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 |
|---|---|---|---|---|
| MRA pelvis CPT 72198 | not published | not published | $353.24 – $1,160.39 | 14 |
| MRA pelvis w IV cont HCPCS C8918 | $578.94 | $1,929.80 | $217.92 – $953.29 | 15 |
| MRA spinal canal CPT 72159 | not published | not published | $366.53 – $1,186.74 | 14 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $364.25 – $1,199.89 | 14 |
| MRA w/cont, abd HCPCS C8900 | $771.92 | $2,573.05 | $217.92 – $953.29 | 13 |
| MRA w/cont, lwr ext HCPCS C8912 | $820.34 | $2,734.45 | $217.92 – $1,721.36 | 13 |
| MRA without cont, abd HCPCS C8901 | $671.21 | $2,237.35 | $169.21 – $876.23 | 13 |
| MRA without cont, lwr ext HCPCS C8913 | $713.33 | $2,377.75 | $169.21 – $876.23 | 13 |
| MRA without fol w/cont, abd HCPCS C8902 | $845.42 | $2,818.05 | $267.02 – $1,721.36 | 13 |
| Mr elastography CPT 76391 | not published | not published | $194.49 – $669.17 | 33 |
| MRI brain w/dye CPT 70558 | not published | not published | $151.23 – $5,122.91 | 34 |
| MRI brain without dye CPT 70557 | not published | not published | $167.52 – $4,653.98 | 34 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $151.23 – $4,830.55 | 34 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $189.89 – $653.32 | 33 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $312.72 – $1,075.98 | 14 |
| MRI breast without cont bi CPT 77047 | not published | not published | $188.74 – $649.41 | 33 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $311.19 – $1,070.72 | 14 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $167.52 – $794.87 | 34 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $264.35 – $1,139.32 | 34 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $264.35 – $1,375.04 | 34 |
| MRI chest without contrast CPT 71550 | $719.43 | $2,398.10 | $167.52 – $1,273.66 | 34 |
| MRI chest without & w/contrast CPT 71552 | $1,186.28 | $3,954.25 | $264.35 – $1,736.67 | 34 |
| MRI chest w IV cont CPT 71551 | not published | not published | $215.74 – $1,380.32 | 34 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $150.46 – $539.37 | 13 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $135.40 – $1,273.66 | 34 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $341.09 – $1,467.83 | 10 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $135.92 – $1,690.68 | 10 |
| MRI loex nonjt w IV cont CPT 73719 | $1,015.17 | $3,383.90 | $215.74 – $970.79 | 34 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $882.66 | $2,942.20 | $167.52 – $890.97 | 34 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,292.25 | $4,307.50 | $264.35 – $1,184.10 | 34 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,103.24 | $3,677.45 | $167.52 – $757.96 | 34 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $1,152.21 | $3,840.70 | $264.35 – $1,337.01 | 34 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,001.88 | $3,339.60 | $215.74 – $894.38 | 34 |
| MRI tmj CPT 70336 | not published | not published | $167.52 – $924.67 | 34 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $912.90 | $3,043.00 | $167.52 – $1,113.01 | 34 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,041.24 | $3,470.80 | $264.35 – $1,460.67 | 34 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $215.74 – $1,198.59 | 34 |
| Mr safety determination physician/other qhp CPT 76016 | $75.90 | $253.00 | $70.15 – $116.35 | 23 |
| Mr safety implant elec prepj CPT 76018 | $78.39 | $261.30 | $77.98 – $146.52 | 23 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $50.46 – $224.19 | 23 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $21.11 | $70.35 | $16.92 – $32.37 | 23 |
| Mr sfty med physics xm cstmz CPT 76017 | $208.35 | $694.50 | $205.34 – $348.11 | 23 |
| Mr spectroscopy CPT 76390 | not published | not published | $74.80 – $1,412.47 | 34 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $75.10 – $694.64 | 36 |
| Msh2 gene full seq CPT 81295 | not published | not published | $75.10 – $1,196.49 | 36 |
| Msh2 gene known variants CPT 81296 | not published | not published | $64.12 – $1,058.79 | 36 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $60.69 – $746.11 | 36 |
| Msh6 gene full seq CPT 81298 | not published | not published | $142.48 – $2,012.59 | 36 |
| Msh6 gene known variants CPT 81299 | $2,931.66 | $9,772.20 | $60.69 – $966.22 | 36 |
| Mthfr gene analy common variants CPT 81291 | $798.15 | $2,660.50 | $29.48 – $205.42 | 36 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $14.06 – $84.67 | 36 |
| Mucin synovial fluid CPT 83872 | not published | not published | $4.11 – $22.59 | 36 |
| Mucopolysaccharides CPT 83864 | not published | not published | $13.96 – $89.16 | 36 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $28.30 – $212.32 | 23 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $68.30 – $206.75 | 27 |
| Multiple sleep latency test CPT 95805 | $879.38 | $2,931.25 | $236.90 – $748.26 | 28 |
| Mumps antibody igg CPT 86735 | $82.49 | $274.95 | $9.16 – $58.50 | 36 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $703.71 – $1,543.50 | 4 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $1,150.77 – $1,543.50 | 4 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,150.77 – $1,543.50 | 4 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $26.58 – $411.50 | 28 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $9.61 – $206.75 | 28 |
| Muscle test larynx CPT 95865 | not published | not published | $30.42 – $170.34 | 28 |
| Muscle test one fiber CPT 95872 | not published | not published | $27.69 – $206.75 | 28 |
| Muscle transfers CPT 23397 | not published | not published | $1,881.50 – $2,981.50 | 4 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $1,881.50 – $2,298.50 | 4 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $1,301.07 – $1,985.50 | 4 |
| Mycobacteria dna amp probe CPT 87551 | $161.00 | $536.65 | $24.61 – $151.24 | 36 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $7.11 | $23.70 | $0.20 – $0.34 | 7 |
| Mycoplasma antibody igm CPT 86738 | $47.07 | $156.90 | $9.29 – $50.81 | 36 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $157.86 – $550.29 | 36 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $135.87 – $1,089.31 | 34 |
| Myelography l-s spine CPT 72265 | not published | not published | $91.32 – $1,089.31 | 34 |
| Myelography neck spine CPT 72240 | not published | not published | $90.56 – $1,089.31 | 34 |
| Myelography thoracic spine CPT 72255 | not published | not published | $83.36 – $1,089.31 | 34 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $868.85 | $2,896.15 | $307.14 – $1,985.50 | 23 |
| Myelography via inj w/s&i cervical CPT 62302 | $741.02 | $2,470.05 | $307.14 – $1,985.50 | 23 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $779.97 | $2,599.90 | $307.14 – $1,985.50 | 23 |
| Myelography via inj w/s&i thoracic CPT 62303 | $958.25 | $3,194.15 | $307.14 – $1,985.50 | 23 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $452.69 | $1,508.95 | $8.09 – $45.14 | 36 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $513.30 – $3,581.20 | 15 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $96.22 – $3,866.97 | 14 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $123.58 – $7,370.44 | 14 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $513.30 – $3,581.20 | 15 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $91.28 – $3,866.97 | 14 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Myomectomy abdom method CPT 58140 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Myomectomy vag method CPT 58145 | not published | not published | $923.10 – $2,298.50 | 4 |
| Myringoplasty CPT 69620 | not published | not published | $973.10 – $1,246.50 | 4 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $0.53 | $1.75 | $0.34 – $0.45 | 5 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $9.59 | $31.95 | $3.94 – $7.04 | 9 |
| Narcosynthesis CPT 90865 | not published | not published | $55.00 – $212.32 | 22 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | not published | not published | $45.00 – $2,225.50 | 23 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $64.86 – $2,225.50 | 23 |
| Nasal function studies CPT 92512 | not published | not published | $34.60 – $411.50 | 28 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $1,468.50 – $1,543.50 | 4 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $629.78 – $1,246.50 | 4 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $1,468.50 – $1,543.50 | 4 |
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.