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 |
|---|---|---|---|---|
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $11.16 – $43.89 | 6 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Infuse radioactive materials CPT 77750 | not published | not published | $56.31 – $347.52 | 33 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $68.64 – $129.28 | 3 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $142.76 – $701.16 | 22 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $41.14 – $268.77 | 28 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | not published | 0 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $119.74 – $119.74 | 1 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $152.16 – $152.16 | 1 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $84.02 – $84.02 | 1 |
| Initiation & management bipap/cpap initial day CPT 94660 | $481.11 | $1,603.70 | $49.40 – $268.77 | 28 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $2,836.95 | $9,456.50 | $1,019.46 – $2,244.83 | 14 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $45.00 – $2,225.50 | 23 |
| Inj dx for sinogram CPT 20501 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $588.30 – $1,004.50 | 22 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $105.61 – $1,004.50 | 23 |
| Injection during cath supravalvular aortography CPT 93567 | not published | not published | $163.39 – $207.78 | 2 |
| Injection epidural blood patch or clot CPT 62273 | $1,008.83 | $3,362.75 | $336.03 – $1,004.50 | 23 |
| Injection eye drug CPT 67028 | not published | not published | $157.21 – $1,004.50 | 23 |
| Injection for arthrography wrist (both sides) CPT 25246 | $395.57 | $1,318.55 | $32.47 – $2,225.50 | 5 |
| Injection for bladder x-ray CPT 51600 | not published | not published | $57.24 – $2,225.50 | 5 |
| Injection for hip x-ray CPT 27095 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $25.83 | $86.10 | $12.42 – $26.61 | 11 |
| Injection into brain canal CPT 61026 | not published | not published | $336.03 – $1,004.50 | 23 |
| Injection into brain canal CPT 61055 | not published | not published | $250.77 – $1,004.50 | 23 |
| Injection into hemorrhoid(s) CPT 46500 | $713.27 | $2,377.55 | $221.26 – $2,225.50 | 23 |
| Injection into spinal artery CPT 62294 | not published | not published | $336.03 – $1,543.50 | 23 |
| Injection into vocal cord CPT 31513 | not published | not published | $193.20 – $1,246.50 | 23 |
| Injection jugular CPT 36299 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection of sinus tract CPT 20500 | not published | not published | $45.00 – $2,225.50 | 4 |
| Injection,onabotulinumtoxina HCPCS J0585 | $13.88 | $46.25 | $2.69 – $13.56 | 15 |
| Injection px peyronie ds CPT 54200 | not published | not published | $106.89 – $1,004.50 | 23 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $347.75 | $1,159.15 | $140.14 – $1,004.50 | 23 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $725.12 | $2,417.05 | $336.03 – $1,004.50 | 4 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $186.38 – $1,004.50 | 23 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | not published | not published | $186.38 – $1,004.50 | 23 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $336.03 – $1,176.48 | 23 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $336.03 – $1,176.48 | 23 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $336.03 – $1,176.48 | 23 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $588.30 – $1,004.50 | 22 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $984.14 | $3,280.45 | $588.30 – $1,004.50 | 22 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $20.30 – $1,004.50 | 25 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | not published | not published | $105.61 – $1,004.50 | 23 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $105.61 – $1,004.50 | 23 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $55.98 | $186.60 | $17.41 – $87.00 | 23 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $55.98 | $186.60 | $15.99 – $87.00 | 3 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $127.74 | $425.80 | $17.41 – $278.42 | 23 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $90.32 | $301.05 | $17.41 – $94.05 | 23 |
| Injection treatment of eye CPT 66020 | not published | not published | $376.09 – $1,004.50 | 4 |
| Injection treatment of eye CPT 66030 | not published | not published | $376.09 – $1,004.50 | 4 |
| Injection treatment of nerve CPT 64605 | not published | not published | $692.04 – $1,004.50 | 4 |
| Injection treatment of nerve CPT 64610 | not published | not published | $692.04 – $1,004.50 | 4 |
| Injection treatment of nerve CPT 64681 | not published | not published | $336.03 – $1,246.50 | 23 |
| Injection treatment of nose CPT 30200 | not published | not published | $18.94 – $1,004.50 | 25 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $45.00 – $2,225.50 | 3 |
| Inject/treat eye socket CPT 67500 | not published | not published | $45.00 – $2,225.50 | 23 |
| Inject/treat eye socket CPT 67505 | not published | not published | $149.18 – $1,004.50 | 23 |
| Inject/treat eye socket CPT 67515 | not published | not published | $149.18 – $1,004.50 | 23 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $588.30 – $1,004.50 | 22 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $937.22 | $3,124.05 | $756.31 – $1,176.48 | 22 |
| Inj for ext venography CPT 36005 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | not published | not published | $173.17 – $220.21 | 2 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $72.99 – $92.81 | 2 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $75.97 – $96.61 | 2 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $56.72 – $72.12 | 2 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | not published | not published | $193.26 – $245.76 | 2 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $735.02 – $1,176.48 | 23 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $12.18 – $2,225.50 | 25 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $20.30 – $2,225.50 | 25 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,246.05 | $4,153.50 | $262.24 – $1,543.50 | 23 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj proc elbow arthro CPT 24220 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj proc for lymphang CPT 38790 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj proc myelogram lumbar CPT 62284 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj proc sialogram CPT 42550 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj retro urethrocysto CPT 51610 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $34.20 – $2,225.50 | 25 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $45.00 – $2,225.50 | 23 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $45.00 – $2,225.50 | 23 |
| Inj w/fluor eval cv device CPT 36598 | $1,228.01 | $4,093.35 | $97.60 – $1,004.50 | 23 |
| Ins cath ren art 1st bi CPT 36252 | not published | not published | $1,280.21 – $2,225.50 | 4 |
| Ins cath ren art 1st uni CPT 36251 | not published | not published | $1,280.21 – $2,225.50 | 4 |
| Ins cath ren art 2nd+ bi CPT 36254 | not published | not published | $1,280.21 – $2,225.50 | 4 |
| Ins cath ren art 2nd+ uni CPT 36253 | not published | not published | $1,280.21 – $2,225.50 | 4 |
| Ins cerv dilator (sep proc) CPT 59200 | $207.93 | $693.10 | $113.08 – $1,004.50 | 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.