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 |
|---|---|---|---|---|
| Bone marrow;aspiration only 38220 CPT 38220 | not published | not published | $954.50 – $1,004.50 | 3 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | not published | not published | $954.50 – $1,004.50 | 3 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Bone marrow imaging body CPT 78104 | not published | not published | $221.20 – $589.01 | 12 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $154.03 – $589.01 | 12 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $202.98 – $589.01 | 12 |
| Bone marrow interpretation CPT 85097 | not published | not published | $66.24 – $565.38 | 13 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Bone survey-lead poisoning CPT 77074 | not published | not published | $51.85 – $179.33 | 12 |
| Borrelia antibody CPT 86619 | not published | not published | $12.04 – $51.92 | 15 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | not published | not published | $15.33 – $65.46 | 15 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $31.58 – $74.04 | 10 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.09 – $13.54 | 15 |
| Bowel imaging CPT 78290 | not published | not published | $324.84 – $819.61 | 12 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Brach/thor cath 1st CPT 36215 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Brach/thor cath 2nd CPT 36216 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Brach/thor cath 3rd CPT 36217 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Brach/thor cath addl CPT 36218 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Brachytx isodose complex CPT 77318 | not published | not published | $213.65 – $650.52 | 11 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $157.35 – $481.42 | 11 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $120.76 – $365.90 | 11 |
| Braf gene CPT 81210 | not published | not published | $157.86 – $549.70 | 15 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Brain flow imaging only CPT 78610 | not published | not published | $172.24 – $755.17 | 12 |
| Brain image < 4 views CPT 78600 | not published | not published | $174.52 – $589.01 | 12 |
| Brain image 4+ views CPT 78605 | not published | not published | $185.14 – $755.17 | 12 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $206.41 – $589.01 | 12 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $322.94 – $820.53 | 12 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | not published | not published | $554.05 – $1,525.95 | 12 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | not published | not published | $362.35 – $985.24 | 12 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | not published | not published | $368.43 – $995.80 | 12 |
| Brain MRI (with and without contrast) CPT 70553 | not published | not published | $297.06 – $981.30 | 12 |
| Brain MRI (with contrast) CPT 70552 | not published | not published | $259.86 – $860.15 | 12 |
| Brain MRI (without contrast) CPT 70551 | not published | not published | $182.43 – $582.81 | 12 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $421.20 – $1,467.87 | 15 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $525.81 – $1,831.75 | 15 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $139.86 – $1,176.17 | 15 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $271.22 – $944.68 | 15 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $254.59 – $887.05 | 15 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $166.61 – $2,556.00 | 15 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $139.86 – $1,176.17 | 15 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $254.59 – $887.05 | 15 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $265.05 – $1,379.33 | 15 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $1,642.39 – $7,063.77 | 15 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Breast punct aspir cyst, bil CPT 19000 | not published | not published | $954.50 – $1,004.50 | 3 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $2,187.00 – $2,298.50 | 3 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Breast reduction CPT 19318 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $119.32 – $149.16 | 6 |
| Breathing response hypoxia CPT 94450 | not published | not published | $79.65 – $99.57 | 6 |
| Breath recording infant CPT 94772 | not published | not published | $817.68 – $1,022.10 | 6 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $84.97 – $245.60 | 14 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $9.95 – $29.08 | 14 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $954.50 – $1,004.50 | 3 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $954.50 – $1,004.50 | 3 |
| Bronchial challenge CPT 94070 | not published | not published | $50.66 – $63.32 | 6 |
| Bronchial valve init insert CPT 31647 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Bronchial valve remov init CPT 31648 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Bronchoscopy clear airways 31645 CPT 31645 | not published | not published | $954.50 – $1,004.50 | 3 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Bronchoscopy w/markers CPT 31626 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Br punct aspir ea add, l CPT 19001 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Bundled special stain group 1 microorganisms CPT 88312 | not published | not published | $21.09 – $223.03 | 13 |
| Bundled special stain group 2 CPT 88313 | not published | not published | $21.09 – $185.76 | 13 |
| Bundle his recording CPT 93600 | not published | not published | $127.03 – $12,715.00 | 8 |
| Buprenorphine and metabolite - sendout CPT 80348 | not published | not published | $0.02 – $0.02 | 2 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Burr hole implant ventricular cath/other device CPT 61210 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Buttock fasciotomy CPT 27027 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $954.50 – $1,004.50 | 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.