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 |
|---|---|---|---|---|
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $1.64 – $12.41 | 36 |
| Glucose blood quantitative CPT 82947 | $36.75 | $122.50 | $2.75 – $14.69 | 36 |
| Glucose body fluid CPT 82945 | $50.82 | $169.40 | $2.75 – $14.69 | 36 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $50.46 – $115.44 | 25 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $48.56 | $161.85 | $9.03 – $49.66 | 36 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $29.42 | $98.05 | $2.75 – $15.05 | 36 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $62.25 | $207.50 | $13.03 – $72.24 | 36 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $62.01 | $206.70 | $12.99 – $72.24 | 36 |
| Gonioscopy CPT 92020 | not published | not published | $22.47 – $170.34 | 28 |
| Goniotomy CPT 65820 | not published | not published | $876.31 – $1,004.50 | 4 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $148.74 | $495.80 | $116.21 – $457.18 | 5 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,105.06 – $1,543.50 | 4 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $543.99 | $1,813.30 | $61.98 – $290.74 | 8 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $108.21 | $360.70 | $10.49 – $74.61 | 6 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $45.00 – $2,225.50 | 23 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Growth hormone antibody CPT 86277 | not published | not published | $11.04 – $60.97 | 36 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $14.82 – $237.02 | 36 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $957.58 – $2,225.50 | 4 |
| G-tube reposition CPT 43761 | not published | not published | $206.61 – $1,004.50 | 23 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $75.38 – $2,834.48 | 15 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,465.77 | $4,885.90 | $45.00 – $2,225.50 | 23 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $40.23 – $204.59 | 13 |
| Gum graft CPT 41870 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $1,083.82 – $1,985.50 | 4 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $45.00 – $2,225.50 | 23 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $109.97 – $1,543.50 | 23 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $109.97 – $1,543.50 | 23 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $60.35 | $201.15 | $7.97 – $37.02 | 9 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $12.87 | $42.90 | $1.42 – $2.53 | 9 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $3.41 – $7.71 | 6 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $1,105.06 – $1,543.50 | 4 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $614.17 – $1,985.50 | 4 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $1,105.06 – $1,985.50 | 4 |
| Hand X-ray CPT 73130 | $112.23 | $374.10 | $22.18 – $127.70 | 34 |
| Haptoglobin quantitative CPT 83010 | $64.41 | $214.70 | $8.82 – $48.55 | 36 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Harvest auto stem cells CPT 38206 | not published | not published | $527.70 – $2,225.50 | 4 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $215.06 – $1,246.50 | 4 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $767.34 – $1,246.50 | 4 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $314.10 – $1,004.50 | 23 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $31.15 – $170.34 | 26 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $25.88 – $170.34 | 26 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $540.00 – $1,881.64 | 36 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $182.16 – $634.37 | 36 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $337.73 – $1,176.17 | 36 |
| Hbb full gene sequence CPT 81364 | not published | not published | $292.12 – $1,018.14 | 36 |
| Hbb gene com variants CPT 81361 | not published | not published | $157.33 – $548.59 | 36 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $182.16 – $634.37 | 36 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $337.73 – $1,176.17 | 36 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $10.04 – $127.24 | 3 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $54.22 – $1,016.68 | 34 |
| Hcg free betachain test CPT 84704 | not published | not published | $10.56 – $58.71 | 36 |
| Hcg qualitative CPT 84703 | $62.90 | $209.65 | $5.27 – $29.34 | 36 |
| Hcg quantitative CPT 84702 | $104.48 | $348.25 | $10.56 – $58.71 | 36 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $17.36 – $127.24 | 3 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $10.38 – $127.24 | 3 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $33.53 – $202.46 | 3 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $26.38 – $127.24 | 3 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $178.53 | $595.10 | $118.58 – $291.60 | 6 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $656.09 – $1,004.50 | 4 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $215.06 – $1,004.50 | 23 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $215.06 – $1,004.50 | 23 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $139.91 – $755.17 | 34 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $53.91 – $938.21 | 24 |
| Hc nm kidney imaging with flow CPT 78701 | $567.17 | $1,890.55 | $150.65 – $589.01 | 34 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $147.30 – $2,035.50 | 34 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $513.30 – $3,581.20 | 15 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $234.97 – $916.85 | 33 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $344.63 – $1,088.40 | 33 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $344.63 – $1,718.25 | 33 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $96.21 – $461.92 | 33 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $96.21 – $758.28 | 33 |
| Head CT scan (with and without contrast) CPT 70470 | $843.75 | $2,812.50 | $148.64 – $562.76 | 34 |
| Head CT scan (with contrast) CPT 70460 | $839.87 | $2,799.55 | $120.17 – $562.76 | 34 |
| Head CT scan (without contrast) CPT 70450 | $773.55 | $2,578.50 | $86.77 – $562.76 | 34 |
| Heart first pass add-on CPT 78496 | not published | not published | $21.85 – $95.46 | 10 |
| Heart first pass multiple CPT 78483 | not published | not published | $147.30 – $755.17 | 34 |
| Heart image spect CPT 78494 | not published | not published | $147.30 – $589.01 | 34 |
| Heart infarct image CPT 78466 | not published | not published | $111.15 – $589.01 | 34 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $147.30 – $755.17 | 34 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Heinz bodies direct CPT 85441 | not published | not published | $2.95 – $15.80 | 36 |
| Helicobacter pylori antibody igm CPT 86677 | $64.83 | $216.10 | $10.18 – $56.45 | 36 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $5.74 – $31.60 | 36 |
| Hematocrit CPT 85014 | $37.20 | $124.00 | $1.66 – $9.01 | 36 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $85.69 – $379.84 | 34 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Hemodialysis one evaluation CPT 90935 | not published | not published | $177.41 – $924.66 | 21 |
| Hemoglobin CPT 85018 | $37.20 | $124.00 | $1.66 – $9.01 | 36 |
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.