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 |
|---|---|---|---|---|
| H pylori (c-13) breath CPT 83013 | $212.25 | $707.50 | $47.22 – $260.76 | 36 |
| H pylori drug admin CPT 83014 | not published | not published | $5.51 – $30.48 | 36 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $526.41 – $2,264.30 | 36 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $526.41 – $2,264.30 | 36 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $123.30 – $429.41 | 36 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $14.59 – $80.14 | 36 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $6.77 | $22.55 | $2.90 – $5.12 | 9 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $119.93 | $399.75 | $9.57 – $143.96 | 7 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $1.29 | $4.30 | $0.45 – $0.80 | 5 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $0.80 | $2.65 | $0.44 – $0.78 | 7 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $30.77 | $102.55 | $5.01 – $8.96 | 9 |
| Hydration IV infusion each additional hour CPT 96361 | $71.96 | $239.85 | $12.41 – $87.00 | 25 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $209.42 | $698.05 | $36.35 – $278.42 | 25 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $46.05 | $153.50 | $6.44 – $43.25 | 9 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $0.56 | $1.85 | $0.07 – $0.14 | 9 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $158.70 | $529.00 | $12.29 – $67.72 | 36 |
| Hymenotomy CPT 56442 | not published | not published | $923.10 – $1,004.50 | 4 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $954.50 – $1,004.50 | 4 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $7.14 – $39.50 | 36 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $195.28 – $2,117.72 | 33 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $195.28 – $967.72 | 33 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $128.60 – $1,310.59 | 33 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $195.28 – $1,864.76 | 33 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $195.28 – $2,526.11 | 33 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $2,118.00 – $4,693.00 | 4 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $2,118.00 – $4,813.00 | 5 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Hysterosalpingography s&i CPT 74740 | $254.55 | $848.50 | $55.03 – $372.86 | 34 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $1,989.59 – $3,160.00 | 4 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $923.10 – $1,543.50 | 4 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $923.10 – $1,004.50 | 4 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $1,185.00 – $1,989.59 | 4 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $923.10 – $1,543.50 | 4 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $1,468.50 – $1,989.59 | 4 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $1,468.50 – $1,989.59 | 4 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $923.10 – $1,543.50 | 4 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $341.34 – $341.34 | 3 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $251.54 | $838.45 | $140.10 – $188.13 | 6 |
| I131 iodide cap, rx HCPCS A9517 | $54.00 | $180.00 | $8.54 – $102.90 | 6 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $8.42 – $46.28 | 36 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $24.61 – $135.44 | 36 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $9.08 – $56.45 | 36 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $40.75 – $63.39 | 32 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,203.70 – $5,166.46 | 10 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $70.97 – $411.50 | 28 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $10.14 – $51.87 | 22 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $6.53 – $78.50 | 22 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $6.53 – $32.37 | 22 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $633.43 – $1,004.50 | 4 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $432.98 – $2,225.50 | 4 |
| Identify sperm tissue CPT 89264 | not published | not published | $28.54 – $453.35 | 32 |
| Idet 1 or more levels CPT 22527 | not published | not published | $78.66 – $3,160.00 | 4 |
| Idet single level CPT 22526 | not published | not published | $173.23 – $3,160.00 | 4 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $830.42 – $1,004.50 | 4 |
| Idh1 common variants CPT 81120 | not published | not published | $173.93 – $606.15 | 36 |
| Idh2 common variants CPT 81121 | $502.88 | $1,676.25 | $266.21 – $927.84 | 36 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $970.72 – $1,246.50 | 4 |
| I&d lacrimal gland CPT 68400 | not published | not published | $350.83 – $1,279.88 | 23 |
| I&d lacrimal sac CPT 68420 | not published | not published | $350.83 – $2,298.50 | 4 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $817.89 – $1,004.50 | 4 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $817.89 – $1,004.50 | 4 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $432.98 – $2,225.50 | 4 |
| Ifnl3 gene CPT 81283 | not published | not published | $66.03 – $237.02 | 36 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $186.58 – $608.25 | 35 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $29.48 – $214.47 | 36 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $133.71 – $766.44 | 36 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $149.31 – $1,140.05 | 36 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $100.84 – $577.92 | 36 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $79.29 | $264.30 | $22.51 – $203.16 | 16 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | not published | not published | $38.11 – $475.36 | 35 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $174.12 | $580.40 | $13.45 – $232.05 | 35 |
| Ikbkap gene CPT 81260 | not published | not published | $35.38 – $298.20 | 36 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $9.32 – $78.50 | 20 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $9.32 – $51.87 | 20 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $50.46 – $148.72 | 27 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $25.94 | $86.45 | $72.18 – $72.18 | 1 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $1,185.00 – $2,075.23 | 4 |
| Immune complex assay CPT 86332 | $86.81 | $289.35 | $17.09 – $119.85 | 36 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $200.72 | $669.05 | $27.90 – $101.45 | 15 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $14.61 – $163.99 | 8 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $69.66 | $232.20 | $14.59 – $80.14 | 36 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $83.06 | $276.85 | $14.59 – $80.14 | 36 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $13.76 – $80.14 | 36 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $14.96 | $49.85 | $8.41 – $46.28 | 36 |
| Immunodiffusion nes CPT 86329 | not published | not published | $9.85 – $54.18 | 36 |
| Immunofixation electrophoresis serum CPT 86334 | $18.81 | $62.70 | $15.66 – $86.93 | 36 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | not published | $21.64 – $136.59 | 16 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $243.92 | $813.05 | $11.76 – $255.07 | 35 |
| Immunoglobulin assay CPT 86023 | $94.38 | $314.60 | $8.73 – $48.55 | 36 |
| Immunology procedure CPT 86849 | not published | not published | $33.83 – $50.00 | 5 |
| Impedence cardiogram CPT 93701 | not published | not published | $13.38 – $170.34 | 28 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Implant cochlear device CPT 69930 | not published | not published | $2,836.50 – $14,859.24 | 4 |
| Implant eye drug system CPT 67027 | not published | not published | $1,561.28 – $1,985.50 | 4 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $45.00 – $2,225.50 | 23 |
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.