
| X-ray knee 1-2 views (both sides) CPT 73560 | not published | not published | $23.00 – $127.70 | 12 |
| X-ray knee 3 views (both sides) CPT 73562 | not published | not published | $29.45 – $127.70 | 12 |
| X-ray knee ap standing bilateral CPT 73565 | not published | not published | $27.93 – $127.70 | 12 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | not published | $21.85 – $127.70 | 12 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | not published | not published | $30.96 – $179.33 | 12 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | not published | not published | $35.91 – $179.33 | 12 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | not published | not published | $51.08 – $179.33 | 12 |
| X-ray male genital tract CPT 74440 | not published | not published | $68.17 – $372.86 | 12 |
| X-ray mandible complete > 4 views CPT 70110 | not published | not published | $29.45 – $179.33 | 12 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $27.55 – $127.70 | 12 |
| X-ray nasal bones complete > 3 views CPT 70160 | not published | not published | $27.18 – $127.70 | 12 |
| X-ray neck soft tissue CPT 70360 | not published | not published | $22.24 – $127.70 | 12 |
| X-ray nose to rectum for foreign body child CPT 76010 | not published | not published | $19.58 – $127.70 | 12 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $61.34 – $372.86 | 12 |
| X-ray optic foramina CPT 70190 | not published | not published | $27.55 – $127.70 | 12 |
| X-ray pelvis 1-2 views CPT 72170 | not published | not published | $21.10 – $179.33 | 12 |
| X-ray pelvis complete > 3 views CPT 72190 | not published | not published | $34.01 – $179.33 | 12 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | not published | not published | $102.89 – $610.96 | 12 |
| X-ray ribs 2 views left CPT 71100 | not published | not published | $23.38 – $127.70 | 12 |
| X-ray ribs 3 views bilateral CPT 71110 | not published | not published | $29.45 – $179.33 | 12 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | not published | not published | $28.69 – $179.33 | 12 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | not published | not published | $40.46 – $179.33 | 12 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | not published | not published | $27.55 – $179.33 | 12 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | not published | not published | $21.85 – $127.70 | 12 |
| X-ray scapula complete (both sides) CPT 73010 | not published | not published | $24.13 – $179.33 | 12 |
| X-ray sella turcica CPT 70240 | not published | not published | $22.62 – $127.70 | 12 |
| X-ray shoulder 1 view (both sides) CPT 73020 | not published | not published | $17.30 – $127.70 | 12 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | not published | not published | $28.31 – $127.70 | 12 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $36.66 – $770.53 | 12 |
| X-ray skull < 4 views CPT 70250 | not published | not published | $26.80 – $179.33 | 12 |
| X-ray skull > 4 views complete CPT 70260 | not published | not published | $32.86 – $179.33 | 12 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $74.25 – $179.33 | 12 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | not published | not published | $92.09 – $291.55 | 12 |
| X-ray small intestine follow-through study CPT 74248 | not published | not published | $50.81 – $103.91 | 8 |
| X-ray spine single view CPT 72020 | not published | not published | $16.54 – $127.70 | 12 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | not published | not published | $28.31 – $127.70 | 12 |
| X-ray sternum > 2 views CPT 71120 | not published | not published | $23.38 – $127.70 | 12 |
| X-ray surgical specimen CPT 76098 | not published | not published | $11.61 – $770.53 | 12 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | not published | not published | $70.45 – $291.55 | 12 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | not published | not published | $39.32 – $127.70 | 12 |
| X-ray thoracic spine 2 views CPT 72070 | not published | not published | $24.13 – $179.33 | 12 |
| X-ray thoracic spine 3 views CPT 72072 | not published | not published | $28.69 – $179.33 | 12 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | not published | not published | $26.41 – $127.70 | 12 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | not published | not published | $26.77 – $127.70 | 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.