Ascension Saint Thomas River Park
1559 Sparta Rd, McMinnville, TN · Ascension · · NPI 1518346469
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 |
|---|---|---|---|---|
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $954.50 – $1,334.00 | 4 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $954.50 – $1,004.50 | 3 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $141.57 – $1,004.50 | 23 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $45.00 – $2,225.50 | 23 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $141.57 – $1,004.50 | 23 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $45.00 – $2,225.50 | 23 |
| Ductogram sgl duct CPT 77053 | not published | not published | $44.64 – $372.86 | 34 |
| Duodenal motility study CPT 91022 | not published | not published | $154.25 – $701.16 | 28 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $205.34 – $600.34 | 30 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $90.33 – $341.59 | 30 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $48.16 – $377.78 | 31 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $293.79 | $979.30 | $53.33 – $387.29 | 31 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $570.89 | $1,902.95 | $76.07 – $451.97 | 31 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $43.41 – $179.33 | 34 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $132.91 – $206.75 | 24 |
| Dx bronchoscope/brush 31623 CPT 31623 | $1,739.00 | $5,796.65 | $527.56 – $1,246.50 | 4 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,739.00 | $5,796.65 | $527.56 – $1,246.50 | 4 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,739.00 | $5,796.65 | $527.56 – $1,004.50 | 4 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $7.89 – $527.31 | 28 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $79.77 – $1,238.94 | 23 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $79.77 – $1,238.94 | 23 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $65.88 – $1,004.50 | 23 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $132.91 – $1,004.50 | 23 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $45.00 – $2,225.50 | 23 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $629.78 – $1,246.50 | 4 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $206.61 – $2,225.50 | 23 |
| Dynamic surface emg CPT 96002 | not published | not published | $26.19 – $411.50 | 28 |
| Ear and throat examination CPT 92502 | not published | not published | $129.73 – $672.95 | 28 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $28.41 – $2,225.50 | 6 |
| Ear cartilage graft CPT 21235 | not published | not published | $633.43 – $2,981.50 | 4 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $27.97 – $2,225.50 | 23 |
| Ear protector evaluation CPT 92596 | not published | not published | $17.18 – $87.75 | 28 |
| Ecg 12 lead tracing only CPT 93005 | $106.86 | $356.20 | $13.36 – $78.50 | 28 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $12.60 – $17.10 | 8 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $6.53 – $78.50 | 28 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $56.04 – $351.88 | 28 |
| Ecg external < 48 hours recording CPT 93225 | $395.99 | $1,319.95 | $32.70 – $170.34 | 28 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $588.86 | $1,962.85 | $32.70 – $126.56 | 28 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $24.95 – $51.87 | 24 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $24.95 – $51.87 | 24 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,221.23 | $4,070.75 | $196.39 – $724.56 | 28 |
| Echocardiography doppler color flow mapping CPT 93325 | $336.15 | $1,120.50 | $37.04 – $84.15 | 8 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,376.90 | $4,589.65 | $278.35 – $1,568.32 | 7 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $489.71 | $1,632.35 | $88.29 – $319.42 | 28 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | not published | not published | $38.82 – $64.43 | 8 |
| Echo exam of eye CPT 76516 | not published | not published | $31.15 – $179.33 | 34 |
| Echo exam of eye CPT 76519 | not published | not published | $47.68 – $179.33 | 34 |
| Echo exam of eye CPT 76529 | not published | not published | $31.15 – $127.70 | 34 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $2.72 – $36.78 | 34 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $83.21 – $770.53 | 34 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $30.03 – $372.86 | 34 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $31.15 – $179.33 | 34 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $6.93 – $179.33 | 34 |
| Echo exam uterus 76831- CPT 76831 | $361.50 | $1,205.00 | $63.83 – $372.86 | 34 |
| Echograp trans r pros study CPT 76873 | $241.58 | $805.25 | $47.68 – $253.66 | 34 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $24.90 – $488.74 | 10 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $13.89 – $82.27 | 10 |
| Echo guide for artery repair CPT 76936 | not published | not published | $52.80 – $464.16 | 34 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $59.47 – $115.65 | 10 |
| Echo guide for transfusion CPT 76941 | not published | not published | $62.88 – $112.44 | 10 |
| Echo guide villus sampling CPT 76945 | not published | not published | $63.65 – $115.97 | 10 |
| Echo stress CPT 93350 | not published | not published | $157.19 – $724.56 | 28 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $34.30 – $724.56 | 28 |
| Echo tee guidance CPT 93355 | not published | not published | $285.30 – $504.09 | 8 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,149.95 | $3,833.15 | $161.53 – $724.56 | 28 |
| Echo transesophageal CPT 93313 | not published | not published | $14.73 – $724.56 | 28 |
| Echo transesophageal CPT 93314 | not published | not published | $171.63 – $512.56 | 8 |
| Echo transesophageal CPT 93315 | not published | not published | $180.73 – $724.56 | 28 |
| Echo transesophageal intraop CPT 93318 | $1,149.95 | $3,833.15 | $289.67 – $1,128.91 | 28 |
| Echo transthoracic CPT 93303 | not published | not published | $174.00 – $724.56 | 28 |
| Echo transthoracic CPT 93304 | not published | not published | $87.57 – $724.56 | 28 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $859.97 | $2,866.55 | $142.99 – $319.42 | 28 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $31.68 – $240.81 | 27 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $8.42 – $46.28 | 36 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $876.31 – $1,246.50 | 4 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | not published | not published | $13.62 – $57.80 | 9 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | not published | not published | $63.71 – $775.22 | 28 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $495.47 | $1,651.55 | $19.14 – $701.16 | 28 |
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.