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 |
|---|---|---|---|---|
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $210.40 – $2,791.14 | 15 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $210.40 – $5,680.24 | 15 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $210.40 – $5,680.24 | 15 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $181.65 – $1,246.50 | 23 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $923.10 – $1,004.50 | 4 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $906.09 – $1,246.50 | 4 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $3.20 – $18.72 | 16 |
| Macroscopic exam arthropod CPT 87168 | $3.63 | $12.10 | $3.00 – $16.95 | 36 |
| Macroscopic exam parasite CPT 87169 | $3.66 | $12.20 | $3.00 – $16.95 | 36 |
| Magnesium CPT 83735 | $73.44 | $244.80 | $4.70 – $25.96 | 36 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $8.84 | $29.45 | $0.42 – $1.09 | 9 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $167.52 – $1,149.87 | 34 |
| Malaria antibody CPT 86750 | not published | not published | $9.25 – $50.81 | 36 |
| Male sling procedure CPT 53440 | not published | not published | $1,185.00 – $3,412.51 | 4 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $106.92 – $1,004.50 | 4 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $656.09 – $1,543.50 | 4 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $72.00 | $240.00 | $14.86 – $170.34 | 28 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $75.56 | $251.85 | $14.86 – $170.34 | 28 |
| Manipulation of hip joint CPT 27275 | not published | not published | $575.34 – $1,246.50 | 4 |
| Manipulation of spine CPT 22505 | not published | not published | $575.34 – $1,246.50 | 4 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $106.92 – $1,004.50 | 23 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $6.32 | $21.05 | $3.53 – $6.30 | 9 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $2.61 – $15.80 | 36 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $59.02 – $168.38 | 9 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Map tachycard site(s) CPT 93609 | not published | not published | $125.56 – $12,715.00 | 10 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Mastectomy partial CPT 19301 | not published | not published | $1,083.82 – $1,543.50 | 4 |
| Mast mod rad CPT 19307 | not published | not published | $2,075.23 – $3,160.00 | 4 |
| Mastoidectomy CPT 69501 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Mastoids complete CPT 70130 | not published | not published | $22.18 – $179.33 | 34 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Mastopexy CPT 19316 | not published | not published | $1,506.39 – $1,985.50 | 4 |
| Mast simple complete CPT 19303 | not published | not published | $1,506.39 – $1,985.50 | 4 |
| M.avium-intra dna amp prob CPT 87561 | $112.07 | $373.55 | $24.61 – $135.44 | 36 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $14.06 – $85.78 | 36 |
| Maxillofacial fixation CPT 21100 | not published | not published | $1,185.00 – $1,865.02 | 4 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $59.13 | $197.10 | $10.14 – $125.08 | 36 |
| Mayo aathr protein s free CPT 85306 | $130.08 | $433.60 | $10.74 – $59.82 | 36 |
| Mayo activated protein c resistance assay CPT 85307 | $96.39 | $321.30 | $10.74 – $59.82 | 36 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $233.06 | $776.85 | $34.71 – $82.50 | 36 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $0.02 – $0.02 | 2 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $0.02 – $0.02 | 2 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $56.60 | $188.65 | $10.38 – $57.56 | 36 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $0.02 – $0.02 | 2 |
| Mayo alpha 1 antitrypsin CPT 82103 | $75.17 | $250.55 | $9.42 – $51.92 | 36 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $84.27 | $280.90 | $10.57 – $58.71 | 36 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $0.02 – $0.02 | 2 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $0.02 – $0.02 | 2 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $82.01 – $470.70 | 36 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $77.21 | $257.35 | $61.90 – $354.44 | 36 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $123.30 – $429.41 | 36 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $1,044.00 – $6,177.00 | 17 |
| Mayo androstenedione CPT 82157 | $103.89 | $346.30 | $20.52 – $112.89 | 36 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $74.24 | $247.45 | $10.24 – $56.45 | 36 |
| Mayo antithrombin iii antigen CPT 85301 | $146.76 | $489.20 | $7.58 – $41.76 | 36 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $72.60 | $242.00 | $10.56 – $58.71 | 36 |
| Mayo avwpr vw factor activity CPT 85397 | $26.00 | $86.65 | $16.09 – $97.06 | 36 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $31.58 – $74.04 | 29 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $0.02 – $0.02 | 2 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $77.12 | $257.05 | $7.14 – $39.50 | 36 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $523.67 | $1,745.55 | $97.81 – $561.01 | 36 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $108.62 – $672.75 | 36 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $78.45 | $261.50 | $9.05 – $49.66 | 36 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $0.02 – $0.02 | 2 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $118.08 | $393.60 | $9.25 – $55.37 | 36 |
| Mayo brcmg brucella antibody igm CPT 86622 | $70.43 | $234.75 | $6.27 – $35.01 | 36 |
| Mayo c1 esterase inhibitor CPT 83883 | $171.29 | $570.95 | $9.53 – $53.04 | 36 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $149.78 | $499.25 | $0.02 – $0.02 | 2 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | not published | not published | $11.83 – $65.46 | 36 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $65.37 | $217.90 | $18.77 – $103.84 | 36 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $60.69 – $472.97 | 36 |
| Mayo ceruloplasmin CPT 82390 | $68.25 | $227.50 | $7.53 – $41.76 | 36 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $87.44 | $291.45 | $9.91 – $54.18 | 36 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $239.06 | $796.85 | $9.04 – $52.02 | 36 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $41.99 | $139.95 | $8.30 – $60.82 | 36 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $45.02 | $150.05 | $8.90 – $49.66 | 36 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | not published | not published | $81.68 – $451.50 | 36 |
| Mayo chromium CPT 82495 | $80.60 | $268.65 | $14.23 – $79.00 | 36 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | not published | not published | $0.02 – $0.02 | 2 |
| Mayo coccidioides antibody CPT 86635 | $75.56 | $251.85 | $8.05 – $44.02 | 36 |
| Mayo cocou cortisone urine CPT 82542 | $20.31 | $67.70 | $12.66 – $75.62 | 36 |
| Mayo cortisol free CPT 82530 | $83.06 | $276.85 | $11.72 – $64.35 | 36 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $26.03 | $86.75 | $37.92 – $58.98 | 32 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $43.04 | $143.45 | $8.50 – $60.82 | 36 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $0.02 – $0.02 | 2 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $0.02 – $0.02 | 2 |
| Mayo cyanide CPT 82600 | not published | not published | $13.60 – $75.62 | 36 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $28.54 – $1,845.72 | 35 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $66.05 | $220.15 | $9.30 – $50.81 | 36 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $106.47 | $354.90 | $17.72 – $98.21 | 36 |
| Mayo dihydrotestosterone CPT 82642 | $24.68 | $82.25 | $26.35 – $101.70 | 36 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $5.94 – $32.75 | 36 |
| Mayo efpo chloride stool CPT 82438 | $70.52 | $235.05 | $3.44 – $19.17 | 36 |
| Mayo estriol CPT 82677 | $85.85 | $286.15 | $16.96 – $100.17 | 36 |
| Mayo estrone CPT 82679 | $21.03 | $70.10 | $17.50 – $97.06 | 36 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $80.30 | $267.65 | $11.46 – $63.20 | 36 |
| Mayo everolimus therapeutic drug level CPT 80169 | $11.58 | $38.60 | $9.28 – $252.89 | 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.